About this trial
The investigators aim to determine, using a point-of-care randomized controlled trial design, if hemodialysis patients, who are randomized to metoprolol succinate (a dialyzable, beta-1 selective beta blocker), have an improved cardiovascular outcome compared to those randomized to carvedilol (a non-dialyzable, non-selective beta blocker with alpha-1 antagonist properties). The investigators will also examine intervention practices to identify components that best support engagement and sustainability.
Eligibility criteria
Qualifiers
On hemodialysis
Received one of the following beta blockers through the VA pharmacy: metoprolol (succinate or tartrate), atenolol, labetalol, carvedilol, bisoprolol
Disqualifiers
Impaired decision-making capacity
Patients not receiving carvedilol who have a history of asthma
known hypersensitivity to any component of either drug
Provider unwilling to sign a new medication order for a randomized patient
Trial design
Treatments tested in this trial
- Metoprolol Succinate
- Carvedilol