Ask the infant risk center.  That's what they are there for :-) Pat in SNJ
----- Original Message ----- 
From: "Loretta Haycook" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, August 28, 2012 3:13 PM
Subject: Re: Metoprolol


>I have 2 pregnant women asking about the use of Metoprolol (one for
> long term blood pressure problems and the other for tachycardia).
> Both are due next week.
> Blood pressure mom has been on this drug for past 2 yrs.    The other
> mom has been on it short term and hopes to come off it soon.
>
> The question is 2012 Hale lists it as L3 and says, "Although these
> levels are probably too low to be clinically relevant, clinicians
> should use Metoprolol under close supervision."
>
> Pediatric concerns:  "None reported in several studies, but close
> observation for hypotension, weakness, bradycardia is advised."
>
> Are these pediatric concerns one would just "watch" baby for or is
> blood work advised, etc.          Any suggestions.
>
> Thank you, Loretta Haycook, RN, IBCLC
>                 Jacksonville Beach, FL
>
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