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Risk Factors:

Pregnancy". Risk cannot be ruled out.Lactation: Contraindicated or not recommended.Contraindications: 2nd or 3rd degree A-V block severe bradycardia uncontrolled heart failure asthma COPD bronchospasm cardiogenic shock sick sinussyndrome hepatic impairment severe hypotension meTabletolic acidosis phaeochromocytoma. Marked fluid retention or overload requiring IV inotropic support

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Indications:

Indications
Essential hypertension. Angina. Adjunct to diuretics or ACE inhibitors in symptomatic chronic heart failure. Hypertension of pregnancy hypertension following Ml
hypertensive emergencies.

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Adverse Effects:

Postural hypotension bradycardia dizziness headache fatigue 6i upset. Reduced peripheral circulation dry e1 angina A-V block intermittent claudication skin
reaction hypotension oedema headache visual disturbances wt gain asthaenia fatigue asthma dyspnoea hypercholesterolaemia.

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Don’t Use:

Precautions: Poor cardiac reserve. Withdraw gradually in ischaemic heart disease. Hyperthyroidism diabetes unsTabletle angina. 1st degree AV block.