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this group, medicines is known as beta-adrenergic blocking agents, beta-blocking agents, more commonly, beta-blockers, beta-blockers are used, high blood pressure , hypertension, some beta-blockers are also, relieve angina, chest pain , in heart attack patients to help prevent additional heart attacks, beta-blockers are also, correct irregular heartbeat , prevent migraine headaches, treat tremors, beta-blockers work by affecting the response to some nerve impulses in certain parts, the body, decrease the heart's need for blood and oxygen, reducing its workload, also help the heart to beat more regularly, beta-adrenergic blocking agents are available only with a physician's prescription, dosage forms, oral, acebutolol, capsules, tablets, atenolol, tablets, betaxolol, tablets, bisoprolol, tablets, carteolol, tablets, labetalol, tablets, metoprolol, tablets, extended-release tablets, nadolol, tablets, oxprenolol, tablets, extended-release tablets, penbutolol, tablets, pindolol, tablets, propranolol, extended-release capsules, oral solution, tablets, sotalol, tablets, timolol, tablets, parenteral, atenolol, injection, labetalol, injection, metoprolol, injection, propranolol, injection, for the beta-blockers, allergic reaction to the beta-blocker medicine prescribed, allergic to any other substances, foods, preservatives, dyes, use, some beta-blockers during pregnancy has been associated with low blood sugar , breathing problems, a lower heart rate, low blood pressure, newborn infant, other reports have not shown unwanted effects on the newborn infant, animal studies have shown some beta-blockers to cause problems in pregnancy when used in doses many times the usual human dose, before taking, pregnant, may become pregnant, when breast-feeding , not known whether bisoprolol, carteolol, penbutolol passes into breast milk, all other beta-blockers pass into breast milk, low blood sugar , slow heartbeat, low blood pressure, trouble in breathing, reported in nursing babies, mothers, taking beta-blockers and who wish to breast-feed, children some, used in children, in effective doses, not been shown to cause different side effects, problems in children than they do in adults, some side effects are more likely to occur, elderly, usually more sensitive to the effects, beta-blockers, beta-blockers may reduce tolerance to cold temperatures in elderly patients, an interaction might occur, change the dose, when you are taking, receiving a beta-blocker, health care professionals, allergen immunotherapy, allergy shots, allergen extracts for skin testing, beta-blockers may increase the risk, serious allergic reaction to these medicines, aminophylline, somophyllin, caffeine, nodoz, dyphylline, lufyllin, oxtriphylline, choledyl, theophylline, somophyllin-t, the effects, both these medicines and beta-blockers, blocked; in addition, theophylline levels, especially in patients who smoke, antidiabetics, oral, diabetes medicine you take by mouth, insulin, there is an increased risk, hyperglycemia, high blood sugar , beta-blockers may cover up certain symptoms, hypoglycemia, low blood sugar , increases in pulse rate and blood pressure, may make the hypoglycemia last longer, calcium channel blockers, bepridil, bepadin, diltiazem, cardizem, felodipine, plendil, flunarizine, sibelium, isradipine, dynacirc, nicardipine, cardene, nifedipine, procardia, nimodipine, nimotop, verapamil, calan, clonidine, catapres, guanabenz, wytensin, effects on blood pressure, unwanted effects may occur if clonidine, guanabenz, a beta-blocker is stopped suddenly after use together, unwanted effects on the heart may occur when beta-blockers are used with calcium channel blockers, cocaine, cocaine may block the effects, beta-blockers; in addition, there is an increased risk, high blood pressure , fast heartbeat, possibly heart problems if you use cocaine while taking a beta-blocker, monoamine oxidase, mao, inhibitor activity, isocarboxazid, marplan, isocarboxazid, marplan, phenelzine, nardil, procarbazine, matulane, selegiline, eldepryl, tranylcypromine, parnate, taking beta-blockers, within 2 weeks, taking monoamine oxidase, mao, inhibitors, severe high blood pressure other medical problems, the beta blockers, any other medical problems, allergy, asthma, eczema, hay fever, hives, bronchitis, emphysema, severity and duration, allergic reactions to other substances, increased; in addition, beta-blockers can increase trouble in breathing, bradycardia, unusually slow heartbeat, heart, blood vessel disease, there is a risk, further decreased heart function; also, treatment is stopped suddenly, unwanted effects may occur, diabetes mellitus, sugar diabetes, beta-blockers, hyperglycemia, high blood sugar , circulation problems; in addition, diabetes medicine causes my blood sugar, too low, beta-blockers may cover up some, fast heartbeat, they will not cover up other symptoms, dizziness , sweating, kidney disease , liver disease , beta-blockers, slower removal from the body, major surgery, may increase risks, problems during surgery, stop my treatment with a beta-blocker prior to surgery, mental depression, increased by beta-blockers, myasthenia gravis, psoriasis , beta-blockers may make these conditions worse, overactive thyroid, stopping beta-blockers suddenly may increase symptoms; beta-blockers may cover up fast heartbeat, which is a sign, overactive thyroid, for patients taking the extended-release capsule, tablet form, swallow the capsule, tablet whole, do not crush, break, except metoprolol succinate extended-release tablets, which, broken in half, chew before swallowing, for patients taking the concentrated oral solution form, propranolol, is, taken by mouth even though it comes in a dropper bottle, the amount you should take is, measured only with the specially marked dropper, mix the medicine with some water, juice, a carbonated drink, after drinking all the liquid containing the medicine, rinse the glass with a little more liquid and drink that also, to make sure you get all the medicine.if you prefer, may mix this medicine with applesauce, pudding instead, mix the medicine immediately before you are going, take it, throw away any mixed medicine, do not take immediately, do not save medicine that has been mixed, ask a physician about checking my pulse rate before and after taking beta-blocking agents, a physician tells, check my pulse regularly, much slower than the rate a physician has designated, a pulse rate that is too slow, circulation problems, take my medicine, try to get into the habit, taking it at the same time each day, for high blood pressure , in addition to, the use, the medicine a physician has prescribed, treatment for my high blood pressure may include weight control and care, types, foods you eat, especially foods high in sodium, a physician will tell you which, are most important for you, should check with a physician before changing my diet, many patients who have high blood pressure will not notice any signs, the problem, in fact, many may feel normal, high blood pressure is not treated, it can cause serious problems, heart failure , blood vessel disease, stroke, kidney disease , remember that this medicine will not cure my high blood pressure , it does help control it, take my medicine exactly as directed, must continue, take it as directed if you expect to lower my blood pressure and keep it down, take high blood pressure medicine for the rest, life, very important to keep my appointments with a physician, beta-blocker will be different for different patients, follow a physician's orders, the directions on the label, the average doses, dose is different, the number, capsules, tablets, teaspoonfuls, solution, take depends on the strength, the number, doses you take each day, the time allowed between doses, time you take the medicine depend on the medical problem for which you are taking the beta-blocker, for acebutolol, for oral, dosage forms, capsules and tablets, for angina, chest pain , irregular heartbeat , 200 milligrams, two times a day, increased up to a total, 1200 mg a day, dose, for high blood pressure , 200 to 800 mg a day as a single dose, divided into two daily doses, dose, for atenolol, for oral, dosage form, tablets, for angina, chest pain , 50 to 100 mg once a day, for high blood pressure , 25 to 100 mg once a day, dose, for treatment after a heart attack, 50 mg ten minutes after the last intravenous dose, followed by another 50 mg twelve hours later, then 100 mg once a day, 50 mg two times a day for six to nine days, until discharge from hospital, for injection, dosage form, for treatment, heart attacks, 5 mg given over 5 minutes, the dose is repeated ten minutes later, for betaxolol, for oral, dosage form, tablets, for high blood pressure , 10 mg once a day, a physician may double my dose after seven to fourteen days, dose, for bisoprolol, for oral, dosage form, tablets, for high blood pressure , 5 to 10 mg once a day, dose, for carteolol, for oral, dosage form, tablets, for high blood pressure , 2.5 to 10 mg once a day, dose, for labetalol, for oral, dosage form, tablets, for high blood pressure , 100 to 400 mg two times a day, dose, for injection, dosage form, for high blood pressure , 20 mg injected slowly over two minutes with additional injections, 40 and 80 mg given every ten minutes, up to a total, 300 mg, given instead as an infusion at a rate, 2 mg per minute to a total dose, 50 to 300 mg, dose, for metoprolol, for regular, short-acting, oral, dosage form, tablets, for high blood pressure , angina, chest pain , 100 to 450 mg a day, taken as a single dose, in divided doses, dose, for treatment after a heart attack, 50 mg every six hours starting fifteen minutes after last intravenous dose, then 100 mg two times a day for three months to 1 to 3 years, for long-acting oral, dosage forms, extended-release tablets, for heart failure , up to 200 mg once a day, dose, for high blood pressure , angina, chest pain , up to 400 mg once a day, dose, for injection, dosage form, for treatment, a heart attack, 5 mg every two minutes for three doses, for nadolol, for oral, dosage form, tablets, for angina, chest pain , 40 to 240 mg once a day, for high blood pressure , 40 to 320 mg once a day, dose, for oxprenolol, for regular, short-acting, oral, dosage form, tablets, for high blood pressure , 20 mg three times a day, a physician may increase my dose up to 480 mg a day, dose, for long-acting oral, dosage form, extended-release tablets, for high blood pressure , 120 to 320 mg once a day, dose, for penbutolol, for oral, dosage form, tablets, for high blood pressure , 20 mg once a day, dose, for pindolol, for oral, dosage form, tablets, for high blood pressure , 5 mg two times a day, a physician may increase my dose up to 60 mg a day, dose, for propranolol, for regular, short-acting, oral, dosage forms, tablets and oral solution, for angina, chest pain , 80 to 320 mg a day taken in two, four divided doses, for irregular heartbeat , 10 to 30 mg three, four times a day, 500 micrograms, 0.5 mg, to 4 mg per kilogram, body weight a day taken in divided doses, for high blood pressure , 40 mg two times a day, a physician may increase my dose up to 640 mg a day, 500 micrograms, 0.5 mg, to 4 mg per kilogram, body weight a day taken in divided doses, for diseased heart muscle, cardiomyopathy, 20 to 40 mg three, four times a day, for treatment after a heart attack, 180 to 240 mg a day taken in divided doses, for treating pheochromocytoma, 30 to 160 mg a day taken in divided doses, for preventing migraine headaches, 20 mg four times a day, a physician may increase my dose up to 240 mg a day, for trembling, 40 mg two times a day, a physician may increase my dose up to 320 mg a day, for long-acting oral, dosage form, extended-release capsules, for high blood pressure , 80 to 160 mg once a day, doses up to 640 mg once a day, needed in some patients, for angina, chest pain , 80 to 320 mg once a day, for preventing migraine headaches, 80 to 240 mg once a day, for injection, dosage form, for irregular heartbeat , 1 to 3 mg given at a rate not greater than 1 mg per minute, dose, repeated after two minutes and again after four hours, 10 to 100 micrograms, 0.01 to 0.1 mg, per kilogram, body weight given intravenously every six to eight hours, for sotalol, for oral, dosage form, tablets, for irregular heartbeat , 80 mg two times a day, a physician may increase my dose up to 320 mg per day taken in two, three divided doses, dose, for timolol, for oral, dosage form, tablets, for high blood pressure , 10 mg two times a day, a physician may increase my dose up 60 mg per day taken as a single dose, in divided doses, dose, for treatment after a heart attack, 10 mg two times a day, for preventing migraine headaches, 10 mg two times a day, a physician may increase my dose up to 30 mg once a day, in divided doses, missed dose do not miss any doses, this is especially important when you are taking only one dose per day, some conditions may become worse if this medicine is not taken regularly, do miss a dose, within 4 hours, next dose, 8 hours when using atenolol, betaxolol, bisoprolol, carteolol, labetalol, nadolol, penbutolol, sotalol, extended-release, long-acting] metoprolol, oxprenolol, propranolol, skip the missed dose, back to my regular dosing schedule, do not double doses, keep out of a child's reach, store away from heat and direct light, in other damp places, heat, moisture, the medicine to break down, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, important that a physician check my progress at regular visits, this is to make sure the medicine is working for you, allow the dosage, changed, do not stop taking this medicine without first checking with a physician, reduce gradually, the amount you are taking, before stopping completely, some conditions may become worse when the medicine is stopped suddenly, the danger, heart attack is increased in some patients, make sure, have enough medicine on hand to last through weekends, holidays, vacations, may ask, carry an extra written prescription, in my billfold, purse in case, an emergency, can then have it filled if you run out, away from home, weight gain, increasing shortness, breath, could be symptoms, worsening heart failure , carry medical identification stating, before having any kind, surgery, dental surgery, emergency treatment, tell the medical doctor, dentist in charge, for diabetic patients, my blood sugar levels to rise, may cover up signs, hypoglycemia, low blood sugar , change in pulse rate, some people to become dizzy, drowsy, lightheaded, before you drive, dizzy, not alert, the problem continues, gets worse, beta-blockers may make you more sensitive to cold temperatures, blood circulation problems, beta-blockers tend to decrease blood circulation, skin, fingers, toes, dress warmly during cold weather and be careful during prolonged exposure to cold, in winter sports, beta-blockers, my skin, more sensitive to sunlight than, normally, exposure to sunlight, even for brief periods, a skin rash , itching, redness, other discoloration , the skin, a severe sunburn , when you begin taking this medicine, stay out, direct sunlight, especially between the hours, 10:00 a.m, 3:00 p.m, wear protective clothing, a hat, wear sunglasses, apply a sun block product that has a skin protection factor, spf, at least 15, some patients may require a product with a higher spf number, especially if they have a fair complexion, check my health care professional, apply a sun block lipstick that has an spf, at least 15 to protect my lips, a sunlamp, tanning bed, booth, a severe reaction from the sun, chest pain resulting from exercise, physical exertion is usually reduced, prevented by this medicine, this may tempt a patient, overly active, make sure you discuss with a physician a safe amount, exercise for my medical problem, before you have any medical tests, some tests, affected by this medicine, before you have any allergy shots, taking a beta-blocker, beta-blockers, a serious reaction to the allergy shot, for patients with allergies to foods, insect stings, there is a chance that this medicine will cause allergic reactions , worse and harder to treat, a severe allergic reaction , being treated with this medicine, check with a doctor right away so that it can be treated, be sure to tell the doctor, taking a beta-blocker, for high blood pressure , do not take other medicines unless they, discussed with a physician, this especially includes over-the-counter, nonprescription, medicines for appetite control, asthma, colds, cough, hay fever, sinus problems since they may tend to increase my blood pressure, for patients taking labetalol by mouth, dizziness , lightheadedness, fainting may occur, especially when you get up from a lying, sitting position, this is more likely to occur when you first start taking labetalol, when the dose is increased, getting up slowly may help, when you get up from lying down, sit on the edge, the bed with my feet dangling for 1 to 2 minutes, then stand up slowly, the problem continues, gets worse, the dizziness , lightheadedness, fainting is also more likely to occur if you drink alcohol, stand for long periods, exercise, the weather is hot, be careful to limit the amount, alcohol you drink, use extra care during exercise, hot weather, must stand for long periods, for patients receiving labetalol by injection, lie down flat while receiving labetalol and for up to 3 hours afterward, try to get up too soon, may become dizzy, faint, do not try to sit, stand until a physician, nurse tells, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, side effects occur, breathing difficulty and/or wheezing, cold hands and feet, mental depression, shortness of breath, slow heartbeat, especially less than 50 beats per minute, swelling, ankles, feet, /or lower legs, back pain, joint pain, chest pain , confusion, especially in elderly patients, dark urine, for acebutolol, bisoprolol, labetalol, dizziness , lightheadedness when getting up from a lying, sitting position, fever and sore throat, hallucinations, seeing, hearing, feeling things that are not there, irregular heartbeat , red, scaling, crusted skin, skin rash , unusual bleeding and bruising, yellow eyes, skin, for acebutolol, bisoprolol, labetalol, signs and symptoms, overdose, order in which they may occur, slow heartbeat, dizziness , severe, fainting, fast, irregular heartbeat , difficulty in breathing, bluish-colored fingernails, palms, hands, convulsions, seizures, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, decreased sexual ability, dizziness , lightheadedness, drowsiness , slight, trouble in sleeping, unusual tiredness , weakness, anxiety and/or nervousness, changes in taste, for labetalol only, constipation, diarrhea, dry, sore eyes, frequent urination, for acebutolol and carteolol only, itching, skin, nausea, vomiting, nightmares and vivid dreams, numbness and/or tingling, fingers and/or toes, numbness and/or tingling, skin, especially on scalp , for labetalol only, stomach discomfort, stuffy nose, the side effects listed above, reported for all, reported for at least one, all, the beta-adrenergic blocking agents are very similar, side effects may occur with, more, less common with some agents than with others, after you, taking a beta-blocker for a while, can cause unpleasant, even harmful effects if you stop taking it too suddenly, after you stop taking this medicine, gradually reducing the amount you are taking, check with a physician right away if, occur, chest pain , fast, irregular heartbeat , general feeling, discomfort, illness, weakness, headache, shortness of breath, sweating, trembling, for patients taking labetalol, may notice a tingling feeling on my scalp when you first begin, take labetalol, this is, expected and usually goes away after you, taking labetalol for a while, other side effects, additional information once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, uses are not included in product labeling, some beta-blockers are used in certain patients with the following medical conditions, glaucoma, neuroleptic-induced akathisia, restlessness, the need to keep moving caused by some medicines, treat nervousness, mental and emotional disorders, other than, information, there is no additional information relating to, side effects for these uses, brand names some commonly used brand names are, betapace, corgard, inderal, levatol, normodyne, sectral, tenormin, toprol-xl, trandate, visken, apo-metoprolol, apo-metoprolol, type l, apo-propranolol, betaloc durules, blocadren, detensol, lopresor sr, monitan, novo-atenol, novometoprol, novo-pindol, pms propranolol, slow-trasicor, sotacor, syn-pindolol, trandate, trasicor, visken,