Who should avoid taking beta-blockers?
• Beta-blockers are contraindicated in: • People with a history of asthma or bronchospasm. Beta-blockers can be used in people with chronic obstructive pulmonary disease, but caution should be used if disease is severe. • Second- or third-degree heart block (in the absence of a permanent pacemaker). • Sick sinus syndrome. • Sinus bradycardia (heart rate less than 50 beats per minute at the start of treatment). • Severe hypotension. • Severe peripheral arterial disease. • Seek specialist advice before starting a beta-blocker in people with a current or recent exacerbation of heart failure.
