Difficulty: Hard

Average Score: 0%

A prescription is received for Toprol XL 25 mg tablets 1 PO q.d. x 30 days. The pharmacy should dispense:

Rationale

Metoprolol succinate 25 mg tablets #30.

Toprol XL is the brand name for metoprolol succinate, an extended-release formulation of metoprolol. The prescription specifically calls for 25 mg tablets of Toprol XL, which corresponds to metoprolol succinate, and the quantity requested is 30 tablets.

A (metoprolol tartrate 25 mg tablets #30) YOUR ANSWER

Metoprolol tartrate is a different formulation of the drug that is not extended-release. While it is also a type of metoprolol, it is typically dosed more frequently (usually twice daily) and does not match the extended-release characteristics of Toprol XL. Therefore, this option does not fulfill the prescription requirements.

B (metoprolol succinate 25 mg tablets #30) CORRECT

This choice correctly identifies both the formulation (metoprolol succinate) and the dosage (25 mg) as specified in the prescription. It is the appropriate medication to dispense, as it matches the extended-release nature of Toprol XL.

C (metoprolol tartrate 50 mg tablets #60) YOUR ANSWER

This option also misidentifies the formulation, as it refers to metoprolol tartrate, which is not the same as Toprol XL. Additionally, the dosage of 50 mg is higher than what was prescribed, and the quantity of 60 tablets exceeds the required amount of 30 days of medication.

D (metoprolol succinate 50 mg tablets #60) YOUR ANSWER

While this option correctly identifies metoprolol succinate, the dosage of 50 mg is incorrect as the prescription specifies 25 mg. Furthermore, dispensing 60 tablets would provide a supply for two months, rather than the one-month supply requested in the prescription.

Conclusion

The prescription for Toprol XL requires dispensing metoprolol succinate 25 mg tablets, making option B the only correct choice. The other options either reference the wrong formulation or incorrect dosages, which would not comply with the prescription instructions. Proper adherence to the specified medication and dosage is critical for effective patient care and safety.

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