2.	What should I know before I use METOPROLOL IV VIATRIS?
            
         
            
            Do not use if you have ever had an allergic reaction to metoprolol tartrate or any
               of the ingredients listed at the end of the CMI, you have asthma, wheezing, difficulty
               breathing or other lung problems, or have had them in the past, you have a history
               of allergic problems, including hayfever, you have low blood pressure, you have a
               very slow heartbeat (less than 45-50 beats/minute), you have certain other heart conditions,
               you have phaeochromocytoma (a rare tumour of the adrenal gland) which is not being
               treated already with other medicines, you have a severe blood vessel disorder causing
               poor circulation in the arms and legs or if you are receiving/having emergency treatment
               for shock or severely low blood pressure.
            
            
               Talk to your doctor if you have any other medical conditions, take any other medicines,
                  or are pregnant or plan to become pregnant or are breastfeeding. 
               
            
            
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Some medicines may interfere with METOPROLOL IV VIATRIS and affect how it works. 
            
            
             
         
            
            
4.	How do I use METOPROLOL IV VIATRIS?
            
         
            
            
            METOPROLOL IV VIATRIS is given as a slow injection into the vein.
            
            METOPROLOL IV VIATRIS must only be given by a doctor or a nurse.
            
            Your doctor will decide what dose and for how long you will receive METOPROLOL IV
               VIATRIS. This depends on your condition and other factors, such as your weight.
            
            
            
             
         
            
            
5.	What should I know while using METOPROLOL IV VIATRIS?
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Things you should do
                            | Remind any doctor, dentist or pharmacist you visit that you are using METOPROLOL IV
                           VIATRIS. Tell your doctor if you experience any side effects, including those not listed in
                           this leaflet. | 
                  
                     | 
                           Driving or using machines
                            | Be careful before you drive or use any machines or tools until you know how METOPROLOL
                           IV VIATRIS affects you. | 
                  
                     | 
                           Drinking alcohol
                            | Tell your doctor if you drink alcohol. | 
                  
                     | 
                           Looking after your medicine
                            | METOPROLOL IV VIATRIS will be stored in the hospital pharmacy or on the ward below
                           25°C. | 
               
            
            
            
             
         
            
            
6.	Are there any side effects?
            
         
            
            All medicines can have side effects. If you do experience side effects, most of them
               are minor and temporary. However some side effects may be serious and may need urgent
               medical attention or hospitalisation such as shortness of breath, being less able
               to exercise, swelling of the ankles, feet or legs, chest tightness, wheezing, noisy
               breathing, difficulty breathing, chest pain, changes in heart rate or palpitations,
               swelling of the face, lips, tongue or throat which may cause difficulty swallowing
               or breathing, yellowing of the skin or eyes (jaundice) and generally feeling unwell.
               
            
            
            
            
             
         
            
            
            
         
            
            
               Active ingredient:
               metoprolol tartrate
               
            
            
            
            
            
            Full Consumer Medicine Information (CMI)
            
            This leaflet provides important information about using METOPROLOL IV VIATRIS. You should also speak to your doctor or pharmacist if you would like further information
                  or if you have any concerns or questions about using METOPROLOL IV VIATRIS.
               
            
            
               Where to find information in this leaflet:
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I using METOPROLOL IV VIATRIS?
            
         
            
            
               METOPROLOL IV VIATRIS contains the active ingredient metoprolol tartrate. METOPROLOL IV VIATRIS belongs to a group of medicines called beta-blockers.
            
            
               METOPROLOL IV VIATRIS is used to treat an irregular heartbeat, also known as arrhythmia,
                  which means that there is a disturbance of the heart's normal rhythm or beat.
               
            
            Arrhythmias may be caused by numerous factors, including some heart diseases, an overactive
               thyroid gland or chemical imbalances. After a heart attack there is also a chance
               of developing an arrhythmia.
            
            Metoprolol tartrate helps to restore your heartbeat to a more normal rate, particularly
               if it is beating very fast. 
               
            
            
               Ask your doctor if you have any questions about why this medicine has been prescribed
                  for you. Your doctor may have prescribed it for another reason.
            
            This medicine is not addictive.
             
         
            
            
2.	What should I know before I use METOPROLOL IV VIATRIS?
            
         
            
            
Warnings
            
         
            
            Do not use METOPROLOL IV VIATRIS if:
            
            
            you are allergic to metoprolol tartrate, any other beta-blocker medicine, or any of
               the ingredients listed at the end of this leaflet.
            
            
            Some of the symptoms of an allergic reaction may include:
            
            
            shortness of breath, wheezing or difficulty breathing
            
            swelling of the face, lips, tongue or other parts of the body
            
            rash, itching or hives on the skin or you may feel faint.
            
            
            Always check the ingredients to make sure you can use this medicine.
            
            
            you have asthma, wheezing, difficulty breathing or other lung problems, or have had
               them in the past
            
            you have a history of allergic problems, including hayfever
            
            you have low blood pressure
            
            you have a very slow heartbeat (less than 45-50 beats/minute)
            
            you have certain other heart conditions
            
            you have phaeochromocytoma (a rare tumour of the adrenal gland) which is not being
               treated already with other medicines
            
            you have a severe blood vessel disorder causing poor circulation in the arms and legs
            
            you are receiving/having emergency treatment for shock or severely low blood pressure.
            
            
            If you are not sure whether any of these apply to you, check with your doctor.
             
         
            
            Check with your doctor if you:
            
            
            have any other medical conditions, especially the following:
               
               
asthma, wheezing, difficulty breathing or other lung problems
               
               diabetes
               
               an overactive thyroid gland
               
               liver problems
               
               kidney problems
               
               certain types of angina
               
               any other heart problems
               
               phaeochromocytoma, a rare tumour of the adrenal gland
               
               any blood vessel disorders causing poor circulation in the arms and legs.
               
               take any medicines for any other condition
            
            have allergies to any other medicines, foods, preservatives or dyes.
            
            
            
               If you have not told your doctor about any of the above, tell them before you are
                  given METOPROLOL IV VIATRIS.
               
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects? 
 
         
            
            Pregnancy and breastfeeding
            
            
               Check with your doctor if you are pregnant or plan to become pregnant.
               
            
            Like most beta-blocker medicines, METOPROLOL IV VIATRIS is not recommended for use
               during pregnancy.
            
            
               Talk to your doctor if you are breastfeeding or plan to breastfeed.
               
            
            The active ingredient in METOPROLOL IV VIATRIS passes into breast milk and there is
               a possibility that your baby may be affected.
             
         
            
            Use in children 
            
            
               Do not give this medicine to children.
               
            
            Safety and effectiveness of this medicine in children have not been established.
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Tell your doctor or pharmacist if you are taking any other medicines, including any
               medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
               supermarket or health food shop.
            
            
               Some medicines and METOPROLOL IV VIATRIS may interfere with each other. These include:
               
            
            
            other beta-blocker medicines, including beta-blocker eye drops
            
            calcium channel blockers or calcium antagonists, medicines used to treat high blood
               pressure or angina, for example verapamil and diltiazem
            
            medicines used to treat blood pressure, for example clonidine, hydralazine, and prazosin
            
            medicines used to treat abnormal or irregular heartbeat, for example amiodarone, disopyramide
               and quinidine
            
            medicines used to treat arthritis, pain, or inflammation, for example indometacin
               and ibuprofen
            
            warfarin, a medicine used to prevent blood clots
            
            digoxin, a medicine used to treat heart failure
            
            medicines used to treat diabetes
            
            cimetidine, a medicine used to treat stomach ulcers
            
            medicines used to treat bacterial infections, for example rifampicin
            
            medicines used to treat depression
            
            monoamine oxidase inhibitors (MAOIs).
            
            
            These medicines may be affected by METOPROLOL IV VIATRIS or may affect how well it
               works. You may need different amounts of your medicines or you may need to take different
               medicines. Your doctor will advise you.
            
            Your doctor, nurse and pharmacist have more information on medicines to be careful
               with or avoid while using this medicine
            
            
               Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
                  or supplements you are taking and if these affect METOPROLOL IV VIATRIS.
               
             
         
            
            
4.	How is METOPROLOL IV VIATRIS given? 
            
         
            
            How you are given METOPROLOL IV VIATRIS
            
            METOPROLOL IV VIATRIS is given as a slow injection into a vein.
            
            METOPROLOL IV VIATRIS should only be given by a doctor or nurse.
            
            Your doctor will decide what dose and for how long you will receive METOPROLOL IV
               VIATRIS. This will depend on your condition and other factors, such as your weight.
            
            To begin treatment, up to 5 mg of METOPROLOL IV VIATRIS is given at a rate of 1 to
               2 mg per minute. This dose may be repeated at 5-minute intervals until a satisfactory
               effect is achieved.
            
            Your blood pressure and heart will be monitored during treatment.
             
         
            
            If you use too much METOPROLOL IV VIATRIS
            
            
               The doctor or nurse giving you METOPROLOL IV VIATRIS will be experienced in its use,
                  so it is unlikely that you will be given an overdose.
               
            
            However, if you are accidentally given too much METOPROLOL IV VIATRIS you may experience
               nausea, vomiting, convulsions, an extreme slowing of the heartbeat, lowered blood
               pressure, possible heart failure and breathing difficulties.
            
            In extreme cases, your skin may turn blue, and you may go into shock, unconsciousness
               or coma.
            
            Your doctor has information on how to recognise and treat an overdose. Ask your doctor
               if you have any concerns.
            
            
               If you believe that you have been given too much METOPROLOL IV VIATRIS, you should
                  immediately:
               
            
            
            phone the Poisons Information Centre 
               (Australia telephone 13 11 26) for advice, or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
             
         
            
            
5.	What should I know while using METOPROLOL IV VIATRIS?
            
         
            
            Things you should do
            
            
            Remind any doctor, dentist or pharmacist you visit that you are using METOPROLOL IV
               VIATRIS.
            
            Tell your doctor if you experience any side effects, including those not listed in
               the leaflet.
            
             
         
            
            Driving or using machines
            
            
               Be careful before you drive or use any machines or tools until you know how METOPROLOL
                  IV VIATRIS affects you.
               
             
         
            
            Drinking alcohol
            
            
               Tell your doctor if you drink alcohol.
               
             
         
            
            Looking after your medicine
            
            
            METOPROLOL IV VIATRIS will be stored in the hospital pharmacy or on the ward.
            
            The medicine is kept in a cool, dry place, protected from light, where the temperature
               stays below 25°C.
            
             
         
            
            Getting rid of any unwanted medicine
            
            If you no longer need to use this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            METOPROLOL IV VIATRIS should not be used if the expiry date printed on the pack has
               passed or if the packaging is torn or shows signs of tampering.
             
         
            
            
6.	Are there any side effects?
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
            
            If you are over 65 years of age you may have an increased chance of getting side effects.
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions about side effects.
             
         
            
            
Less serious side effects
            
            
            
         
            
            
Serious side effects
            
            
            
         
            
            Very serious side effects
            
            
            
            
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Other side effects not listed here may occur in some people.
            
            Do not be alarmed by this list of possible side effects. You may not experience any
               of them.
             
         
            
            Reporting side effects
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems  . By reporting side effects, you can help provide more information on the safety
               of this medicine.
               Always make sure you speak to your doctor or pharmacist before you decide to stop
                  taking any of your medicines.
               
             
         
            
            
7.	Product details
            
         
            
            This medicine is only available with a doctor's prescription.
             
         
            
            What METOPROLOL IV VIATRIS contains
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | metoprolol tartrate 5 mg per vial | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | sodium chloride, water for injections | 
               
            
            
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
             
         
            
            What METOPROLOL IV VIATRIS looks like
            
            METOPROLOL IV VIATRIS is a clear liquid packaged in 5 mL glass vials containing the
               active ingredient, metoprolol tartrate (AUST R 204665).
            
            The medicine comes in packs of 5 vials.
             
         
            
            Who distributes METOPROLOL IV VIATRIS
            
            Alphapharm Pty Ltd trading as Viatris
            
            Level 1, 30 The Bond
            
            30-34 Hickson Road
            
            Millers Point NSW 2000
            
            www.viatris.com.au 
            
            Phone: 1800 274 276
            
            Phone: 1800 274 276 
            
            
            
            This leaflet was prepared in September 2024.
            
            
            
            
               METOPROLOL IV VIATRIS_cmi\Sep24/00