Saturday, 7 January 2023

BETA BLOCKERS - DOSE & CLINICAL POINTS

 

BETA BLOCKERS - DOSE & CLINICAL POINTS

BETA BLOCKERS                AVERAGE DAILY DOSAGE
I. Nonselective (B1+ B2)
Carteolol  2.5 - 20 mg OD/BD
Nadolol 40 - 320 mg OD
Penbutolol 20 - 80 mg OD/BD
Timolol 5 - 40 mg BD
Propranolol 40 - 180 mg BD
Pindolol 10 - 40 mg BD


II. Selective B1 (-)
Metoprolol50 - 100 mg OD/BD
Bisoprolol 2.5 - 10 mg OD
Betaxolol 5 - 20 mg OD
Atenolol 25 - 100 mg OD
Acebutolol 200 - 800 mg OD/BD
Celiprolol 200 - 600 mg OD
Esmololonly IV drug
Nebivolol 2.5 - 5 mg OD


III. Combined a1 + b1 (-)
Carvedilol 3.125 - 50 mg BD
Labetalol 200 - 800 mg BD
Bucindolol 25 - 100 mg BD


REF: ESC cardiac drugs

* Avoid abrupt stopping of Beta blockers
* Taper over 2 weeks