- See: Class II Agents
- Discussion:
- nonselecive beta blocker;
- for PSVT & for VF / VT w/o pulse after standard Rx fails:
- Dose:
- 1.0 mg IV q5min to total dose of 0.1 mg/kg;
- HTN: 40mg PO bid initially, then 120-140mg/day;
- angina: 10-20mg PO qid; increase dosage at 3-7 day intervals prn;
- average dose is 160mg/day;
- post MI prophylaxis: 180-240mg/dayin 2-3 divided doses;
- dysrhythmias: 10-30mgPO qid;
- hypertrophic subaortic stenosis: 20-40mg qid;
- migraine: 40mg PO bid;
- tremor: 10mg po bid;
- may be used with nitroglycerin
- aortic dissection:
- 0.5mg IV followed by 1mg IV q5min until pulse pressure is reduced to 60mm Hg or to a total dose of 0.15mg/kg,
in any 4hr period, with maintenencedose q4-6hr;
- Contraindications:
- contraindicated w/ use of verapamil (causes asystole);
- cardiogenic shock, sinus bradycardia, greater than 1st degree AV block, bronchial Asthma, CHF