Original GlobalRPh source
- Product / population
- Preserved GlobalRPh source, not a freshly verified product label
- Renal measure
- Use the method specified in the original source
Historical source: not automatically current. Review current official labeling and separately attributed additions before use.
Clinical pharmacology
Beta-adrenergic blocker: preferential beta1 selectivity in extensive metabolizers at doses up to 10 mg; both beta1 and beta2 inhibition in poor metabolizers or at higher doses. No intrinsic sympathomimetic or membrane-stabilizing activity at therapeutic concentrations and no clinically relevant alpha1 blockade. Metabolites, including glucuronides, contribute to beta blockade.
Usual Dosing (Adults)
Hypertension, alone or in combination: usually start 5 mg once daily with or without food. Individualize and increase at 2-week intervals to 40 mg if further blood-pressure lowering is required. More frequent dosing is unlikely to help.
Renal Dosing
Severe impairment, CrCl below 30 mL/min: start 2.5 mg once daily and titrate slowly as needed.
Hemodialysis
Not studied in dialysis patients in the source.