Beta Blockers

Beta-blockers should not be used as 1st-line therapy for uncomplicated hypertension in patients >60 years (Canada) unless there are comorbid conditions which 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 in patients with late-stage dementia.

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