Can asthma use "Metolol"?Please collect this medication strategy!

For medical professionals for reading reference

Evidence -based medicine, reasonable medication

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Xiao Liu is 39 years old and suffers from "hypertension with bronchial asthma". Listening to a friend said that "Metolol" has a good effect on young and middle -aged hypertension, I want to take Mitololol, but I asked different doctors. It can be used, and some say it is not available. On Monday morning, Xiao Liu came to the outpatient consultation and asked if the patients with bronchial asthma could use Meitolol.

Some investigations found that the proportion of bronchial asthma patients combined cardiovascular disease was more than 3 times higher than the overall population. It is not uncommon for bronchial asthma to combine hypertension.

Can bronchial asthma patients use Metololol? What issues need to pay attention to when applying Meetolol? Let's figure out today.

Can bronchial asthma patients use Metololol?

There are two main categories commonly used in clinical β -blockers, one is non -selective β -blocker (such as Puklol, etc.), and the other is selective β1 receptor blocker (such as beauty Tololol, etc.).

Due to the blocking effect of the β2 receptor of the bronchial β2, the non -selective β receptor block can increase the resistance of the respiratory tract and induce or aggravate the bronchial asthma.

Selective β1 blockers such as Metololol have weak effects on β2 receptors, and clinical evidence shows that selective β1 receptor blockers (Metolol) are relatively safe for bronchial asthma. The above -mentioned adverse reactions, but the selectivity of Metolol is relative. As the dose increases, its selectivity will be reduced. When the concentration is too high, the blocking effect of β1 receptor may occur. Increase the risk of bronchial asthma, so patients with bronchial asthma should still be used carefully.

What do you say?

Check the medical doctor's station app as the following:

Beiculic acid Meetolol tablets

Contraindications of asthma and chronic obstructive pulmonary diseases are not disabled.

Patients with chronic obstructive pulmonary disease and bronchial asthma should be used with caution. It is advisable to use small doses. Patients with bronchial asthma should be added with β2 receptor agonies at the same time, and the dose can be adjusted according to the dosage of Metololol.

Adverse respiratory respiratory system: intimidation, bronchial asthma or asthma symptoms may develop bronchial spasm, rare (<1/1000).

What are the issues to pay attention to when applying Metololol?

Patients with bronchial asthma use β1 receptor blockers such as Metololol, which should be observed closely when initially taking. It is advisable to be small doses. At the same time The excitement (Fumatlo, Sammetro, etc.) may need to be added. Patients with severe bronchial asthma should consider short -term hospitalization monitoring for 24 hours to prevent the acute attack of bronchial asthma.

references:

[1] Beylosic acid Meetolol Movies.

[2] China Senior Science and Senior Medicine Society of Cardiovascular Diseases, China Hypertension Alliance. Study Blinds Blinds for the treatment of hypertension [J]. China Cardiovascular Disease Magazine, 2019, 47 (6): 443-446.

[3] Liu Jing, Lu Xinzheng, Chen Luyuan, Huo Yong. The consensus of high blood pressure management experts in China [J]. Chinese hypertension magazine, 2020, 28 (4): 316-324.

[4] Chinese Medical Society Cardiovascular Disease Branch. Standardine adrenaline receptor blockers in the application of cardiovascular diseases [J]. China Cardiovascular Disease Magazine, 2009, 37 (3): 195-209.

[5] β adrenaline receptor blockers standardize the treatment of coronary heart disease, Chinese expert consensus group. Apply β adrenaline receptor blockers to standardize Chinese expert consensus [J]. China Cycle Magazine, 2020, 2020, 2020, 2020 35 (2): 108-123.

[6] Hypertensive heart rate management Multi-disciplinary consensus group. China ’s hypertensive patients with heart rate management Multi-disciplinary expert consensus (2021 edition) [J]. Chinese general medicine, 2021, 24 (20): 2501-2507, 2519.

[7] China Hypertension Prevention Guide Revision Committee, Hypertension Alliance (China, China Medical Association Cardiovascular Disease Branch of the China Medical Association Hypertension Professional Committee, China Medical Care International Exchange Promotion Association Hypertension Branch, China Old Medical Society Hypertension Society Hypertension Branch. China Hypertension Prevention Guide (Revised Edition 2018) [J]. China Cardiovascular Magazine, 2019, 24 (1): 24-56.

[8] National Cardiovascular Disease Center National Basic Public Health Services Project Grassroots Hypertension Management Office, National Grassroots Hypertension Management Expert Committee. National Grassroots Hypertension Prevention Management Guide 2020 [J]. China Circular Magazine, 2021, 36 (3 36 (3 ): 209-220.

[9] China Senior Sciences and Senior Medicine Society of Cardiovascular Diseases, China Hypertension Alliance. Study Blinds Blinds for the treatment of hypertension [J]. China Cardiovascular Disease Magazine, 2019, 47 (6): 443-446.

[10] The National Health and Family Planning Commission Reasonable Medicine Expert Committee, the Hypertension Professional Committee of the Chinese Physician Association. 28-126.

J.2014; 23: 22–29. What do you want to see and pay attention to the main points of use?Welcome to leave a message to tell the small medicine in the world ~

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