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Labetalol - Learn about Labetalol Side Effects and Precautions

Labetalol Information

The pharmacology action of Labetalol is that it selectively blocks alpha-1 receptors and nonselectively blocks beta-receptors to decrease BP, heart rate, and myocardial oxygen demand.

Labetalol is used in treatment of hypertension.

Labetalol Class Alpha-adrenergic blocker/Beta-adrenergic blocker
How Labetalol Supplied Normodyne Tablets 100 mg , Tablets 200 mg , Tablets 300 mg , Injection 5 mg/mL
Trandate Tablets 100 mg , Tablets 200 mg , Tablets 300 mg , Injection 5 mg/mL
Brand Name : Apo-Labetalol

Interaction and Contraindication of Labetalol

Interaction of Labetalol - Beta-adrenergic agonists:  Blunted bronchodilator effect.
Cimetidine:  Increased bioavailability of labetalol.
Indomethacin:  Impaired antihypertensive effect of labetalol.
Inhalation anesthetics:  May exaggerate hypotension.
Nitroglycerin:  Increased hypotension.

Contraindication of Labetalol - Severe bradycardia; second- and third-degree heart block; heart failure; cardiogenic shock; bronchial asthma.

Side Effects o f Labetalol

Here are the list of some common side effects ofLabetalol :

  • Orthostatic hypotension; edema; flushing; ventricular arrhythmias; AV block; bradycardia; heart failure; chest pain.
  • Headache; fatigue; dizziness; depression; lethargy; drowsiness; forgetfulness; sleepiness; vertigo; paresthesia; nightmares.
  • Dry eyes; visual disturbances; altered taste perception.
  • Nausea; vomiting; diarrhea; dyspepsia
  • Bronchospasm; shortness of breath; wheezing
  • Muscle cramps; systemic lupus erythematosus; increased hypoglycemic response to insulin; masking of hypoglycemic signs; asthenia

Precaution and Warning while taking Labetalol

The precaution and warnings of Labetalol drug is as follows:

  • Advise patient to notify dentist and other health care providers of drug therapy before treatment or surgery.
  • Caution diabetic patient to monitor serum glucose carefully.
  • Instruct patient to not discontinue drug abruptly.
  • Advise patient to carry identification (eg, Medi-Alert ) indicating medical condition and drug regimen.
  • Instruct patient how to measure BP and pulse.
  • Emphasize importance of the following other modalities on BP: weight control, regular exercise, smoking cessation and moderate intake of alcohol and salt.
  • Inform patient that transient scalp tingling may occur, especially when treatment is initiated.
  • Instruct patient to report the following symptoms to health care provider: slow heart rate, dizziness, confusion, fever or depression, shortness of breath, fatigue, swelling of ankles and feet.
  • Advise patient that drug causes dizziness and to use caution while driving or performing other tasks requiring mental alertness.

How to store Labetalol

  • Administer oral form with food; tablets can be crushed.
  • If nausea and dizziness occur with twice-daily dosing of oral form, same total daily dose can be administered as divided doses 3 times/day.
  • Keep patient supine during IV administration and for 3 hr afterward.
  • For repeated IV injection, give 20 mg dose slowly over 2 min.
  • Store at room temperature and protect from excessive moisture.
  • Do not freeze injection vials. Protect from light. Parenteral solution is stable for 24 hr after dilution.

 

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