hey guys,
I remember we were taught not to use non selective BB in asthma/respiratory diseases since they can affect the lungs as well as heart. In real practice, do u guys notify the md/get the ok before dispensing, or do u just dispense and counsel the patient?
My system notified me that labetalol and symbicort are contraindicated. However, they arent lol. Even the package insert for symbicort lists the use of beta blockers as a “caution” in worsening bronchospasm. It doesnt even specify non selective vs selective—just beta blockers in general. Wanted to hear what u guys had to say as labetalol is non selective and is more likely to affect the lungs. Other rph has been dispensing.
I remember we were taught not to use non selective BB in asthma/respiratory diseases since they can affect the lungs as well as heart. In real practice, do u guys notify the md/get the ok before dispensing, or do u just dispense and counsel the patient?
My system notified me that labetalol and symbicort are contraindicated. However, they arent lol. Even the package insert for symbicort lists the use of beta blockers as a “caution” in worsening bronchospasm. It doesnt even specify non selective vs selective—just beta blockers in general. Wanted to hear what u guys had to say as labetalol is non selective and is more likely to affect the lungs. Other rph has been dispensing.