What condition is Metoprolol NOT indicated for?

Metoprolol is a selective beta-1 adrenergic blocker commonly used in the management of various cardiovascular conditions, including angina pectoris, hypertension, and heart failure. The drug primarily works by reducing heart rate and the force of contraction, which helps to lower blood pressure and relieve the heart's workload.

In contrast, chronic obstructive pulmonary disease (COPD) is a respiratory condition characterized by obstructed airflow and difficulty breathing. While beta-1 selective blockers like metoprolol are less likely to exacerbate bronchospasm than non-selective beta-blockers, they are generally not indicated for the treatment of COPD. The use of any beta-blocker in patients with COPD can lead to potential complications, as these medications can still affect beta-2 receptors in the lungs, which are responsible for bronchodilation.

Therefore, it is accurate to state that metoprolol is not indicated for chronic obstructive pulmonary disease, as its use could pose risks to patients with this condition.