Beta Blocker Therapy: Preventing Heart Attacks and Strokes Death (Without Symptoms Or Warning) Pressure Or Chest Pain

Total Page:16

File Type:pdf, Size:1020Kb

Beta Blocker Therapy: Preventing Heart Attacks and Strokes Death (Without Symptoms Or Warning) Pressure Or Chest Pain Kaiser Permanente Health Matters Beta Blocker Therapy: Preventing Heart Attacks and Strokes death (without symptoms or warning) pressure or chest pain. Medications from heart attack in people with coro- that you use for these conditions may nary heart disease. While taking a beta interact with beta blockers. blocker by itself is not enough to pre- • If you have severe allergic reactions vent heart attacks and strokes, it is an (such as anaphylactic shock), you important part of your medical treat- may notice a stronger reaction to ment. allergens while taking this medica- It is common to take other medications tion. You may need more than the in addition to beta blockers to help usual amount of an epinephrine protect against a heart attack or stroke. injection to treat a severe allergic Ask your health care professional for reaction while taking a beta blocker. more information about other medica- f you are at risk for developing • Do not take a beta blocker if you tions that may help you. Iheart disease—or even if you have had an allergic reaction to any have already had a heart What problems could I have type of beta blocker attack—taking a beta blocker taking a beta blocker? • If you are pregnant or may become every day can help keep you pregnant in the near future, consult healthy. People who take beta Most people who take this medication your doctor about taking a beta blockers daily are much less like- have few or no side effects. Some blocker. people develop a very slow heart rate or ly to have a heart attack or die • Tell your doctor or other health care low blood pressure, which can make from a heart attack or stroke. professional if you are taking any of you feel lightheaded. these medications: Diltiazem How do beta blockers People with well controlled asthma can (Cardizem, Dilacor) or Verapamil help with heart disease? usually take a beta blocker without any (Calan, Isoptin). Most people think beta block- problem. In rare cases, the asthma can ers are just for lowering blood worsen. If you have uncontrolled Can taking a beta blocker increase pressure, but they are also a asthma, you should not take beta my chances of feeling tired? very helpful medicine for your blockers because they may make your Possibly, but your health care team will heart and blood vessels. asthma worse. monitor you to make sure that you Beta blockers reduce the work- People with diabetes can usually take have no problems while taking this load of the heart by relaxing beta blockers without any problem, medication. the heart muscle and slowing although they may reduce the ability to down the heart rate. This feel the symptoms of a very low blood allows your heart to pump sugar level (hypoglycemia). Beta-adrenergic receptor blocking agents, more commonly known as blood more easily. Beta block- beta blockers, are a group of ers are used to treat high blood To reduce the risk of having medications which include: pressure, heart failure, irregular problems taking a beta blocker: heart beats, blocked arteries, • Talk with your health care profession- • Atenolol (Tenormin) and angina (chest pain). This al if you have asthma, heart rhythm • Metoprolol (Lopressor, Toprol) medication reduces sudden problems, depression, or are taking • Propranolol (Inderal) other medications to treat high blood Regional Health Education Will it make my asthma worse? What do I need to know about • Set an alarm clock or watch for a If you have poorly controlled asth- my medications? reminder. • Establish a daily routine for taking ma, you should avoid taking certain Take the time to ask your doctor or your medications every day, such types of beta blockers. Discuss the health care professional about your as at bedtime, a specific mealtime, benefits and risks of taking this med- medications: ication with your health care profes- or at the beginning of a daily TV sional. • Why am I taking them? show like the evening news. • How often and how long should I • Use a pillbox. Will I have trouble having sex? take them? • Record your medications on a • Are there any special instructions Taking your beta blocker at night wallet card or calendar. for taking a particular medication? may help you to manage this possible • Can you think of others? ________ • Should I take any medication only side effect. Talk to your health care at mealtime? professional if you are concerned. What else could I do to manage • Are there activities that I should my medication? How do medications (in general) avoid while taking any medication? • Keep a personal medication record fit into my treatment plan? • What kind of side effects could I card (wallet card) with you and have and what symptoms should I keep it up-to-date. Include any Although medications are an impor- look for? tant part of your treatment plan, drug or food allergies that you may • Is there a way to avoid any side have and any over-the-counter or they do not take the place of healthy effects? eating, regular physical activity, and non-prescription medications, stress management. If you are pre- herbal products, vitamins or What should I do if I have side supplements that you are taking. scribed medications by your health effects? care professional, it’s important for • Review your medication record card you to take them as directed. Don’t Be sure to tell your health care pro- regularly with your health care stop taking them without consulting fessional if there are reasons why you professional, including your dentist. with your health care professional cannot take any medication that’s • When you purchase any new med- first. If you are experiencing side prescribed. Also, tell your health care ications, including over-the-counter effects, your health care professional professional if you seem to have medications or herbal medications, may be able to change the medica- trouble remembering to take your ask the pharmacist to check for any tion or the dosage to prevent the side medication. interactions with your current effects. It’s likely that you may need medications. to take this medication for the rest of How can I remember to take • Refill your medications at least one your life, so work with your health my medications? to two week(s) before you run out. care professional to ensure that you Everyone has struggled with remem- • If a health care professional are taking the right medicine and bering to do things that they don’t recommends it, carry some kind of dose for you. If you feel that you can- regularly do. There are a number of medical identification like a Medic not afford your medication, financial things that can help you remember. Alert bracelet. For more informa- assistance may be available. To learn • Make a simple chart and post it in tion, call 1-888-633-4298, or go to more, talk to the pharmacist or call an obvious place where you will see MedicAlert.org. your doctor. it every day, like on the mirror in the bathroom. This information is not intended to diagnose health problems or to take the place of medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have further questions, please consult your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. © 2004, The Permanente Medical Group, Inc. All rights reserved. Regional Health Education. Adapted with permission from copyrighted material of The Permanente Medical Group, Inc., Northern California. (Revised 10-04) RL 9.4.
Recommended publications
  • ADHD Parents Medication Guide Revised July 2013
    ADHD Parents Medication Guide Revised July 2013 Attention-Deficit/Hyperactivity Disorder Prepared by: American Academy of Child & Adolescent Psychiatry and American Psychiatric Association Supported by the Elaine Schlosser Lewis Fund Physician: ___________________________________________________ Address: ___________________________________________________ ___________________________________________________ ___________________________________________________ Phone: ___________________________________________________ Email: ___________________________________________________ ADHD Parents Medication Guide – July 2013 2 Introduction Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by difficulty paying attention, excessive activity, and impulsivity (acting before you think). ADHD is usually identified when children are in grade school but can be diagnosed at any time from preschool to adulthood. Recent studies indicate that almost 10 percent of children between the ages of 4 to 17 are reported by their parents as being diagnosed with ADHD. So in a classroom of 30 children, two to three children may have ADHD.1,2,3,4,5 Short attention spans and high levels of activity are a normal part of childhood. For children with ADHD, these behaviors are excessive, inappropriate for their age, and interfere with daily functioning at home, school, and with peers. Some children with ADHD only have problems with attention; other children only have issues with hyperactivity and impulsivity; most children with ADHD have problems with all three. As they grow into adolescence and young adulthood, children with ADHD may become less hyperactive yet continue to have significant problems with distraction, disorganization, and poor impulse control. ADHD can interfere with a child’s ability to perform in school, do homework, follow rules, and develop and maintain peer relationships. When children become adolescents, ADHD can increase their risk of dropping out of school or having disciplinary problems.
    [Show full text]
  • Advantages and Disadvantages of Beta- Adrenergic Blocking Drugs in Hypertension
    Reprinted from ANCIOLOCY Vol. 29, No. -I April 1978 Copyright 0 1978 Prinred in U.S.A. All Rights Rewrced Advantages and Disadvantages of Beta- Adrenergic Blocking Drugs in Hypertension Eoin T. O'Brien DUBLIN, IRELAND General Measures Elevation of blood pressure should be regarded as one of a number of potential risk factors for cardiovascular disease-albeit a major risk factor- rather than a disease per se.' It is important to identify additional risk factors in the hypertensive patient, not only because collectively these factors may greatly magnify the cardiovascular risk, but also because modification of them may, of itself, lower the blood pressure and thus alleviate the risk and save the patient the inconvenience, expense, and potential harm that may result from even the simplest of drug regimes. Careful consideration should be given to the patient's diet (particularly in relation to the calorie intake in the case of obesity, the cholesterol and saturated fat content in the case of hyperlipidemia and patients at high risk, and the salt content) and to smoking habits, physical activity. stress. personality, and drug therapy, especially anovulant preparations. Other diseases, such as diabetes mellitus, which are associated with a high incidence of hypertension and pri- mary causes of hypertension must be excluded. Although there is still no statistical evidence to show that modification of these risk factors-with the exception of tobacco and anovulant preparations-will actually reduce mortal- ity, it does seem prudent on the basis of the evidence available to encourage the hypertensive patient to adjust his or her life-style not only to reduce the cardiovascular risk,2 but also because in many instances the mildly hypertensive patient will respond to this approach alone.
    [Show full text]
  • Drug Class Review Antianginal Agents
    Drug Class Review Antianginal Agents 24:12.08 Nitrates and Nitrites 24:04.92 Cardiac Drugs, Miscellaneous Amyl Nitrite Isosorbide Dinitrate (IsoDitrate ER®, others) Isosorbide Mononitrate (Imdur®) Nitroglycerin (Minitran®, Nitrostat®, others) Ranolazine (Ranexa®) Final Report May 2015 Review prepared by: Melissa Archer, PharmD, Clinical Pharmacist Carin Steinvoort, PharmD, Clinical Pharmacist Gary Oderda, PharmD, MPH, Professor University of Utah College of Pharmacy Copyright © 2015 by University of Utah College of Pharmacy Salt Lake City, Utah. All rights reserved. Table of Contents Executive Summary ......................................................................................................................... 3 Introduction .................................................................................................................................... 4 Table 1. Antianginal Therapies .............................................................................................. 4 Table 2. Summary of Agents .................................................................................................. 5 Disease Overview ........................................................................................................................ 8 Table 3. Summary of Current Clinical Practice Guidelines .................................................... 9 Pharmacology ............................................................................................................................... 10 Table 4. Pharmacokinetic Properties
    [Show full text]
  • Beta Blocker
    Medication Information Beta Blocker Other names for this medication Acebutol Nadolol Atenolol Pindolol Bisoprolol Propanolol Carvediol Sotalol Labetalol Timolol Metoprolol There are many other names for this medication. How this medication is used This medication causes your heart to beat slower. This helps rest the heart after a heart attack. This medication helps prevent and/or reduce chest pain and irregular heart beats. It does not stop chest pain or angina after the pain has started. Bisoprolol, Carvedilol and Metoprolol can be used to prevent heart failure. They work by relaxing the blood vessels. This allows more blood to go to the heart. The more blood that goes to the heart, the more oxygen the heart gets. This helps the heart work better. Some of these medications are used to treat high blood pressure, migraine headaches and muscle tremors. Beta Blocker How to take this medication Take this medication exactly as directed by your doctor or health care provider. It must be taken regularly, even if you feel well. Do not suddenly stop taking this medication without checking with your doctor or health care provider first. Suddenly stopping this medication can cause: • chest pain • irregular heart beats • high blood pressure. When it is time to stop taking this medication your doctor or health care provider may slowly decrease the amount. If you miss a dose of this medication, take it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to your regular time. Do not take 2 doses at one time.
    [Show full text]
  • COPD Agents Review – October 2020 Page 2 | Proprietary Information
    COPD Agents Therapeutic Class Review (TCR) October 1, 2020 No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, digital scanning, or via any information storage or retrieval system without the express written consent of Magellan Rx Management. All requests for permission should be mailed to: Magellan Rx Management Attention: Legal Department 6950 Columbia Gateway Drive Columbia, Maryland 21046 The materials contained herein represent the opinions of the collective authors and editors and should not be construed to be the official representation of any professional organization or group, any state Pharmacy and Therapeutics committee, any state Medicaid Agency, or any other clinical committee. This material is not intended to be relied upon as medical advice for specific medical cases and nothing contained herein should be relied upon by any patient, medical professional or layperson seeking information about a specific course of treatment for a specific medical condition. All readers of this material are responsible for independently obtaining medical advice and guidance from their own physician and/or other medical professional in regard to the best course of treatment for their specific medical condition. This publication, inclusive of all forms contained herein, is intended to be educational in nature and is intended to be used for informational purposes only. Send comments and suggestions to [email protected]. October 2020
    [Show full text]
  • CORGARD® TABLETS Nadolol Tablets USP
    CORGARD® TABLETS Nadolol Tablets USP Rx Only DESCRIPTION CORGARD (nadolol) is a synthetic nonselective beta-adrenergic receptor blocking agent designated chemically as 1-(tert-butylamino)-3-[(5,6,7,8-tetrahydro-cis-6,7-dihydroxy-1- naphthyl)oxy]-2-propanol. Structural formula: C17H27NO4 MW 309.40 Nadolol is a white crystalline powder. It is freely soluble in ethanol, soluble in hydrochloric acid, slightly soluble in water and in chloroform, and very slightly soluble in sodium hydroxide. CORGARD (nadolol) is available for oral administration as 20 mg, 40 mg, and 80 mg tablets. Inactive ingredients: microcrystalline cellulose, colorant (FD&C Blue No. 2), corn starch, magnesium stearate, povidone (except 20 mg and 40 mg), and other ingredients. CLINICAL PHARMACOLOGY CORGARD (nadolol) is a nonselective beta-adrenergic receptor blocking agent. Clinical pharmacology studies have demonstrated beta-blocking activity by showing (1) reduction in heart rate and cardiac output at rest and on exercise, (2) reduction of systolic and diastolic blood pressure at rest and on exercise, (3) inhibition of isoproterenol-induced tachycardia, and (4) reduction of reflex orthostatic tachycardia. CORGARD (nadolol) specifically competes with beta-adrenergic receptor agonists for available beta receptor sites; it inhibits both the beta1 receptors located chiefly in cardiac muscle and the beta2 receptors located chiefly in the bronchial and vascular musculature, inhibiting the chronotropic, inotropic, and vasodilator responses to beta-adrenergic stimulation proportionately. CORGARD has no intrinsic sympathomimetic activity and, unlike some other beta-adrenergic blocking agents, nadolol has little direct myocardial depressant activity and does not have an anesthetic-like membrane- stabilizing action. Animal and human studies show that CORGARD slows the sinus rate and depresses AV conduction.
    [Show full text]
  • Pharmacology 101
    Pharmacology 101 Tyler Fischback, PharmD, BCPS, DPLA Clinical Pharmacy Manager Confluence Health Wenatchee, WA Objectives • Define Pharmacology, Pharmacokinetics and Pharmacodynamics • Understand how drug interactions work • Understand how some specific drugs behave in the body (opioids, benzodiazepines, amiodarone) • Apply pharmacology principles into practice Medication Errors and Adverse Drug Events • Error: An error of commission or omission at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually received the medication. • ADE: Harm experienced by a patient as a result of exposure to a medication. ADE does not necessarily indicate an error or poor care. However, ~1/2 of ADEs are preventable. Anyone here ever seen a medication error or adverse drug event? Anyone here ever made a medication error? How many different prescription medications are available on the U.S. market? 1,000 So, it’s no surprise why we see so many problems………………… EXCEPT……. The real number is 10,000 Adverse Drug Events • ~1/3 of U.S. adults use 5 or more medications • Annually, ADE = 700,000 ER visits and 100,000 hospitalizations • So, is pharmacology important to your work? • Additionally, 5% of hospitalized patient experience an ADE during their stay • High risk: Anticoagulants, Opioids, Insulin, Cardiac, and Transitions of Care Adverse Drug Events, cont. • Elderly are more susceptible • Pediatrics patients more susceptible (weight-based dosing), especially liquids • Caregivers and patients admittedly
    [Show full text]
  • Specialty Pharmacy Drug List
    Specialty Pharmacy Drug List Our Specialty Pharmacy provides patients with comprehensive support services and coordinated delivery related to high-cost oral, inhaled or injectable specialty medications, used to treat complex conditions. We are your single source for high-touch patient care management to control side effects, patient support and education to ensure compliance or continued treatment, and specialized handling and distribution of medications directly to the patient or care provider. Specialty medications may be covered under either the medical or pharmacy benefit. Please consult your insurance documentation to determine which benefit covers these medications. We offer a broad specialty medication list containing nearly 500 drugs, covering 42 therapeutic categories and specialty disease states. This list is updated with new information each quarter. Characteristics of Specialty Medications “Specialty” medications are defined as high-cost oral or injectable medications used to treat complex chronic conditions. These are highly complex medications, typically biology-based, that structurally mimic compounds found within the body. High-touch patient care management is usually required to control side effects and ensure compliance. Specialized handling and distribution are also necessary to ensure appropriate medication administration. Medications must have at least one of the following characteristics in order to be classified as a specialty medication by Magellan Rx Management. High Cost High Complexity High Touch High-cost medications
    [Show full text]
  • Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanismss
    Supplemental Material can be found at: /content/suppl/2020/12/18/73.1.202.DC1.html 1521-0081/73/1/202–277$35.00 https://doi.org/10.1124/pharmrev.120.000056 PHARMACOLOGICAL REVIEWS Pharmacol Rev 73:202–277, January 2021 Copyright © 2020 by The Author(s) This is an open access article distributed under the CC BY-NC Attribution 4.0 International license. ASSOCIATE EDITOR: MICHAEL NADER Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanismss Antonio Inserra, Danilo De Gregorio, and Gabriella Gobbi Neurobiological Psychiatry Unit, Department of Psychiatry, McGill University, Montreal, Quebec, Canada Abstract ...................................................................................205 Significance Statement. ..................................................................205 I. Introduction . ..............................................................................205 A. Review Outline ........................................................................205 B. Psychiatric Disorders and the Need for Novel Pharmacotherapies .......................206 C. Psychedelic Compounds as Novel Therapeutics in Psychiatry: Overview and Comparison with Current Available Treatments . .....................................206 D. Classical or Serotonergic Psychedelics versus Nonclassical Psychedelics: Definition ......208 Downloaded from E. Dissociative Anesthetics................................................................209 F. Empathogens-Entactogens . ............................................................209
    [Show full text]
  • The Use of Psychotropic Medications for Children and Adolescents in Community-Based Child Serving Agencies September 28, 2011
    A Guide for Community Child Serving Agencies on Psychotropic Medications for Children and Adolescents February 2012 A Guide for Public Child Serving Agencies on Psychotropic Medications for Children and Adolescents TABLE OF CONTENTS Authors and Acknowledgements ............................................................................................... 3 Introduction ................................................................................................................................. 4 The Context for Prescribing Psychotropic Medications ........................................................ 6 Phases in Treatment When Medication is Part of the Plan ................................................... 8 Issues in Prescribing .................................................................................................................. 11 Considerations for Community-Based Child Serving Systems ............................................. 16 Sources of Information about Medications ............................................................................. 20 References ................................................................................................................................... 22 Internet Resources for Psychotropic Medications for Families ............................................ 24 2 www.aacap.org A Guide for Public Child Serving Agencies on Psychotropic Medications for Children and Adolescents ACKNOWLEDGEMENTS This document was developed by the American Academy of Child and Adolescent Psychiatry’s
    [Show full text]
  • 0Bcore Safety Profile
    Core Safety Profile Active substance: Levobunolol Pharmaceutical form(s)/strength: Eye drops solution/ 0,1%; 0,25%; 0,5%; 0,5% UD P-RMS: CZ/H/PSUR/0006/001 Date of FAR: 26.05.2009 4.2 Posology and method of administration Adults (including the elderly) Country specific posology and method of administration to be included. Children /.../ is not recommended for use in children due to lack of safety and efficacy data. If required, /.../ may be used with other agents to lower intra-ocular pressure. The use of two topical beta-adrenergic blocking agents is not recommended (see section 4.4). Intraocular pressure should be measured approximately four weeks after starting treatment with /.../ as a return to normal ocular pressure can take a few weeks. As with any eye drops, to reduce possible systemic absorption, it is recommended that the lachrymal sac is compressed at the medial canthus (punctual occlusion) for one minute. This should be performed immediately following the instillation of each drop. Transfer from other beta-blocking treatment When another beta blocking agent is being used treatment must be discontinued after a full day of therapy. Start treatment with /.../ the next day with X drop of /.../ topically applied into the conjunctival sac in the affected eye(s). If /.../ is to replace a combination of anti-glaucoma products, only a single product should be removed at a time. Use in renal and hepatic impairment Levobunolol hydrochloride has not been studied in patients with hepatic or renal impairment. Therefore, caution should be used in treating such patients (see section 4.4).
    [Show full text]
  • Metered-Dose Inhalers (Mdis): Anti-Cholinergic Drugs
    Texas Vendor Drug Program Drug Use Criteria: Aerosolized Agents - Metered-Dose Inhalers (MDIs): Anti-Cholinergic Drugs Publication History 1. Developed January 1995. 2. Revised April 2021; March 2019; March 2017; November 2015; March 2014; August 2012; June 2012; October 2010; January 2008; January 2003; January 2002; January 2001; March 2000; January 2000; February 1999; February 1998; February 1997; August 1995. Notes: All criteria may be applied retrospectively. The information contained is for the convenience of the public. The Texas Health and Human Services Commission is not responsible for any errors in transmission or any errors or omissions in the document. Medications listed in the tables and non-FDA approved indications included in these retrospective criteria are not indicative of Vendor Drug Program formulary coverage. Prepared by: • Drug Information Service, UT Health San Antonio. • The College of Pharmacy, The University of Texas at Austin 1 1 Dosage 1.1 Adults Ipratropium (Atrovent®), a short-acting, inhalational anticholinergic agent, is FDA- approved to manage bronchospasm associated with chronic bronchitis and emphysema, collectively known as chronic obstructive pulmonary disease (COPD). Ipratropium is considered a second-line agent in the treatment of asthma as the bronchodilatory effects seen with ipratropium are less than those seen with beta- adrenergic drugs. While not FDA approved, the Expert Panel 3 guidelines from the National Heart Lung and Blood Institute document benefit when multiple ipratropium doses are administered adjunctively with beta2-agonists in the emergency department to manage more severe acute asthma exacerbations, and the Global Initiative for Asthma (GINA) guidelines state that ipratropium may be considered an alternative bronchodilator in patients who experience adverse effects to short-acting beta2-agonists (e.g., tachycardia, arrhythmia, tremor).
    [Show full text]