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Beta blockers' inhibition on epinephrine's effect can somewhat exacerbate hypoglycemia by interfering with glycogenolysis and mask signs of hypoglycemia such as tachycardia, palpitations, diaphoresis, and tremors. Diligent blood glucose level monitoring is necessary for a patient with diabetes mellitus on beta blockers.
He added the drugs can mask symptoms of hypoglycemia as the blockers limit the effects of adrenaline. "We have to be thoughtful about patients who are diabetic in terms of taking beta blockers ...
Additionally, beta 1 blockers can mask hypoglycaemia-induced tachycardia in diabetic patients, potentially leading to hypoglycaemic unawareness and subsequent complications if hypoglycaemia is not treated timely. [4] Beta 1 blockers can also mask catecholamine-triggered neurogenic hypoglycaemic symptoms like tremors and palpitations. [4]
Beta-blockers with intrinsic sympathomimetic activity: acebutolol, pindolol; Some common side effects include increased airway resistance for non-selective beta-blockers, exacerbation of peripheral vascular diseases, and hypotension [15] Beta-blockers are contraindicated in patients with second- or third-degree atrioventricular block.
Beta blockers are a heart medication, but some docs prescribe it off-label to help with situational anxiety. ... including people who already have low blood pressure or anyone with diabetes, says ...
Additional hypotensive effects may occur when patients are taking beta-1 blockers with other antihypertensive drugs such as nitrates, PDE inhibitors, ACE inhibitors and calcium channel blockers. [17] The combination of beta blockers and antihypertensive drugs will work on different mechanism to lower blood pressure. [17]
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