Page last updated: 2024-10-31

metoprolol and Pulmonary Disease, Chronic Obstructive

metoprolol has been researched along with Pulmonary Disease, Chronic Obstructive in 26 studies

Metoprolol: A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.
metoprolol : A propanolamine that is 1-(propan-2-ylamino)propan-2-ol substituted by a 4-(2-methoxyethyl)phenoxy group at position 1.

Pulmonary Disease, Chronic Obstructive: A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.

Research Excerpts

ExcerptRelevanceReference
"This study compared the survival and the risk of heart failure (HF), chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM), hypoglycemia, and renal failure (RF) hospitalizations in geriatric patients exposed to carvedilol or metoprolol."7.96Metoprolol Versus Carvedilol in Patients With Heart Failure, Chronic Obstructive Pulmonary Disease, Diabetes Mellitus, and Renal Failure. ( Andersen, M; Jensen, MT; Kragholm, K; Rasmussen, DB; Sessa, M; Torp-Pedersen, C, 2020)
" After adjustment for age, sex, comorbidities, and severity of HF and COPD, bisoprolol use showed a dose-response survival benefit [low dose: adjusted hazard ratio (HR) = 0."5.43Carvedilol, Bisoprolol, and Metoprolol Use in Patients With Coexistent Heart Failure and Chronic Obstructive Pulmonary Disease. ( Chang, YS; Chen, TJ; Chou, KT; Hu, YW; Hung, MH; Lee, FY; Liu, CJ; Ou, SM; Perng, DW; Su, VY; Yang, KY, 2016)
" No adverse event was experienced."5.32Metoprolol, a beta-1 selective blocker, can be used safely in coronary artery disease patients with chronic obstructive pulmonary disease. ( Akkuş, N; Alkan, M; Arikan, S; Avan, C; Aydoğdu, S; Camsari, A; Ciçek, D; Kaya, D; Kiykim, A; Pekdemir, H; Sezer, K, 2003)
"To compare the hazard of all-cause, chronic obstructive pulmonary disease (COPD) and heart failure (HF) hospitalization in carvedilol vs."5.27Relationship between heart failure, concurrent chronic obstructive pulmonary disease and beta-blocker use: a Danish nationwide cohort study. ( Andersen, MP; Capuano, A; Enghusen-Poulsen, H; Gislason, G; Mascolo, A; Mortensen, RN; Rosano, GMC; Rossi, F; Sessa, M; Torp-Pedersen, C, 2018)
" A comparative study on the efficacy and safety of bisoprolol and sustained release metoprolol succinate in patients with arterial hypertension (AH), cardiovascular disease (CVD) and chronic obstructive pulmonary disease (COPD) was conducted."5.19[Efficacy and safety of bisoprololal in hypertensive patients with cardiovascular disease and chronic obstructive pulmonary disease]. ( Chernikov, MV; Derevianchenko, MV; Lopushkova, IuE; Statsenko, ME, 2014)
"This study compared the survival and the risk of heart failure (HF), chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM), hypoglycemia, and renal failure (RF) hospitalizations in geriatric patients exposed to carvedilol or metoprolol."3.96Metoprolol Versus Carvedilol in Patients With Heart Failure, Chronic Obstructive Pulmonary Disease, Diabetes Mellitus, and Renal Failure. ( Andersen, M; Jensen, MT; Kragholm, K; Rasmussen, DB; Sessa, M; Torp-Pedersen, C, 2020)
"Clinical guidelines suggest that for patients with heart failure and concurrent chronic obstructive pulmonary disease (COPD), metoprolol/bisoprolol/nebivolol should be preferred over carvedilol."3.91Beta-blocker choice and exchangeability in patients with heart failure and chronic obstructive pulmonary disease: an Italian register-based cohort study. ( Andersen, M; Capuano, A; Jensen, MT; Kragholm, K; Mascolo, A; Pagliaro, C; Rafaniello, C; Rasmussen, DB; Rossi, F; Sessa, M; Sportiello, L; Tari, GM, 2019)
"To assess efficacy and safety of selective beta-adrenoblockers (BAB) metoprolol succinate and nebivolol in patients with arterial hypertension (AH) and/or IHD associated with bronchoobstructive syndrome (BOS)."3.74[Administration of cardioselective beta-adrenoblockers in patients with arterial hypertension and/or ischemic heart disease associated with bronchoobstructive syndrome]. ( Litvinova, IV; Mikolkin, VI; Ovcharenko, SI, 2007)
"Pulmonary hypertension (PH) in COPD confers increased risk of exacerbations (ECOPD)."3.30Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial. ( Bittner, V; Dransfield, MT; Helgeson, ES; Kunisaki, KM; Lammi, MR; Ling, SX; MacDonald, DM; Mkorombindo, T; Pew, K; Voelker, H; Wade, RC, 2023)
"The Beta-blockeRs tO patieNts with CHronIc Obstructive puLmonary diseasE (BRONCHIOLE) study is an open-label, multicentre, prospective RCT."2.94Beta-blockeRs tO patieNts with CHronIc Obstructive puLmonary diseasE (BRONCHIOLE) - Study protocol from a randomized controlled trial. ( Andell, P; Fröbert, O; Magnuson, A; Montgomery, S; Rindler, G; Sundh, J, 2020)
"Among patients with moderate or severe COPD who did not have an established indication for beta-blocker use, the time until the first COPD exacerbation was similar in the metoprolol group and the placebo group."2.90Metoprolol for the Prevention of Acute Exacerbations of COPD. ( Bhatt, SP; Brenner, K; Casaburi, R; Come, CE; Connett, JE; Cooper, JAD; Criner, GJ; Curtis, JL; Dransfield, MT; Han, MK; Hatipoğlu, U; Helgeson, ES; Jain, VV; Kalhan, R; Kaminsky, D; Kaner, R; Kunisaki, KM; Lambert, AA; Lammi, MR; Lazarus, SC; Lindberg, S; Make, BJ; Martinez, FJ; McEvoy, C; Panos, RJ; Reed, RM; Scanlon, PD; Sciurba, FC; Smith, A; Sriram, PS; Stringer, WW; Voelker, H; Weingarten, JA; Wells, JM; Westfall, E, 2019)
"A substantial majority of chronic obstructive pulmonary disease (COPD)-related morbidity, mortality and healthcare costs are due to acute exacerbations, but existing medications have only a modest effect on reducing their frequency, even when used in combination."2.82β-Blockers for the prevention of acute exacerbations of chronic obstructive pulmonary disease (βLOCK COPD): a randomised controlled study protocol. ( Bhatt, SP; Connett, JE; Criner, GJ; Dransfield, MT; Lazarus, SC; Lindberg, SM; Voelker, H; Wells, JM; Westfall, E, 2016)
"In subjects with COPD, forced expiratory volume in 1 s was lowest with carvedilol and highest with bisoprolol (carvedilol 1."2.75Differences between beta-blockers in patients with chronic heart failure and chronic obstructive pulmonary disease: a randomized crossover trial. ( Coleman, CF; Elsik, M; Hayward, CS; Jabbour, A; Keogh, AM; Kotlyar, E; Krum, H; Macdonald, PS; Mellemkjaer, S, 2010)
"Within the COPD GOLD II stage group, there appears to be no statistically significant difference in the number of exacerbations between the patients taking verapamil and digoxin (n = 24) and the patients taking BBs alone (n = 15), although, in patients taking BBs alone, there appears to be a trend towards a decrease in the exacerbations compared to the number of exacerbations in patients taking verapamil and digoxin (p = 0."1.51Beta-blocker Use in Moderate and Severe Chronic Obstructive Pulmonary Disease. ( Bedak, O; Begic, E; Bradaric, H; Custovic, F; Durak-Nalbantic, A; Hodzic, E; Mujakovic, A; Prnjavorac, B; Zvizdic, F, 2019)
"To verify the previously reported association between long-term use of β2-adrenoreceptor (β2AR) agonist and antagonist with reduced and increased risk of Parkinson disease (PD), respectively."1.51Use of β2-adrenoreceptor agonist and antagonist drugs and risk of Parkinson disease. ( Blaabjerg, M; Christensen, K; Deuschl, G; Höglinger, GU; Hopfner, F; Kuhlenbäumer, G; Pottegård, A; Rösler, TW; Wod, M, 2019)
"Bisoprolol was found to reduce mortality and CHF exacerbation compared to carvedilol and metoprolol."1.46The evaluation of β-adrenoceptor blocking agents in patients with COPD and congestive heart failure: a nationwide study. ( Chen, CY; Huang, YB; Kuo, CC; Liao, KM; Lin, TY, 2017)
" After adjustment for age, sex, comorbidities, and severity of HF and COPD, bisoprolol use showed a dose-response survival benefit [low dose: adjusted hazard ratio (HR) = 0."1.43Carvedilol, Bisoprolol, and Metoprolol Use in Patients With Coexistent Heart Failure and Chronic Obstructive Pulmonary Disease. ( Chang, YS; Chen, TJ; Chou, KT; Hu, YW; Hung, MH; Lee, FY; Liu, CJ; Ou, SM; Perng, DW; Su, VY; Yang, KY, 2016)
" No adverse event was experienced."1.32Metoprolol, a beta-1 selective blocker, can be used safely in coronary artery disease patients with chronic obstructive pulmonary disease. ( Akkuş, N; Alkan, M; Arikan, S; Avan, C; Aydoğdu, S; Camsari, A; Ciçek, D; Kaya, D; Kiykim, A; Pekdemir, H; Sezer, K, 2003)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (19.23)29.6817
2010's11 (42.31)24.3611
2020's10 (38.46)2.80

Authors

AuthorsStudies
Parekh, TM1
Helgeson, ES4
Connett, J1
Voelker, H4
Ling, SX2
Lazarus, SC3
Bhatt, SP3
MacDonald, DM2
Mkorombindo, T2
Kunisaki, KM3
Fortis, S1
Kaminsky, D2
Dransfield, MT5
Wade, RC1
Pew, K1
Bittner, V1
Lammi, MR2
Sessa, M3
Mascolo, A2
Rasmussen, DB2
Kragholm, K2
Jensen, MT2
Sportiello, L1
Rafaniello, C1
Tari, GM1
Pagliaro, C1
Andersen, M2
Rossi, F2
Capuano, A2
Zvizdic, F1
Begic, E1
Mujakovic, A1
Hodzic, E1
Prnjavorac, B1
Bedak, O1
Custovic, F1
Bradaric, H1
Durak-Nalbantic, A1
MacNee, W1
Brenner, K1
Casaburi, R1
Come, CE1
Cooper, JAD1
Criner, GJ2
Curtis, JL1
Han, MK1
Hatipoğlu, U1
Jain, VV1
Kalhan, R1
Kaner, R1
Lambert, AA1
Lindberg, S1
Make, BJ1
Martinez, FJ1
McEvoy, C1
Panos, RJ1
Reed, RM1
Scanlon, PD1
Sciurba, FC1
Smith, A1
Sriram, PS1
Stringer, WW1
Weingarten, JA1
Wells, JM3
Westfall, E2
Connett, JE3
Onakpoya, IJ1
Sundh, J1
Magnuson, A1
Montgomery, S1
Andell, P1
Rindler, G1
Fröbert, O1
Torp-Pedersen, C2
Reese, Z1
Ganatra, RB1
Doumas, M1
Imprialos, KP1
Stavropoulos, K1
Mehmood, M1
Wade, C1
Liao, KM1
Lin, TY1
Huang, YB1
Kuo, CC1
Chen, CY1
Mortensen, RN1
Andersen, MP1
Rosano, GMC1
Gislason, G1
Enghusen-Poulsen, H1
Hopfner, F1
Wod, M1
Höglinger, GU1
Blaabjerg, M1
Rösler, TW1
Kuhlenbäumer, G1
Christensen, K1
Deuschl, G1
Pottegård, A1
Statsenko, ME1
Derevianchenko, MV1
Chernikov, MV1
Lopushkova, IuE1
Su, VY1
Chang, YS1
Hu, YW1
Hung, MH1
Ou, SM1
Lee, FY1
Chou, KT1
Yang, KY1
Perng, DW1
Chen, TJ1
Liu, CJ1
Lindberg, SM1
Cazzola, M1
Matera, MG1
Jabbour, A1
Macdonald, PS1
Keogh, AM1
Kotlyar, E1
Mellemkjaer, S1
Coleman, CF1
Elsik, M1
Krum, H1
Hayward, CS1
Camsari, A1
Arikan, S1
Avan, C1
Kaya, D1
Pekdemir, H1
Ciçek, D1
Kiykim, A1
Sezer, K1
Akkuş, N1
Alkan, M1
Aydoğdu, S1
van der Woude, HJ1
Zaagsma, J1
Postma, DS1
Winter, TH1
van Hulst, M1
Aalbers, R1
Ahrens, W1
Hagemeier, C1
Mühlbauer, B1
Pigeot, I1
Püntmann, I1
Reineke, A1
Steinbach, M1
Timm, J1
Ovcharenko, SI1
Litvinova, IV1
Mikolkin, VI1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Beta-Blockers for the Prevention of Acute Exacerbations of COPD[NCT02587351]Phase 3532 participants (Actual)Interventional2016-05-01Terminated (stopped due to Futility)
Beta-blockeRs tO patieNts With CHronIc Obstructive puLmonary diseasE[NCT03566667]Phase 41,700 participants (Anticipated)Interventional2018-06-12Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

All-cause Mortality

All-cause mortality count (NCT02587351)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Metoprolol Succinate11
Placebo5

COPD Assessment Test (CAT)

COPD Assessment Test (CAT) change from baseline. The CAT is a simple, eight item, health status instrument for patients with COPD that provides a score of 0-40. Lower scores denote better health status. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.88
Placebo-0.59

Exercise Capacity as Assessed by the 6 Minute Walk Distance (6MWD)

6MWD change from baseline to visit day 336. The 6MWD has been used as a simple tool to assess overall exercise tolerance in patients with chronic cardiopulmonary disease including COPD. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionmeters (Mean)
Metoprolol Succinate-17.64
Placebo-11.87

Forced Expiratory Volume in 1 Second (FEV1)

Change in FEV1 % Predicted from baseline to visit day 336 as assessed by spirometry (NCT02587351)
Timeframe: 1 year

Interventionpercentage of predicted (Mean)
Metoprolol Succinate-2.24
Placebo-1.46

Hospital Days Resulting From Acute Exacerbations of COPD

Number of hospital days resulting from acute exacerbations of COPD reported as negative binomial estimates of mean hospital days per patient year. (NCT02587351)
Timeframe: 14 months

Interventionhospital days (Mean)
Metoprolol Succinate3.09
Placebo0.96

Modified Medical Research Council Dyspnea Scale (MMRC)

Modified Medical Research Council Dyspnea Scale (MMRC) change from baseline to visit day 336. The MMRC scale is a five-point scale originally published in 1959 that considers certain activities, such as walking or climbing stairs, which provoke breathlessness. Scale from 0 to 4 with lower scores indicating less breathlessness. (NCT02587351)
Timeframe: 1 year

Interventionscore on a scale (Median)
Metoprolol Succinate2.0
Placebo2.0

Number of Acute Exacerbations of COPD

Number of acute exacerbations of COPD - rate per person-year (NCT02587351)
Timeframe: 1 year

Interventionno. of events/person-yr (Mean)
Metoprolol Succinate1.40
Placebo1.33

Number of Emergency Department Visits Resulting From Acute Exacerbations of COPD

Number of Emergency Department visits resulting from acute exacerbations of COPD - rate (NCT02587351)
Timeframe: 1 year

Interventionevents per person-year (Mean)
Metoprolol Succinate0.17
Placebo0.18

Number of Hospital Admissions Resulting From Acute Exacerbations of COPD

Number of hospital admissions resulting from acute exacerbations of COPD - rate (NCT02587351)
Timeframe: 1 year

Interventionevents per person-year (Mean)
Metoprolol Succinate0.66
Placebo0.42

San Diego Shortness of Breath Questionnaire (SOBQ)

"San Diego Shortness of Breath Questionnaire (SOBQ) change from baseline. A 24-item measure that assesses self-reported shortness of breath while performing a variety of activities of daily living. Each item has a 6-point scale (0 = not at all to 5 = maximal or unable to do because of breathlessness)." (NCT02587351)
Timeframe: 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.52
Placebo-0.25

St. George's Respiratory Questionnaire (SGRQ)

SGRQ change from baseline to visit day 336. The SGRQ total score change from baseline. SGRQ is a respiratory specific health status questionnaire with scores ranging from 0 to 100. The lower score indicates a better health status. (NCT02587351)
Timeframe: Baseline, 1 year

Interventionscore on a scale (Mean)
Metoprolol Succinate0.52
Placebo-0.25

Time to First Occurrence of an Acute COPS Exacerbation

"Acute exacerbations are defined as a complex of respiratory symptoms (increase or new onset) of more than one of the following: cough, sputum, wheezing, dyspnea, or chest tightness requiring treatment with antibiotics and/or systemic steroids for at least three days." (NCT02587351)
Timeframe: 1 year

Interventiondays (Mean)
Metoprolol Succinate202
Placebo222

Acute Exacerbations of COPD and MACE

MACE defined by cardiovascular death, hospitalization for myocardial infarction, heart failure, or stroke (NCT02587351)
Timeframe: 12 months

,
InterventionParticipants (Count of Participants)
Myocardial InfarctionHeart FailureStrokeSudden cardiac deathCOPD Exacerbation (Serious)
Metoprolol Succinate221055
Placebo131132

Incidence of Presumed Metoprolol-related Side-effects

New or worsened (Neural: depression, headache, syncope, seizures, somnolence, memory loss, loss of sexual desire or erectile dysfunction, and fatigue; Hypersensitivity: rash, pruritus, tongue or facial swelling; Gastrointestinal: diarrhea, vomiting, nausea or constipation; Cardiovascular: bradycardia and hypotension as discussed below; Respiratory: bronchospasm and changes in lung function as discussed below). (NCT02587351)
Timeframe: 1 year

,
InterventionParticipants (Count of Participants)
DepressionHeadacheFaintingDaytime SleepinessMemory LossLoss of sexual desire or erectile dysfunctionLack of energyRashItchingTongue or facial swellingVomitingNauseaConstipationWheezingShortness of breathChest tightnessHeart skipping or irregular beatsDizziness/light headedness
Metoprolol Succinate28714582010911711711453088115811674
Placebo3978870216772118518423279112801564

Major Adverse Cardiovascular Events

Major adverse cardiovascular events (MACE), percutaneous coronary intervention or coronary artery bypass grafting. MACE defined by cardiovascular death, hospitalization for myocardial infarction, heart failure, or stroke (NCT02587351)
Timeframe: 12 months

,
InterventionParticipants (Count of Participants)
Myocardial InfarctionHeart FailureStrokeSudden Cardiac Death
Metoprolol Succinate2210
Placebo1311

Markers of Systemic Inflammation

Fibrinogen: assessed at screening/randomization and at conclusion of the study to determine if beta-blockade impacts levels of systemic inflammation that portend overall cardiac risk. (NCT02587351)
Timeframe: Baseline, 1 year

,
Interventionmg/dL (Mean)
Fibrinogen baselineFibrinogen Visit 336
Metoprolol Succinate384.8392.5
Placebo378.2386.0

Short Form Health Survey (SF-36) Bodily Pain Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Bodily Pain Scale includes 2 items assessing the intensity of pain and effect of pain on normal work, both inside and outside the house. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate67.567.557.5
Placebo67.567.557.5

Short Form Health Survey (SF-36) Emotional Well-being Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Emotional Well-being Scale includes 5 items assessing emotional wellbeing. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate76.076.076.0
Placebo72.072.072.0

Short Form Health Survey (SF-36) Energy/Fatigue Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Energy/Fatigue Scale includes 4 items. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate50.050.050.0
Placebo50.045.045.0

Short Form Health Survey (SF-36) General Health Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The General Health Scale includes 4 items assessing personal evaluations of health. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate40.040.040.0
Placebo40.035.035.0

Short Form Health Survey (SF-36) Physical Function Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. 8 multi-item scales with higher score indicating better health state. The Physical Functioning scale is 10 items assessing the extent to which health limits physical activities such as self-care, walking, climbing stairs, bending lifting, and moderate and vigorous activities transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate30.030.030.0
Placebo30.030.035.0

Short Form Health Survey (SF-36) Role Functioning - Emotional Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Role Functioning - Emotional Scale includes 3 items assessing extent to which emotional problems interfere with work or other daily activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate100.066.766.7
Placebo66.766.766.7

Short Form Health Survey (SF-36) Role Functioning - Physical Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Role Functioning - Physical Scale contains 4 items assessing the extent to which physical health interferes with work or other daily activities, including accomplished less than wanted, limitations in the kind of activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate25.025.012.5
Placebo25.025.012.5

Short Form Health Survey (SF-36) Social Functioning Scale

Short Form Health Survey (SF-36) is a generic tool to assess overall health status and allows comparison between different diseases. Includes 8 multi-item scales with higher score indicating better health state. The Social Functioning Scale includes 2 items assessing extent to which physical health or emotional problems interfere with normal social activities. Items are transformed to a score with a range of 0-100. (NCT02587351)
Timeframe: 1 year

,
InterventionUnits on a scale (Median)
BaselineDay 112 visitDay 336 Visit
Metoprolol Succinate62.562.575.0
Placebo62.562.562.5

Reviews

1 review available for metoprolol and Pulmonary Disease, Chronic Obstructive

ArticleYear
Practical recommendations for the use of beta-blockers in chronic obstructive pulmonary disease.
    Expert review of respiratory medicine, 2020, Volume: 14, Issue:7

    Topics: Adrenergic beta-Antagonists; Arrhythmias, Cardiac; Heart Failure; Humans; Metoprolol; Myocardial Isc

2020

Trials

9 trials available for metoprolol and Pulmonary Disease, Chronic Obstructive

ArticleYear
Lung Function and the Risk of Exacerbation in the β-Blockers for the Prevention of Acute Exacerbations of Chronic Obstructive Pulmonary Disease Trial.
    Annals of the American Thoracic Society, 2022, Volume: 19, Issue:10

    Topics: Bronchodilator Agents; Forced Expiratory Volume; Humans; Lung; Metoprolol; Pulmonary Disease, Chroni

2022
Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
    BMC pulmonary medicine, 2023, Nov-09, Volume: 23, Issue:1

    Topics: Adrenergic beta-Antagonists; Disease Progression; Humans; Metoprolol; Morbidity; Pulmonary Disease,

2023
Metoprolol for the Prevention of Acute Exacerbations of COPD.
    The New England journal of medicine, 2019, 12-12, Volume: 381, Issue:24

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Aged, 80 and over; Disease Progression; Female; Forced

2019
Beta-blockeRs tO patieNts with CHronIc Obstructive puLmonary diseasE (BRONCHIOLE) - Study protocol from a randomized controlled trial.
    Trials, 2020, Jan-30, Volume: 21, Issue:1

    Topics: Adrenergic beta-Antagonists; Cardiovascular Diseases; Endpoint Determination; Female; Humans; Male;

2020
Relationship between heart failure, concurrent chronic obstructive pulmonary disease and beta-blocker use: a Danish nationwide cohort study.
    European journal of heart failure, 2018, Volume: 20, Issue:3

    Topics: Adrenergic beta-1 Receptor Agonists; Aged; Bisoprolol; Carvedilol; Cause of Death; Comorbidity; Denm

2018
[Efficacy and safety of bisoprololal in hypertensive patients with cardiovascular disease and chronic obstructive pulmonary disease].
    Kardiologiia, 2014, Volume: 54, Issue:1

    Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Antihypertensive Agents; Bisoprolol; Cardiovascular Di

2014
β-Blockers for the prevention of acute exacerbations of chronic obstructive pulmonary disease (βLOCK COPD): a randomised controlled study protocol.
    BMJ open, 2016, 06-07, Volume: 6, Issue:6

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Cause of Death; Disease Progression; Do

2016
Differences between beta-blockers in patients with chronic heart failure and chronic obstructive pulmonary disease: a randomized crossover trial.
    Journal of the American College of Cardiology, 2010, Apr-27, Volume: 55, Issue:17

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Bisoprolol; Carbazoles; Carvedilol; Chr

2010
Detrimental effects of beta-blockers in COPD: a concern for nonselective beta-blockers.
    Chest, 2005, Volume: 127, Issue:3

    Topics: Adrenergic beta-Agonists; Adrenergic beta-Antagonists; Adult; Aged; Bronchial Hyperreactivity; Bronc

2005

Other Studies

16 other studies available for metoprolol and Pulmonary Disease, Chronic Obstructive

ArticleYear
Beta-blocker choice and exchangeability in patients with heart failure and chronic obstructive pulmonary disease: an Italian register-based cohort study.
    Scientific reports, 2019, 08-07, Volume: 9, Issue:1

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Atrioventricular Block; Bisoprolol; Carvedilol

2019
Beta-blocker Use in Moderate and Severe Chronic Obstructive Pulmonary Disease.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2019, Volume: 73, Issue:2

    Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Bisoprolol; Case-Control

2019
Beta-Blockers in COPD - A Controversy Resolved?
    The New England journal of medicine, 2019, 12-12, Volume: 381, Issue:24

    Topics: Adrenergic beta-Antagonists; Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2019
Metoprolol is not effective for preventing acute exacerbations in COPD.
    BMJ evidence-based medicine, 2020, Volume: 25, Issue:6

    Topics: Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2020
Metoprolol Versus Carvedilol in Patients With Heart Failure, Chronic Obstructive Pulmonary Disease, Diabetes Mellitus, and Renal Failure.
    The American journal of cardiology, 2020, 04-01, Volume: 125, Issue:7

    Topics: Acute Disease; Adrenergic alpha-1 Receptor Antagonists; Adrenergic beta-1 Receptor Antagonists; Aged

2020
Metoprolol for the Prevention of Exacerbations of COPD.
    The New England journal of medicine, 2020, 04-02, Volume: 382, Issue:14

    Topics: Bronchodilator Agents; Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2020
Metoprolol for the Prevention of Exacerbations of COPD.
    The New England journal of medicine, 2020, 04-02, Volume: 382, Issue:14

    Topics: Bronchodilator Agents; Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2020
Metoprolol for the Prevention of Exacerbations of COPD.
    The New England journal of medicine, 2020, 04-02, Volume: 382, Issue:14

    Topics: Bronchodilator Agents; Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2020
Metoprolol for the Prevention of Exacerbations of COPD. Reply.
    The New England journal of medicine, 2020, 04-02, Volume: 382, Issue:14

    Topics: Bronchodilator Agents; Humans; Metoprolol; Pulmonary Disease, Chronic Obstructive

2020
The evaluation of β-adrenoceptor blocking agents in patients with COPD and congestive heart failure: a nationwide study.
    International journal of chronic obstructive pulmonary disease, 2017, Volume: 12

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Bisoprolol; Carbazoles; Carvedilol; Chi-Square

2017
Use of β2-adrenoreceptor agonist and antagonist drugs and risk of Parkinson disease.
    Neurology, 2019, 07-09, Volume: 93, Issue:2

    Topics: Administration, Inhalation; Adrenal Cortex Hormones; Adrenergic beta-Agonists; Adrenergic beta-Antag

2019
Carvedilol, Bisoprolol, and Metoprolol Use in Patients With Coexistent Heart Failure and Chronic Obstructive Pulmonary Disease.
    Medicine, 2016, Volume: 95, Issue:5

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Bisoprolol; Carbazoles; Carvedilol; Con

2016
Beta-blockers are safe in patients with chronic obstructive pulmonary disease, but only with caution.
    American journal of respiratory and critical care medicine, 2008, Oct-01, Volume: 178, Issue:7

    Topics: Adrenergic beta-Agonists; Adrenergic beta-Antagonists; Atenolol; Cardiovascular Diseases; Contraindi

2008
Metoprolol, a beta-1 selective blocker, can be used safely in coronary artery disease patients with chronic obstructive pulmonary disease.
    Heart and vessels, 2003, Volume: 18, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Adrenergic beta-Antagonists; Aged; Blood Pressure; Coronary

2003
Hospitalization rates of generic metoprolol compared with the original beta-blocker in an epidemiological database study.
    Pharmacoepidemiology and drug safety, 2007, Volume: 16, Issue:12

    Topics: Adrenergic beta-Antagonists; Aged; Arrhythmias, Cardiac; Arthritis, Rheumatoid; Databases, Factual;

2007
[Administration of cardioselective beta-adrenoblockers in patients with arterial hypertension and/or ischemic heart disease associated with bronchoobstructive syndrome].
    Terapevticheskii arkhiv, 2007, Volume: 79, Issue:9

    Topics: Adrenergic beta-Antagonists; Asthma; Benzopyrans; Comorbidity; Drug Administration Schedule; Ethanol

2007