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Angina - stable - Management
What adverse effects are associated with beta-blockers, and how can they be managed?
- Cold extremities, paraesthesiae, and numbness can occur, and beta-blockers can worsen symptoms in people with peripheral vascular disease — use a cardioselective beta-blocker (such as atenolol, bisoprolol, and metoprolol).
- Sleep disturbance or nightmares can occur — use a water-soluble beta-blocker (such as atenolol).
- Fatigue and sexual dysfunction can occur but do not usually necessitate stopping the beta-blocker.
- Ask people taking a beta-blocker whether they are having sexual problems.
- Warning signs of hypoglycaemia (such as tremor and tachycardia) can be masked by non-selective beta-blockers — use a cardioselective beta-blocker in people with diabetes.
In depth
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