Angina pectoris, Hypertension
Adult: 0.5-2 mg daily.
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Indications and Dosage
                                             
                                            
Oral 
                                        Angina pectoris, Hypertension Adult: 0.5-2 mg daily. 
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Contraindications
                                             
                                            
2nd and 3rd ° AV block; sinus bradycardia; uncontrolled heart failure; bronchospasm or asthma, metabolic acidosis, severe peripheral arterial disease, phaeochromocytoma.
                                             
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Special Precautions
                                             
                                            
1st ° AV block. May mask symptoms of hyperthyroidism and hypoglycaemia. May unmask myasthenia gravis. May aggravate psoriasis. Gradual withdrawal over 1-2 wk is advisable otherwise, it may result in angina, MI, ventricular arrhythmias and death. Pregnancy and lactation.
                                             
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Adverse Reactions
                                             
                                            
Bradycardia; hypotension; heart failure, heart block; bronchospasm; fatigue; coldness of extremities; pneumonitis; pulmonary and retroperitoneal fibrosis; pleurisy; CNS effects; myopathies; GI disturbances; skin rash; pruritus; reversible alopoecia; lupus-like syndrome; male impotence; sclerosing peritonitis; paraesthesias; peripheral neuropathy; muscle cramps; haematological reactions. 
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Drug Interactions
                                             
                                            
Drugs that cause hypotension; NSAIDs; other cardiac depressants; sotalol; digoxin; insulin and oral hypoglycaemics; sympathomimetics; ACE inhibitors; calcium-channel blockers, verapamil. Anaesthetics that cause myocardial depression (e.g. ether, cyclopropane, trichloroethylene). 
                                        Potentially Fatal: Increased risk of withdrawal HTN with clonidine. (Withdraw several days before slowly withdrawing clonidine).  | 
                                
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Lab Interference
                                             
                                            
Changes in blood concentrations of triglycerides, glucose and cholesterol.
                                             
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Action
                                             
                                            
Description:  
                                        Mechanism of Action: Bopindolol is a non-cardioselective β-blocker with some intrinsic sympathomimetic activity.  | 
                                
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MIMS Class
                                             
                                            
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