TaperMD - Pause and Monitor


Beta-blockers should not be used as 1st-line therapy for uncomplicated hypertension in patients >60 years (Canada) unless there are comorbid conditions that benefit from beta-blockers. (Beta-blockers are highly effective agents in patients with other indications (such as post-myocardial infarction for a time-limited period, or heart failure with reduced ejection fraction).

Beta-blockers may increase hypotension (HoTN). Symptoms of HoTN include blurred vision, dizziness or lightheadedness, falls, fatigue, and nausea.

Avoid antihypertensives in patients with late-stage dementia.

Taper Approach:  Reduce the dose by 50% every 1 to 2 weeks Once you get to 25% of the original dose and no withdrawal symptoms have been seen, stop the drug If any withdrawal symptoms occur, go back to approximately 75% of the previously tolerated dose.

Monitor – diuretics drugs:  weight gain, swelling, shortness of breath.

Monitor – blood pressure drugs:  chest pain, pounding heart, heart rate, blood pressure (re-measure for up to 6 months), anxiety, tremor.

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