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Drug interactions

Glucagon + Metoprolol

Severity: Minor

Glucagon and Metoprolol: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Glucagon exerts positive chronotropic and inotropic effects independent of beta-receptors, so it can counteract beta-blocker effects. This is exploited in beta-blocker overdose, but glucagon given for other reasons may transiently raise pulse and blood pressure in patients on metoprolol.

What this interaction means in plain words

Glucagon and Metoprolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Glucagon belongs to Endocrine; Metoprolol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Glucagon increases cardiac cAMP through its own receptor, bypassing beta-adrenergic blockade.

What to do

No routine action is needed. Monitor heart rate and blood pressure after glucagon administration in beta-blocked patients.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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Frequently asked questions

Can I take Glucagon with Metoprolol?

MediHelp rates the interaction as minor. Glucagon and Metoprolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Glucagon exerts positive chronotropic and inotropic effects independent of beta-receptors, so it can counteract beta-blocker effects. This is exploited in beta-blocker overdose, but glucagon given for other reasons may transiently raise pulse and blood pressure in patients on metoprolol.

How serious is the interaction between Glucagon and Metoprolol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action is needed. Monitor heart rate and blood pressure after glucagon administration in beta-blocked patients.

What other medicines interact with Metoprolol?

MediHelp also lists interactions of Metoprolol with, for example, Thioridazine, Amifostine, Amiodarone. The full list is on the Metoprolol page.

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