Indication
Adjunct in stable moderate to severe heart failure, Angina, Arterial hypertension, Cardiac arrhythmia, Hyperthyroidism, Ischaemic heart disease, Prophylaxis of NSAID-induced gastric and duodenal ulceration, Schizophrenia and other psychoses.
Contra Indication
Bradycardia, second or third degree heart block, conduction abnormalities, congestive heart failure, chronic obstructive pulmonary disease, peripheral vascular insufficiency pregnancy and lactation.
Caution
Bronchospastic disease, hyperthyroidism, peripheral vascular disease, undergoing anaesthesia. Monitor blood glucose regularly. May mask symptoms of hypoglycaemia. Elderly. Gradual withdrawal is advised. Lactation.
Side Effect
Bradycardia, AV-block, Bronchospasm, Necrosis of extremities, Cardiogenic shock, Decreased cardiac performance, Severe bronchospasm, Hypoglycemia, Hypotension, Bradyarrhythmias, Rebound phenomenon, Tiredness, Headache, Sweating, Impotence, Dizziness, Cold extremities, Weakness of the leg.