Metoprolol and Prilocaine and epinephrine interaction

Metoprolol and Prilocaine and epinephrine: the Metoprolol prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Metoprolol (Metoprolol Tartrate) label · effective 2026-01-29

Moderate

Such patients may be unresponsive to the usual doses of epinephrine used to treat allergic reaction.

Warnings and precautionsnames Prilocaine and epinephrineView label on DailyMed
Moderate

Patients may be unresponsive to the usual doses of epinephrine used to treat allergic reaction.

Drug interactionsnames Prilocaine and epinephrineView label on DailyMed
Moderate

Higher doses of epinephrine might be necessary for patients taking metoprolol.

Drug interactionsnames Prilocaine and epinephrineView label on DailyMed
Minor

Epinephrine The cardiostimulating and bronchodilating effects of epinephrine are antagonized by beta-adrenergic blocking drugs, such as metoprolol.

Drug interactionsnames Prilocaine and epinephrineView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.