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Drug Comparisons Beta Blockers - Comparative properties and equivalent dosages of various beta blocker medications and protocols for clinical professionals
Beta Blocker Conversion Table. *Disclaimer: These are not typical starting doses. Recommended starting doses depend on the clinical scenario. Reference: Pham P. Beta-blockers. Johns Hopkins Guides. September 26, 2013. Available. http://www.globalrph.com/beta_blockers.htm. Yancy 2013. Micromedex Comparison Tables: .Beta Blocker Equivalent Estimator Beta Blocker Conversion Table. *Disclaimer: These are not typical starting doses. Recommended starting doses depend on the clinical scenario. Reference: Pham P. Beta-blockers. Johns Hopkins Guides. September 26, 2013. Available. http://www.globalrph.com/beta_blockers.htm. Yancy 2013. Micromedex Comparison Tables: .
Calculation of equivalent doses of antihypertensive drugs : β-Blocker ACE Inhibitors : AT II Receptor antagonists : Dose in mg: Equivalent dose in mg .pressure lowering was the only endpoint; most of these studies seek to identify equivalent doses of beta blockers rather than differences in clinical effectiveness. Instead, we sought evidence of long-term effects on mortality, cardiovascular events, and quality of life. We only includedDose Titration Algorithm: *Secondary targets: If patients remain symptomatic at target resting heart rate, consider these secondary targets: o Average HR < 90bpm on 24 hour Holter monitor o HR with moderate exercise <110bpm (i.e. 6 minute walk) o HR on exertion <110% age predicted maximum (220-age x 1.1 on EST or maximum Holter HR)Beta-blocker Conversion (Equivalents). http://www.globalrph.com/beta_blockers.htm.
*Typically start low and titrate until intolerance or target dose reached. BID= twice daily; LA= long acting; MI= myocardial infarction; QD= once daily; RR= regular release; SR = slow release; SVA= supraventricular arrhythmia; TID = three times daily; VA=ventricular arrhythmia
We present a practical approach to switching between commonly prescribed -blockers, which considers drug interchange- ability for various indications, rationale for switching, necessary initial adjustments to dose/frequency, and differences in target/maximal doses.
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