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Лобет

Lobet is labetalol 100 mg tablets — combined alpha-1 + non-selective beta blocker. Preferred antihypertensive in pregnancy (first-line for gestational hypertension and preeclampsia). Also for hypertensive urgency / emergency (IV formulation) and aortic dissection. Standard oral dose 100-400 mg twice daily.

Медицински преглед от Morgan Ellis — Фармацевтичен изследовател · 8 години опит  · Последен преглед: май 2026 г.

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⚡ Quick Answer — What is Lobet?

Лобет е 100 mg labetalol tablet from a WHO-GMP certified manufacturer — non-selective beta-blocker with additional alpha-1 blockade (beta:alpha ratio ~3:1 oral, 7:1 IV). Primary use is hypertension; also used for angina, arrhythmia control, post-myocardial-infarction secondary prevention, and as first-line antihypertensive in pregnancy. Typical hypertension dose: 100 mg twice daily; titrate to 200-400 mg BID if needed (800 mg/day usual max; up to 2,400 mg/day in severe cases). Contraindicated in asthma, severe bradycardia, second/third-degree heart block, acute decompensated heart failure, and phaeochromocytoma without prior alpha-blockade. Do NOT stop abruptly — taper over 1-2 weeks to avoid rebound tachycardia / angina / MI.

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What Is Lobet?

Lobet is an oral tablet containing labetalol 100 mg from a WHO-GMP certified manufacturer, supplied in 30-180 tablets. Labetalol is a non-selective beta-blocker with additional alpha-1 blockade (beta:alpha ratio ~3:1 oral, 7:1 IV). Combined alpha-1 and non-selective beta blockade gives rapid BP-lowering without reflex tachycardia. First-line antihypertensive in pregnancy — one of the three “pregnancy-safe” options alongside methyldopa and nifedipine. Also the standard drug for hypertensive emergencies including preeclampsia, hypertensive crisis, and phaeochromocytoma (after alpha-blockade).

How Labetalol Lowers Blood Pressure

Beta-blockers reduce blood pressure through four mechanisms:

  • Reduction of cardiac output — beta-1 blockade in the sinoatrial node reduces heart rate, and blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure.
  • Renin-angiotensin suppression — beta-1 blockade in juxtaglomerular cells reduces renin release, lowering angiotensin II and aldosterone over 2-4 weeks. This accounts for much of the long-term BP effect.
  • Central sympathetic reduction — lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.
  • Alpha-1 blockade — direct peripheral vasodilation (labetalol-specific), giving a faster BP reduction than pure beta-blockers.

Beta-blockers are moderately lipophilic. Plasma half-life of labetalol is 6-8 hours.

Approved and Evidence-Based Uses

  • Hypertension (primary indication)
  • Hypertension in pregnancy — first-line; safer than most other BP drugs (no teratogenic signal, preferable to methyldopa in many UK/EU guidelines)
  • Preeclampsia / severe gestational hypertension
  • Hypertensive emergency / urgency (IV)
  • Phaeochromocytoma — ONLY after alpha-blockade established (like all beta-blockers; never as first agent)
  • Aortic dissection — IV labetalol plus morphine for BP/HR control

Lobet Dosage

Adult hypertension dose: 100 mg twice daily; titrate to 200-400 mg BID if needed (800 mg/day usual max; up to 2,400 mg/day in severe cases).

Start low, titrate upward over 2-4 weeks to target BP (typically <140/90 in uncomplicated hypertension; <130/80 in diabetes, chronic kidney disease, or established cardiovascular disease). Check resting pulse before each dose-increase — do not titrate if <55 bpm.

Мониторинг:

  • Resting pulse and BP at 2, 4, and 8 weeks after starting or dose change
  • Baseline ECG if any cardiac history; periodic ECG if symptoms change

Administration: swallow whole with water. Take at approximately the same time each day.

Discontinuation: NEVER stop abruptly. Taper over 1-2 weeks (reduce by 25-50% every 3-5 days). Abrupt discontinuation causes rebound tachycardia, worsened angina, and — in patients with coronary disease — can precipitate myocardial infarction. This is one of the most important safety points for beta-blockers.

Странични ефекти

Common (>5%):

  • Fatigue, lethargy — often adapts over 2-4 weeks
  • Cold hands and feet (peripheral vasoconstriction)
  • Bradycardia (check pulse; stop if <50 bpm)
  • Exercise intolerance — maximum heart rate is blunted by beta blockade
  • Dizziness, postural hypotension
  • CNS effects possible but less common than with propranolol
  • Postural dizziness (more common due to vasodilator component)

По-рядко: depression, reduced libido / erectile dysfunction, gastrointestinal upset, Raynaud-like cold intolerance, bronchospasm (more common with non-selective agents).

Important but uncommon:

  • Masked hypoglycaemia in diabetics — beta-blockers blunt the tachycardia / tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer nebivolol или bisoprolol in insulin-treated diabetes.
  • Bronchospasm — can be severe in asthma / COPD. Absolute contraindication for non-selective agents; relative for cardioselective.
  • Heart block or worsening heart failure — in susceptible patients. Start low, titrate slowly.

Contraindications & Cautions

  • Asthma / severe COPD / any bronchospastic disorder — absolute contraindication (non-selective beta blockade)
  • Second or third-degree atrioventricular block (without pacemaker)
  • Sinus bradycardia <50 bpm
  • Cardiogenic shock, decompensated heart failure requiring inotropes
  • Severe peripheral arterial disease, Raynaud’s syndrome (relative)
  • Phaeochromocytoma without prior alpha-blockade — paradoxical hypertensive crisis (Labetalol has alpha-1 blocker component, which softens but does not eliminate this risk)
  • Severe hepatic impairment (for extensively hepatic-metabolised agents: propranolol, metoprolol, carvedilol, labetalol)
  • Severe renal impairment — dose adjustment needed for renal-excreted agents (atenolol, nadolol)
  • Hypersensitivity to labetalol

Pregnancy: Labetalol is the first-line antihypertensive in pregnancy — safer than most alternatives; no teratogenic signal; widely used for gestational hypertension and preeclampsia.

Breastfeeding: compatible (low milk transfer).

Лекарствени взаимодействия

  • Verapamil, diltiazem (non-dihydropyridine CCBs) — additive bradycardia, heart block, and negative inotropy; generally avoid combination. Dihydropyridine CCBs (amlodipine, nifedipine) are safer to combine with beta-blockers.
  • Other beta-blockers — do not combine; additive bradycardia
  • Clonidine — if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis
  • Insulin and sulphonylureas — mask hypoglycaemia warning signs; monitor glucose closely
  • НПВС — reduce the antihypertensive effect of beta-blockers; avoid chronic combination
  • Alcohol — additive hypotension and CNS depression (particularly for lipophilic agents)

Beta-Blocker Class at a Glance

Beta-blockerSelectivityНай-добро за
Propranolol (Inderal, Ciplar, Beloc)Non-selectiveMigraine, tremor, thyrotoxicosis, performance anxiety, HTN
MetoprololCardioselectivePost-MI, HF-REF (succinate ER), angina, AF rate control
CarvedilolNon-selective + α-1HF-REF (mortality evidence), post-MI
BisoprololHighly cardioselectiveHF-REF, HTN, angina, AF rate control
NebivololUltra-selective + NOElderly, metabolic syndrome, erectile dysfunction
AtenololCardioselective (hydrophilic)Angina, AF rate control (second-line for HTN)
LabetalolNon-selective + α-1Pregnancy hypertension, hypertensive crisis

The combined alpha + beta profile avoids reflex tachycardia seen with pure alpha-blockers (prazosin) and the reflex vasoconstriction seen with pure beta-blockers. First-choice beta-blocker in pregnancy. Do not use as monotherapy for phaeochromocytoma before alpha-blockade — paradoxical hypertensive crisis.

Съхранение

Store Lobet below 25°C. Keep out of reach of children — accidental paediatric beta-blocker ingestion can cause life-threatening bradycardia and hypoglycaemia.

Често задавани въпроси

How long does Lobet take to lower blood pressure?

You should see some BP reduction within 1-2 days of starting; the full antihypertensive effect takes 2-4 weeks (driven by the gradual renin-angiotensin suppression, not the immediate heart-rate effect). Measure BP at home at the same time each day to track response.

Can I take Lobet if I have asthma?

No — Labetalol is non-selective and can cause severe bronchospasm in asthmatics. Absolute contraindication. For asthmatic patients needing a beta-blocker, nebivolol или bisoprolol (highly cardioselective) are safer alternatives — though no beta-blocker is completely safe in asthma.

Why should I never stop Lobet abruptly?

Abrupt discontinuation causes rebound tachycardia and worsened angina within 24-48 hours, driven by up-regulation of beta receptors during chronic blockade. In patients with coronary artery disease, this can precipitate myocardial infarction or unstable angina. Always taper over 1-2 weeks when stopping.

Will Lobet affect my exercise performance?

Yes — beta blockade blunts the heart-rate response to exercise, so your maximum pulse is lower and you fatigue faster at high intensities. For recreational exercise most people adapt; for competitive endurance athletes, beta-blockers can meaningfully impair performance and are banned in precision sports (shooting, archery — where they reduce physiological tremor).

Will Lobet affect my blood sugar if I have diabetes?

Beta-blockers mask the tachycardia / tremor / palpitation warning signs of hypoglycaemia, making low blood sugar harder to detect. They can also blunt the counter-regulatory glucose response. Monitor glucose more frequently on a beta-blocker, particularly if on insulin or sulphonylureas. Nebivolol и bisoprolol have the best metabolic profile.

Can I drink alcohol on Lobet?

Moderate alcohol is generally acceptable but alcohol potentiates the hypotensive and CNS-depressant effects. Stand up slowly after drinking. Alcohol is also an independent BP-raiser; reducing intake can improve BP control independent of Lobet.

Does Lobet cause weight gain?

Older beta-blockers (propranolol, atenolol, metoprolol) are associated with modest weight gain (1-3 kg) and worsening of insulin sensitivity over time. Nebivolol and carvedilol are weight-neutral or slightly weight-favourable due to their vasodilator components. For patients with metabolic syndrome, nebivolol is the preferred beta-blocker when one is needed.

Is Lobet safe in pregnancy?

Yes — labetalol is the first-line antihypertensive in pregnancy. Widely used for gestational hypertension and preeclampsia; decades of real-world safety data.

Can I take Lobet with other BP medications?

Yes — beta-blockers combine well with dihydropyridine calcium-channel blockers (amlodipine), ACE инхибитори (ramipril, lisinopril), ARBs (losartan, telmisartan, olmesartan), and thiazide diuretics (HCTZ). Avoid combination with non-dihydropyridine CCBs (verapamil, diltiazem) — additive bradycardia and heart-block risk.

Where can I buy Lobet online?

You can buy Lobet (labetalol 100 mg tablet, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.

Related Beta-Blockers & Antihypertensives

⚕ Медицинско известие. This page is for informational purposes only and does not replace medical advice from a qualified healthcare professional. Hypertension, heart failure, and arrhythmias require diagnosis, monitoring, and dose individualisation by a doctor — always use beta-blockers under medical guidance.

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Сила

100 mg

Количество

30 Tablet/s, 60 Tablet/s, 90 Tablet/s

Фармацевтична форма

Таблетки

Производител

Samarth Life Sciences

Лечение

HEART & BLOOD PRESSURE

Generic Brand

Labetalol

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