In response to the points noted by Dr Brown regarding Table 1 in the article, “Peripartum Cardiomyopathy: Review and Practice Guidelines”1 :
The spelling and dosage error of metoprolol were previously corrected in the May issue of the journal.2
Dosage requirements of hydralazine vary widely; most benefit from 25 to 100 mg, 3 to 4 times daily. The dosages presented were based on the Canadian Cardiovascular Society Consensus Conference recommendations on heart failure update 2007.3
We concur with the recommendation for digoxin dosing being based on symptom management for best outcomes.