Beta-Adrenergic Blockers
Beta-adrenergic–blocking agents are widely used for the treatment of hypertension, arrhythmias, angina pectoris, heart failure, migraine headaches, and glaucoma. Many patients with beta-blocker overdose will have underlying cardiovascular diseases or will be taking other cardioactive medications, both of which may aggravate beta-blocker overdose. Of particular concern are combined ingestions with calcium blockers or tricyclic antidepressants. A variety of beta blockers are available, with various pharmacologic effects and clinical uses (Table II–15).
Drug | Usual Daily Adult Dose (mg/24 h) | Cardio-selective | Membrane Depression | Partial Agonist | Normal Half-life (h) |
---|---|---|---|---|---|
Acebutolol | 400–800 | + | + | + | 3–6 |
Alprenolol | 200–800 | 0 | + | ++ | 2–3 |
Atenolol | 50–100 | + | 0 | 0 | 4–10 |
Betaxolola | 10–20 | + | 0 | 0 | 12–22 |
Bisoprolol | 5–20 | + | 0 | 0 | 8–12 |
Carteolol | 2.5–10 | 0 | 0 | + | 6 |
Carvedilolc | 6.25–50 | 0 | 0 | 0 | 6–10 |
Esmololb | + | 0 | 0 | 9 min | |
Labetalolc | 200–800 | 0 |