key specifications
Methotrexate is a beta-blocker medication used to treat angina, congestive heart failure, and high blood pressure.
Correct dosage:
Depending on your response to treatment, your doctor may prescribe a higher or lower dose.
Do not take more than your doctor tells you to.
The dosage is determined by your doctor, but the usual dosage is as follows:
Adult use:
Angina:
Initial dose: 100 mg once a day
The dose may be increased weekly to achieve the desired effect.
Maximum dose: 400 mg per day
Atrial flutter or fibrillation:
Maintenance dose: 50 to 400 mg once a day
Prevention of atrial fibrillation after heart surgery:
Initial dose: 50 mg once a day
Dose adjustment is based on the patient's hemodynamic response to the maximum tolerated dose.
Maximum dose: 200 mg/day
Heart failure with reduced cardiac output:
Initial dose: 12.5 to 25 mg once daily
Increase dose gradually to the highest tolerated dose. (Dosage increases should be monitored for signs and symptoms of heart failure.)
Maximum dose: 200 mg/day
Hypertension (adjunctive therapy):
Initial dose: 25 to 100 mg once daily
Adjust dosage at weekly or more frequent intervals based on patient response to therapy.
Maximum dose: 400 mg/day (usual dose range is 50 to 200 mg once daily.)
Secondary prevention of MI:
Initial dose: 25 to 50 mg once daily
Adjust dosage based on heart rate and blood pressure, up to 200 mg once daily if tolerated.
Supraventricular tachycardia:
Maintenance therapy: 50 mg once daily
Maximum dose: 400 mg once daily
Ventricular arrhythmia:
Sustained ventricular tachycardia, sustained ventricular tachycardia or electrical storm (hemodynamically stable), prevention of ventricular arrhythmia:
25 to 100 mg once or twice daily
Unstable ventricular tachycardia or ventricular premature beats, symptomatic:
25 to 100 mg once or twice daily
Substitution of immediate-release form (metoprolol tartrate) with sustained-release form (metoprolol succinate):
The same total daily dose of metoprolol should be used. Metoprolol tartrate is usually taken in two or three divided doses per day and metoprolol succinate as a single daily dose.
Substitution between oral and injectable forms:
In most cases, equivalent beta-blocking effect is achieved when a ratio of 1:2.5 (injectable:oral) is used.
The total daily dose of approximately 100 mg/kg should be administered in 4 equally divided doses.
Due to interindividual differences, the stated ratio may vary; the exact ratio will be determined based on the patient's response to treatment.
Use in children:
The safety and efficacy of this drug in children have not been established.
Use in the elderly:
Use in the control of blood pressure in the elderly with reduced doses.