Acute heart failure or during episodes of heart failure decompensation requiring IV inotropic therapy, cardiogenic shock, 2nd or 3rd degree AV block, sick sinus syndrome, SA block, bradycardia (<80 bpm), hypotension (systolic BP <100 mmHg), severe bronchial asthma or COPD, late stages of peripheral arterial occlusive disease, Raynaud's syndrome, untreated phaeochromocytoma, metabolic acidosis. Lactation.
Special Precautions
Bronchospasm, bronchial asthma, other chronic obstructive lung disease; concomitant treatment w/ inhalational anesth, DM w/ large fluctuations in blood glucose values, strict fasting, ongoing desensitization therapy, 1st degree AV block, Prinzmetal's angina, psoriasis; may mask symptoms of thyrotoxicosis & increase sensitivity to allergens & severity of anaphylactic reactions. May impair ability to drive or operate machinery. Pregnancy.
Adverse Reactions
Feeling of coldness or numbness in the extremities; nausea, vomiting, diarrhea, constipation; tiredness, exhaustion, dizziness, headache; muscular weakness & cramps; AV stimulus disturbances, worsening of heart failure, orthostatic hypotension; sleep disturbances, depression; bronchospasm in patient w/ bronchial asthma or history of obstructive airways disease; nightmares, hallucination; hypersensitivity reactions; increased ALAT, ASAT, triglycerides; hepatitis, potency disorders; hearing impairment, allergic rhinitis, reduced tear flow; conjunctivitis; dyspnea, cardiomyopathy, tachycardia, viral infection, pneumonia, fatigue.
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