Is it safe to restart metoprolol (Lopressor) after consuming cabbage?

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Last updated: February 11, 2025View editorial policy

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From the Research

Metoprolol and Cabbage Consumption

  • There is no direct evidence in the provided studies regarding the safety of restarting metoprolol after consuming cabbage.
  • The studies primarily focus on the pharmacodynamic and pharmacokinetic properties of metoprolol, its therapeutic efficacy, and withdrawal phenomena 1, 2, 3, 4.
  • One study discusses the treatment of a massive metoprolol overdose using intravenous lipid emulsion and hyperinsulinemia/euglycemia therapy, but does not mention cabbage consumption 5.
  • None of the studies investigate the interaction between metoprolol and cabbage or provide guidance on restarting metoprolol after consuming cabbage.

Withdrawal Phenomena and Metoprolol

  • Studies have shown that abrupt withdrawal of metoprolol can lead to rebound increases in cardiac sensitivity to isoprenaline and resting heart rate 2, 4.
  • Gradual withdrawal of metoprolol on a prolonged small dose can prevent or minimize these withdrawal phenomena 2, 4.
  • However, these findings do not directly relate to the safety of restarting metoprolol after consuming cabbage.

Pharmacological Properties of Metoprolol

  • Metoprolol is a beta1-selective adrenoceptor blocking drug with a longer duration of effect than expected from its half-life 1, 3.
  • It is suitable for twice daily administration and has some pharmacodynamic and pharmacokinetic differences from other beta-adrenoceptor blocking drugs 1, 3.
  • These properties do not provide information on the safety of restarting metoprolol after consuming cabbage.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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