{"id":51599,"date":"2023-09-20T09:23:29","date_gmt":"2023-09-20T09:23:29","guid":{"rendered":"https:\/\/medsname.com\/ciplar\/"},"modified":"2026-09-06T06:10:35","modified_gmt":"2026-09-06T06:10:35","slug":"ciplar","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/ciplar\/","title":{"rendered":"Ciplar"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background: #fff8e1; border-left: 4px solid #f5a623; padding: 18px 22px; margin: 0 0 24px 0; border-radius: 4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin: 0 0 8px 0; font-size: 16px; font-weight: bold;\">\u26a1 Quick Answer \u2014 What is Ciplar?<\/h3>\n<p style=\"margin: 0;\"><strong>Ciplar<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 <strong>10 mg \u03c4\u03b1\u03bc\u03c0\u03bb\u03ad\u03c4\u03b1 \u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03bf\u03bb\u03cc\u03bb\u03b7\u03c2 \u03ac\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2<\/strong> from Cipla \u2014 non-selective (blocks beta-1 AND beta-2). Primary use is <strong>\u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7<\/strong>; \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7, \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03b1\u03c1\u03c1\u03c5\u03b8\u03bc\u03b9\u03ce\u03bd, \u03b4\u03b5\u03c5\u03c4\u03b5\u03c1\u03bf\u03b3\u03b5\u03bd\u03ae \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03ad\u03bc\u03c6\u03c1\u03b1\u03b3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03bf\u03ba\u03b1\u03c1\u03b4\u03af\u03bf\u03c5, <a href=\"https:\/\/medsbase.com\/el\/anti-migraine\/\">\u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7 \u03b7\u03bc\u03b9\u03ba\u03c1\u03b1\u03bd\u03b9\u03ce\u03bd<\/a>, \u03bf\u03c5\u03c3\u03b9\u03ce\u03b4\u03b7\u03c2 \u03c4\u03c1\u03cc\u03bc\u03bf\u03c2, \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03ac\u03b3\u03c7\u03bf\u03c2 \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7\u03c2. \u03a4\u03c5\u03c0\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7: <strong>\u0386\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2: 40-80 mg \u03b4\u03cd\u03bf \u03ae \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 (80-160 mg\/\u03b7\u03bc\u03ad\u03c1\u03b1). \u0395\u03ba\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2: 80-160 mg \u03bc\u03af\u03b1 \u03c6\u03bf\u03c1\u03ac \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2.<\/strong> \u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03ba\u03bd\u03c5\u03c4\u03b1\u03b9 \u03c3\u03b5 <strong>\u03ac\u03c3\u03b8\u03bc\u03b1, \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b2\u03c1\u03b1\u03b4\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1, \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03cc \u03bc\u03c0\u03bb\u03bf\u03ba \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf\u03c5\/\u03c4\u03c1\u03af\u03c4\u03bf\u03c5 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd, \u03bf\u03be\u03b5\u03af\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c6\u03b1\u03b9\u03bf\u03c7\u03c1\u03c9\u03bc\u03bf\u03ba\u03cd\u03c4\u03c4\u03c9\u03bc\u03b1 \u03c7\u03c9\u03c1\u03af\u03c2 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03b7 \u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong>. Do NOT stop abruptly \u2014 taper over 1-2 weeks to avoid rebound tachycardia \/ angina \/ MI.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background: #f4f8fb; border: 1px solid #d8e3eb; padding: 12px 16px; margin: 16px 0; border-radius: 4px; font-size: 14px;\"><strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size: 14px; color: #444; margin: 8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03b5\u03c1\u03b3\u03bf\u03c3\u03c4\u03ac\u03c3\u03b9\u03b1 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03b9\u03b5\u03c5\u03b8\u03cd\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03c9\u03bd \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03ac\u03bb\u03b9\u03c3\u03b7\u03c2.<\/p>\n<h2 class=\"wp-block-heading\">\u03a4\u03b9 \u0395\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf Ciplar;<\/h2>\n<p>\u03a4\u03bf Ciplar \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b4\u03b9\u03c3\u03ba\u03af\u03b1 \u03ac\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2 \u03b3\u03b9\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5 \u03c3\u03c4\u03cc\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03b5\u03b9 <strong>\u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7 10 mg<\/strong> \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd Cipla, \u03c0\u03b1\u03c1\u03ad\u03c7\u03b5\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b5\u03c2 30-180 \u03b4\u03b9\u03c3\u03ba\u03af\u03c9\u03bd. \u0397 \u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b7 \u03b5\u03ba\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae (\u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03af\u03b5\u03b9 \u03c4\u03cc\u03c3\u03bf \u03c4\u03b1 \u03b2\u03ae\u03c4\u03b1-1 \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03c4\u03b1 \u03b2\u03ae\u03c4\u03b1-2). \u039f \u03c0\u03c1\u03c9\u03c4\u03cc\u03c4\u03c5\u03c0\u03bf\u03c2 \u03b2\u03ae\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 (Sir James Black, 1964; \u0392\u03c1\u03b1\u03b2\u03b5\u03af\u03bf \u039d\u03cc\u03bc\u03c0\u03b5\u03bb 1988). \u03a0\u03b1\u03c1\u03b1\u03bc\u03ad\u03bd\u03b5\u03b9 \u03bf \u03b1\u03bd\u03b1\u03c6\u03bf\u03c1\u03ac\u03c2 \u03bc\u03b7 \u03b5\u03ba\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03cc\u03c2 \u03b2\u03ae\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03bd\u03b1\u03bc\u03c6\u03b9\u03c3\u03b2\u03ae\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf \u03c0\u03b9\u03bf \u03c3\u03c5\u03bd\u03c4\u03b1\u03b3\u03bf\u03b3\u03c1\u03b1\u03c6\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03cc \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03bf \u03c3\u03c4\u03b7\u03bd \u03b9\u03c3\u03c4\u03bf\u03c1\u03af\u03b1.<\/p>\n<h2 class=\"wp-block-heading\">\u03a0\u03ce\u03c2 \u03b7 \u03a0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7 \u039c\u03b5\u03b9\u03ce\u03bd\u03b5\u03b9 \u03c4\u03b7\u03bd \u03a0\u03af\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u0391\u03af\u03bc\u03b1\u03c4\u03bf\u03c2<\/h2>\n<p>\u039f\u03b9 \u03b2\u03b7\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03bc\u03b5\u03b9\u03ce\u03bd\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03c0\u03af\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b1\u03af\u03bc\u03b1\u03c4\u03bf\u03c2 \u03bc\u03ad\u03c3\u03c9 \u03c4\u03b5\u03c3\u03c3\u03ac\u03c1\u03c9\u03bd \u03bc\u03b7\u03c7\u03b1\u03bd\u03b9\u03c3\u03bc\u03ce\u03bd:<\/p>\n<ul>\n<li><strong>\u039c\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7\u03c2<\/strong> \u2014 beta-1 blockade in the sinoatrial node reduces heart rate, and blockade in ventricular myocardium reduces contractility. Lower cardiac output = lower blood pressure.<\/li>\n<li><strong>\u039a\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c1\u03b5\u03bd\u03af\u03bd\u03b7\u03c2-\u03b1\u03b3\u03b3\u03b5\u03b9\u03bf\u03c4\u03b5\u03bd\u03c3\u03af\u03bd\u03b7\u03c2<\/strong> \u2014 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.<\/li>\n<li><strong>\u039c\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b5\u03bd\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c3\u03c5\u03bc\u03c0\u03b1\u03b8\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2<\/strong> \u2014 lipophilic beta-blockers cross the blood-brain barrier and reduce central sympathetic outflow.<\/li>\n<\/ul>\n<p>\u039f\u03b9 \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 <strong>lipophilic \u2014 crosses the blood-brain barrier; this explains its efficacy in migraine, tremor, and performance anxiety but also the CNS side effects (vivid dreams, sleep disturbance)<\/strong>. \u039f \u03c7\u03c1\u03cc\u03bd\u03bf\u03c2 \u03b7\u03bc\u03b9\u03b6\u03c9\u03ae\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7\u03c2 \u03c3\u03c4\u03bf \u03c0\u03bb\u03ac\u03c3\u03bc\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 3-6 \u03ce\u03c1\u03b5\u03c2 (IR), 8-11 \u03ce\u03c1\u03b5\u03c2 (LA\/SR).<\/p>\n<h2 class=\"wp-block-heading\">\u0395\u03b3\u03ba\u03b5\u03ba\u03c1\u03b9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03ba\u03b1\u03b9 \u0392\u03b1\u03c3\u03b9\u03c3\u03bc\u03ad\u03bd\u03b5\u03c2 \u03c3\u03b5 \u0391\u03c0\u03bf\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03a7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>\u03a5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7<\/strong> (\u03c0\u03c1\u03c9\u03c4\u03bf\u03b3\u03b5\u03bd\u03ae\u03c2 \u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7)<\/li>\n<li><strong>\u03a3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7<\/strong> \u2014 80-240 mg\/day<\/li>\n<li><strong>\u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c0\u03b1\u03bb\u03bc\u03ce\u03bd \u03c3\u03b5 \u03ba\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae \u03bc\u03b1\u03c1\u03bc\u03b1\u03c1\u03c5\u03b3\u03ae<\/strong><\/li>\n<li><strong>\u03a0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7 \u03bc\u03b9\u03b3\u03ba\u03c1\u03b1\u03af\u03bd\u03b7\u03c2<\/strong> \u2014 <a href=\"https:\/\/medsbase.com\/el\/anti-migraine\/\">\u03c0\u03c1\u03ce\u03c4\u03b7\u03c2 \u03b3\u03c1\u03b1\u03bc\u03bc\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7<\/a>; 80-160 mg\/\u03b7\u03bc\u03ad\u03c1\u03b1<\/li>\n<li><strong>\u039f\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc\u03c2 \u03c4\u03c1\u03cc\u03bc\u03bf\u03c2<\/strong> \u2014 40-240 mg\/day<\/li>\n<li><strong>\u0398\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7<\/strong> \u2014 symptom control (tremor, tachycardia, anxiety)<\/li>\n<li><strong>\u0391\u03b3\u03c7\u03bf\u03c2 \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7\u03c2<\/strong> \u2014 situational low-dose (10-40 mg)<\/li>\n<li><strong>\u0391\u03b3\u03b3\u03b5\u03af\u03c9\u03bc\u03b1 \u03b2\u03c1\u03b5\u03c6\u03b9\u03ba\u03ae\u03c2 \u03b7\u03bb\u03b9\u03ba\u03af\u03b1\u03c2<\/strong> \u2014 first-line since 2008<\/li>\n<li><strong>\u03a0\u03cd\u03bb\u03c9\u03c3\u03b7 \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7\u03c2 \/ \u03c0\u03c1\u03bf\u03c6\u03cd\u03bb\u03b1\u03be\u03b7 \u03ba\u03b9\u03c1\u03c3\u03ce\u03bd<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0394\u03bf\u03c3\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 Ciplar<\/h2>\n<p><strong>\u0394\u03cc\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7 \u03c3\u03b5 \u03b5\u03bd\u03ae\u03bb\u03b9\u03ba\u03b5\u03c2:<\/strong> \u0386\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2: 40-80 mg \u03b4\u03cd\u03bf \u03ae \u03c4\u03c1\u03b5\u03b9\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2 (80-160 mg\/\u03b7\u03bc\u03ad\u03c1\u03b1). \u0395\u03ba\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b7\u03c2 \u03b1\u03c0\u03b5\u03bb\u03b5\u03c5\u03b8\u03ad\u03c1\u03c9\u03c3\u03b7\u03c2: 80-160 mg \u03bc\u03af\u03b1 \u03c6\u03bf\u03c1\u03ac \u03b7\u03bc\u03b5\u03c1\u03b7\u03c3\u03af\u03c9\u03c2.<\/p>\n<p>Start low, titrate upward over 2-4 weeks to target BP (typically &lt;140\/90 in uncomplicated hypertension; &lt;130\/80 in diabetes, chronic kidney disease, or established cardiovascular disease). Check resting pulse before each dose-increase \u2014 do not titrate if &lt;55 bpm.<\/p>\n<p><strong>\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7:<\/strong><\/p>\n<ul>\n<li>\u03a0\u03b1\u03bb\u03bc\u03cc\u03c2 \u03b7\u03c1\u03b5\u03bc\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03b1\u03c1\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ae \u03c0\u03af\u03b5\u03c3\u03b7 \u03c3\u03c4\u03b9\u03c2 2, 4 \u03ba\u03b1\u03b9 8 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7 \u03ae \u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03b4\u03cc\u03c3\u03b7\u03c2<\/li>\n<li>\u0392\u03b1\u03c3\u03b9\u03ba\u03cc \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03ba\u03b1\u03c1\u03b4\u03b9\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b5\u03ac\u03bd \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b9\u03c3\u03c4\u03bf\u03c1\u03af\u03b1\u00b7 \u03c0\u03b5\u03c1\u03b9\u03bf\u03b4\u03b9\u03ba\u03cc \u03b7\u03bb\u03b5\u03ba\u03c4\u03c1\u03bf\u03ba\u03b1\u03c1\u03b4\u03b9\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03b5\u03ac\u03bd \u03b1\u03bb\u03bb\u03ac\u03be\u03bf\u03c5\u03bd \u03c4\u03b1 \u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1<\/li>\n<\/ul>\n<p><strong>\u03a7\u03bf\u03c1\u03ae\u03b3\u03b7\u03c3\u03b7:<\/strong> \u03ba\u03b1\u03c4\u03b1\u03c0\u03b9\u03b5\u03af\u03c4\u03b5 \u03bf\u03bb\u03cc\u03ba\u03bb\u03b7\u03c1\u03bf \u03bc\u03b5 \u03bd\u03b5\u03c1\u03cc. \u039b\u03ae\u03c8\u03b7 \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 \u03c4\u03b7\u03bd \u03af\u03b4\u03b9\u03b1 \u03ce\u03c1\u03b1 \u03ba\u03ac\u03b8\u03b5 \u03bc\u03ad\u03c1\u03b1.<\/p>\n<p><strong>\u0394\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae:<\/strong> <strong>\u03a0\u039f\u03a4\u0395 \u03bc\u03b7\u03bd \u03b4\u03b9\u03b1\u03ba\u03cc\u03c0\u03c4\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc\u03c4\u03bf\u03bc\u03b1.<\/strong> Taper over 1-2 weeks (reduce by 25-50% every 3-5 days). Abrupt discontinuation causes rebound tachycardia, worsened angina, and \u2014 in patients with coronary disease \u2014 can precipitate myocardial infarction. This is one of the most important safety points for beta-blockers.<\/p>\n<h2 class=\"wp-block-heading\">\u03a0\u03b1\u03c1\u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2<\/h2>\n<p><strong>\u03a3\u03c5\u03c7\u03bd\u03ac (&gt;5%):<\/strong><\/p>\n<ul>\n<li><strong>\u039a\u03bf\u03cd\u03c1\u03b1\u03c3\u03b7, \u03bd\u03c9\u03b8\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1<\/strong> \u2014 often adapts over 2-4 weeks<\/li>\n<li><strong>\u039a\u03c1\u03cd\u03b1 \u03c7\u03ad\u03c1\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c0\u03cc\u03b4\u03b9\u03b1<\/strong> (\u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ae \u03b1\u03b3\u03b3\u03b5\u03b9\u03bf\u03c3\u03cd\u03c3\u03c0\u03b1\u03c3\u03b7)<\/li>\n<li><strong>\u0392\u03c1\u03b1\u03b4\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1<\/strong> (\u03b5\u03bb\u03ad\u03b3\u03be\u03c4\u03b5 \u03c4\u03bf\u03bd \u03c3\u03c6\u03c5\u03b3\u03bc\u03cc\u00b7 \u03b4\u03b9\u03b1\u03ba\u03cc\u03c8\u03c4\u03b5 \u03b5\u03ac\u03bd &lt;50 \u03c0\u03b1\u03bb\u03bc\u03bf\u03af \u03b1\u03bd\u03ac \u03bb\u03b5\u03c0\u03c4\u03cc)<\/li>\n<li><strong>\u0391\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c3\u03c4\u03b7\u03bd \u03ac\u03c3\u03ba\u03b7\u03c3\u03b7<\/strong> \u2014 maximum heart rate is blunted by beta blockade<\/li>\n<li>\u0396\u03ac\u03bb\u03b7, \u03bf\u03c1\u03b8\u03bf\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ae \u03c5\u03c0\u03cc\u03c4\u03b1\u03c3\u03b7<\/li>\n<li>\u0394\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae \u03cd\u03c0\u03bd\u03bf\u03c5, \u03b6\u03c9\u03b7\u03c1\u03ac \u03cc\u03bd\u03b5\u03b9\u03c1\u03b1 \/ \u03b5\u03c6\u03b9\u03ac\u03bb\u03c4\u03b5\u03c2 (\u03c4\u03b1 \u03bb\u03b9\u03c0\u03bf\u03c6\u03b9\u03bb\u03ae \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03b4\u03b9\u03b1\u03c3\u03c7\u03af\u03b6\u03bf\u03c5\u03bd \u03c4\u03bf\u03bd \u03b1\u03b9\u03bc\u03b1\u03c4\u03bf\u03b5\u03b3\u03ba\u03b5\u03c6\u03b1\u03bb\u03b9\u03ba\u03cc \u03c6\u03c1\u03b1\u03b3\u03bc\u03cc)<\/li>\n<li>\u039c\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03bb\u03af\u03bc\u03c0\u03b9\u03bd\u03c4\u03bf, \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 (\u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03b5 \u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b4\u03cc\u03c3\u03b5\u03b9\u03c2)<\/li>\n<\/ul>\n<p><strong>\u039b\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2:<\/strong> \u03ba\u03b1\u03c4\u03ac\u03b8\u03bb\u03b9\u03c8\u03b7, \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03b7 \u03bb\u03af\u03bc\u03c0\u03b9\u03bd\u03c4\u03bf \/ \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1, \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03bd\u03c4\u03b5\u03c1\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03c6\u03bf\u03c1\u03af\u03b1, \u03c8\u03c5\u03c7\u03c1\u03ae \u03b4\u03c5\u03c3\u03b1\u03bd\u03b5\u03be\u03af\u03b1 \u03c4\u03cd\u03c0\u03bf\u03c5 Raynaud, \u03b2\u03c1\u03bf\u03b3\u03c7\u03cc\u03c3\u03c0\u03b1\u03c3\u03bc\u03bf\u03c2 (\u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03bc\u03b5 \u03bc\u03b7 \u03b5\u03ba\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ac \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b5\u03c2).<\/p>\n<p><strong>\u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03b1\u03bb\u03bb\u03ac \u03c3\u03c0\u03ac\u03bd\u03b9\u03bf:<\/strong><\/p>\n<ul>\n<li><strong>\u039a\u03b1\u03bb\u03c5\u03bc\u03bc\u03ad\u03bd\u03b7 \u03c5\u03c0\u03bf\u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03af\u03b1 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2<\/strong> \u2014 beta-blockers blunt the tachycardia \/ tremor warning signs of low blood sugar. Monitor glucose more carefully; prefer <a href=\"https:\/\/medsbase.com\/el\/nebicard\/\">\u03bd\u03b5\u03bc\u03c0\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03ae <a href=\"https:\/\/medsbase.com\/el\/concor\/\">\u03b2\u03b9\u03c3\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03c3\u03b5 \u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03bc\u03b5 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03b9\u03bd\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1.<\/li>\n<li><strong>\u0392\u03c1\u03bf\u03b3\u03c7\u03cc\u03c3\u03c0\u03b1\u03c3\u03bc\u03bf\u03c2<\/strong> \u2014 can be severe in asthma \/ COPD. Absolute contraindication for non-selective agents; relative for cardioselective.<\/li>\n<li><strong>\u039a\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03ae \u03b5\u03c0\u03b9\u03b4\u03b5\u03af\u03bd\u03c9\u03c3\u03b7 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae\u03c2 \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1\u03c2<\/strong> \u2014 in susceptible patients. Start low, titrate slowly.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>\u0386\u03c3\u03b8\u03bc\u03b1 \/ \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03a7\u0391\u03a0 \/ \u03bf\u03c0\u03bf\u03b9\u03b1\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03b2\u03c1\u03bf\u03b3\u03c7\u03bf\u03c3\u03c0\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03c4\u03b1\u03c1\u03b1\u03c7\u03ae<\/strong> \u2014 absolute contraindication (non-selective beta blockade)<\/li>\n<li>\u0391\u03c4\u03c1\u03b9\u03bf\u03ba\u03bf\u03b9\u03bb\u03b9\u03b1\u03ba\u03cc \u03bc\u03c0\u03bb\u03bf\u03ba \u03b4\u03b5\u03cd\u03c4\u03b5\u03c1\u03bf\u03c5 \u03ae \u03c4\u03c1\u03af\u03c4\u03bf\u03c5 \u03b2\u03b1\u03b8\u03bc\u03bf\u03cd (\u03c7\u03c9\u03c1\u03af\u03c2 \u03b2\u03b7\u03bc\u03b1\u03c4\u03bf\u03b4\u03cc\u03c4\u03b7)<\/li>\n<li>\u039a\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae \u03b2\u03c1\u03b1\u03b4\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1 &lt;50 bpm<\/li>\n<li>\u039a\u03b1\u03c1\u03b4\u03b9\u03bf\u03b3\u03b5\u03bd\u03ae\u03c2 \u03c3\u03bf\u03ba, \u03b1\u03c0\u03bf\u03ba\u03c9\u03bc\u03c0\u03b1\u03bd\u03c3\u03bc\u03ad\u03bd\u03b7 \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c0\u03bf\u03c5 \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af \u03b9\u03bd\u03bf\u03c4\u03c1\u03bf\u03c0\u03b9\u03ba\u03ac<\/li>\n<li>\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03c0\u03b5\u03c1\u03b9\u03c6\u03b5\u03c1\u03b9\u03ba\u03ae \u03b1\u03c1\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ae \u03bd\u03cc\u03c3\u03bf\u03c2, \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf Raynaud (\u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ae \u03b1\u03bd\u03c4\u03af\u03b8\u03b5\u03c3\u03b7)<\/li>\n<li>Phaeochromocytoma without prior alpha-blockade \u2014 paradoxical hypertensive crisis (never use a beta-blocker before alpha-blocker)<\/li>\n<li>\u03a3\u03bf\u03b2\u03b1\u03c1\u03ae \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 (\u03b3\u03b9\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03bc\u03b5 \u03b5\u03ba\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b7 \u03b7\u03c0\u03b1\u03c4\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03ae: \u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7, \u03bc\u03b5\u03c4\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb\u03b7, \u03ba\u03b1\u03c1\u03b2\u03b5\u03b4\u03b9\u03bb\u03cc\u03bb\u03b7, \u03bb\u03b1\u03b2\u03b5\u03c4\u03b1\u03bb\u03cc\u03bb\u03b7)<\/li>\n<li>Severe renal impairment \u2014 dose adjustment needed for renal-excreted agents (atenolol, nadolol)<\/li>\n<li>\u03a5\u03c0\u03b5\u03c1\u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1 \u03c3\u03c4\u03b7\u03bd \u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03bf\u03bb\u03cc\u03bb\u03b7<\/li>\n<\/ul>\n<p><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7:<\/strong> \u039a\u03b1\u03c4\u03b7\u03b3\u03bf\u03c1\u03af\u03b1 C \u03b1\u03bb\u03bb\u03ac \u03bc\u03b5 \u03b5\u03ba\u03c4\u03b5\u03c4\u03b1\u03bc\u03ad\u03bd\u03b1 \u03ba\u03b1\u03b8\u03b7\u03c3\u03c5\u03c7\u03b1\u03c3\u03c4\u03b9\u03ba\u03ac \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03c0\u03c1\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae\u00b7 \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03ce\u03bc\u03b5\u03bd\u03bf\u03c2 \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03c3\u03b5 \u03ad\u03b3\u03ba\u03c5\u03b5\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03b7\u03bc\u03b9\u03ba\u03c1\u03b1\u03bd\u03af\u03b1.<\/p>\n<p><strong>\u0398\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> \u03c3\u03c5\u03bc\u03b2\u03b1\u03c4\u03cc (\u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac \u03c3\u03c4\u03bf \u03b3\u03ac\u03bb\u03b1).<\/p>\n<h2 class=\"wp-block-heading\">\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03a6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<ul>\n<li><strong>\u0392\u03b5\u03c1\u03b1\u03c0\u03b1\u03bc\u03af\u03bb\u03b7, \u03b4\u03b9\u03bb\u03c4\u03b9\u03b1\u03b6\u03ad\u03bc\u03b7<\/strong> (non-dihydropyridine CCBs) \u2014 additive bradycardia, heart block, and negative inotropy; generally avoid combination. Dihydropyridine CCBs (<a href=\"https:\/\/medsbase.com\/el\/amlode\/\">amlodipine<\/a>, \u03bd\u03b9\u03c6\u03b5\u03b4\u03b9\u03c0\u03af\u03bd\u03b7) \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03c6\u03b1\u03bb\u03ad\u03c3\u03c4\u03b5\u03c1\u03b1 \u03bd\u03b1 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03c4\u03bf\u03cd\u03bd \u03bc\u03b5 \u03b2\u03ae\u03c4\u03b1-\u03b1\u03c0\u03bf\u03ba\u03bb\u03b5\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac.<\/li>\n<li><strong>\u0386\u03bb\u03bb\u03b1 \u03b2\u03b7\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2<\/strong> \u2014 do not combine; additive bradycardia<\/li>\n<li><strong>Clonidine<\/strong> \u2014 if stopping clonidine, stop the beta-blocker first (several days before) to avoid rebound hypertensive crisis<\/li>\n<li><strong>\u0399\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03bf\u03c5\u03bb\u03c6\u03bf\u03bd\u03c5\u03bb\u03bf\u03c5\u03c1\u03af\u03b5\u03c2<\/strong> \u2014 mask hypoglycaemia warning signs; monitor glucose closely<\/li>\n<li><strong>\u039c\u03b7 \u03c3\u03c4\u03b5\u03c1\u03bf\u03b5\u03b9\u03b4\u03ae \u03b1\u03bd\u03c4\u03b9\u03c6\u03bb\u03b5\u03b3\u03bc\u03bf\u03bd\u03ce\u03b4\u03b7 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 (NSAIDs)<\/strong> \u2014 reduce the antihypertensive effect of beta-blockers; avoid chronic combination<\/li>\n<li><strong>Rizatriptan<\/strong> \u2014 propranolol raises rizatriptan plasma levels ~70%; reduce rizatriptan to 5 mg max per dose<\/li>\n<li><strong>\u0391\u03bb\u03ba\u03bf\u03cc\u03bb<\/strong> \u2014 additive hypotension and CNS depression (particularly for lipophilic agents)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u0392\u03b7\u03c4\u03b1-\u0391\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03c3\u03b5 \u039c\u03af\u03b1 \u039c\u03b1\u03c4\u03b9\u03ac<\/h2>\n<table style=\"width: 100%; border-collapse: collapse; margin: 14px 0;\">\n<thead>\n<tr style=\"background: #2c7cb0; color: #fff;\">\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u0392\u03ae\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u0395\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<th style=\"padding: 10px; border: 1px solid #ddd; text-align: left;\">\u039a\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03b3\u03b9\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background: #fff3cd;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/inderal\/\">\u03a0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb\u03b7 (Inderal, Ciplar, Beloc)<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u039c\u03b7 \u03b5\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u0397\u03bc\u03b9\u03ba\u03c1\u03b1\u03bd\u03af\u03b1, \u03c4\u03c1\u03cc\u03bc\u03bf\u03c2, \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7, \u03ac\u03b3\u03c7\u03bf\u03c2 \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7\u03c2, \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/betablock-xl\/\">\u039c\u03b5\u03c4\u03bf\u03c0\u03c1\u03cc\u03bb\u03bf\u03bb\u03b7<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u039a\u03b1\u03c1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u039c\u03b5\u03c4\u03ac \u03ad\u03bc\u03c6\u03c1\u03b1\u03b3\u03bc\u03b1, \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03b1\u03bd\u03b5\u03c0\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03bc\u03b5 \u03bc\u03b5\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf \u03ba\u03bb\u03ac\u03c3\u03bc\u03b1 \u03b5\u03ba\u03c1\u03bf\u03ae\u03c2 (\u03c3\u03bf\u03c5\u03ba\u03c3\u03b9\u03bd\u03b9\u03ba\u03cc ER), \u03c3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7, \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c0\u03b1\u03bb\u03bc\u03ce\u03bd \u03c3\u03b5 \u03ba\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae \u03bc\u03b1\u03c1\u03bc\u03b1\u03c1\u03c5\u03b3\u03ae<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/carvejohn\/\">Carvedilol<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF (\u03b1\u03c0\u03bf\u03b4\u03b5\u03b9\u03ba\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03bf\u03b9\u03c7\u03b5\u03af\u03b1 \u03b8\u03bd\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2), \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03ad\u03bc\u03c6\u03c1\u03b1\u03b3\u03bc\u03b1<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/concor\/\">\u039c\u03c0\u03b9\u03c3\u03bf\u03c0\u03c1\u03cc\u03bb\u03bf\u03bb\u03b7<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u03a5\u03c8\u03b7\u03bb\u03ac \u03ba\u03b1\u03c1\u03b4\u03b9\u03bf\u03b5\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">HF-REF, \u03a5\u03a4\u0391, \u03c3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7, \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c0\u03b1\u03bb\u03bc\u03ce\u03bd \u03ba\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae\u03c2 \u03bc\u03b1\u03c1\u03bc\u03b1\u03c1\u03c5\u03b3\u03ae\u03c2<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/nebicard\/\">\u039d\u03b5\u03bc\u03c0\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb\u03b7<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u03a5\u03c0\u03b5\u03c1-\u03b5\u03c0\u03b9\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03ae + NO<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u0397\u03bb\u03b9\u03ba\u03b9\u03c9\u03bc\u03ad\u03bd\u03bf\u03b9, \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03cc \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf, \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1<\/td>\n<\/tr>\n<tr style=\"background: #f9f9f9;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/atenheal\/\">\u0391\u03c4\u03b5\u03bd\u03bf\u03bb\u03cc\u03bb\u03b7<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u039a\u03b1\u03c1\u03b4\u03b9\u03bf\u03b5\u03ba\u03bb\u03b5\u03ba\u03c4\u03b9\u03ba\u03cc (\u03c5\u03b4\u03c1\u03bf\u03c6\u03b9\u03bb\u03b9\u03ba\u03cc)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u03a3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7, \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c0\u03b1\u03bb\u03bc\u03ce\u03bd \u03c3\u03b5 \u03ba\u03bf\u03bb\u03c0\u03b9\u03ba\u03ae \u03bc\u03b1\u03c1\u03bc\u03b1\u03c1\u03c5\u03b3\u03ae (\u03b4\u03b5\u03c5\u03c4\u03b5\u03c1\u03bf\u03b3\u03b5\u03bd\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><a href=\"https:\/\/medsbase.com\/el\/labebet\/\">\u039b\u03b1\u03b2\u03b5\u03c4\u03b1\u03bb\u03cc\u03bb\u03b7<\/a><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Non-selective + \u03b1-1<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">\u03a5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7 \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7\u03c2, \u03c5\u03c0\u03b5\u03c1\u03c4\u03b1\u03c3\u03b9\u03ba\u03ae \u03ba\u03c1\u03af\u03c3\u03b7<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u0391\u03c0\u03cc\u03bb\u03c5\u03c4\u03b7 \u03b1\u03bd\u03c4\u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7 \u03c3\u03c4\u03b7\u03bd \u03ac\u03c3\u03b8\u03bc\u03b1 \/ \u03c3\u03bf\u03b2\u03b1\u03c1\u03ae \u03a7\u0391\u03a0 (\u03b7 \u03b2-2 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03b2\u03c1\u03bf\u03b3\u03c7\u03cc\u03c3\u03c0\u03b1\u03c3\u03bc\u03bf). <strong>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 Rizatriptan<\/strong>: propranolol raises rizatriptan plasma levels ~70% \u2014 reduce rizatriptan to 5 mg max if co-prescribed.<\/p>\n<h2 class=\"wp-block-heading\">\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<p>Store Ciplar below 25\u00b0C. Keep out of reach of children \u2014 accidental paediatric beta-blocker ingestion can cause life-threatening bradycardia and hypoglycaemia.<\/p>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3 class=\"wp-block-heading\">\u03a0\u03cc\u03c3\u03bf \u03c7\u03c1\u03cc\u03bd\u03bf \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03c4\u03bf Ciplar \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03bc\u03b5\u03b9\u03ce\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c1\u03c4\u03b7\u03c1\u03b9\u03b1\u03ba\u03ae \u03c0\u03af\u03b5\u03c3\u03b7;<\/h3>\n<p>\u0398\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03b5\u03af\u03c4\u03b5 \u03ba\u03ac\u03c0\u03bf\u03b9\u03b1 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03af\u03b5\u03c3\u03b7\u03c2 \u03b5\u03bd\u03c4\u03cc\u03c2 1-2 \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ad\u03bd\u03b1\u03c1\u03be\u03b7\u00b7 \u03b7 <strong>\u03c0\u03bb\u03ae\u03c1\u03b7\u03c2 \u03b1\u03bd\u03c4\u03b9\u03c5\u03c0\u03b5\u03c1\u03c4\u03b1\u03c3\u03b9\u03ba\u03ae \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03b4\u03b9\u03b1\u03c1\u03ba\u03b5\u03af 2-4 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2<\/strong> (\u03bf\u03c6\u03b5\u03af\u03bb\u03b5\u03c4\u03b1\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c4\u03b1\u03b4\u03b9\u03b1\u03ba\u03ae \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae \u03c4\u03bf\u03c5 \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03c1\u03b5\u03bd\u03af\u03bd\u03b7\u03c2-\u03b1\u03b3\u03b3\u03b5\u03b9\u03bf\u03c4\u03b5\u03bd\u03c3\u03af\u03bd\u03b7\u03c2, \u03cc\u03c7\u03b9 \u03c3\u03c4\u03b7 \u03c3\u03c4\u03b9\u03b3\u03bc\u03b9\u03b1\u03af\u03b1 \u03b5\u03c0\u03af\u03b4\u03c1\u03b1\u03c3\u03b7 \u03c3\u03c4\u03b7\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03ba\u03ae \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1). \u039c\u03b5\u03c4\u03c1\u03ae\u03c3\u03c4\u03b5 \u03c4\u03b7\u03bd \u03c0\u03af\u03b5\u03c3\u03b7 \u03c3\u03c4\u03bf \u03c3\u03c0\u03af\u03c4\u03b9 \u03c4\u03b7\u03bd \u03af\u03b4\u03b9\u03b1 \u03ce\u03c1\u03b1 \u03ba\u03ac\u03b8\u03b5 \u03bc\u03ad\u03c1\u03b1 \u03b3\u03b9\u03b1 \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03ae\u03c3\u03b5\u03c4\u03b5 \u03c4\u03b7\u03bd \u03b1\u03c0\u03cc\u03ba\u03c1\u03b9\u03c3\u03b7.<\/p>\n<h3 class=\"wp-block-heading\">\u039c\u03c0\u03bf\u03c1\u03ce \u03bd\u03b1 \u03c0\u03ac\u03c1\u03c9 Ciplar \u03b1\u03bd \u03ad\u03c7\u03c9 \u03ac\u03c3\u03b8\u03bc\u03b1;<\/h3>\n<p><strong>No \u2014 Propranolol is non-selective and can cause severe bronchospasm in asthmatics.<\/strong> \u0391\u03c0\u03cc\u03bb\u03c5\u03c4\u03b7 \u03b1\u03bd\u03c4\u03ad\u03bd\u03b4\u03b5\u03b9\u03be\u03b7. \u0393\u03b9\u03b1 \u03b1\u03c3\u03b8\u03bc\u03b1\u03c4\u03b9\u03ba\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b2\u03b7\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1, <a href=\"https:\/\/medsbase.com\/el\/nebicard\/\">\u03bd\u03b5\u03bc\u03c0\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03ae <a href=\"https:\/\/medsbase.com\/el\/concor\/\">\u03b2\u03b9\u03c3\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> (highly cardioselective) are safer alternatives \u2014 though no beta-blocker is completely safe in asthma.<\/p>\n<h3 class=\"wp-block-heading\">\u0393\u03b9\u03b1\u03c4\u03af \u03b4\u03b5\u03bd \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b4\u03b9\u03b1\u03ba\u03cc\u03c8\u03c9 \u03be\u03b1\u03c6\u03bd\u03b9\u03ba\u03ac \u03c4\u03bf Ciplar;<\/h3>\n<p>\u0397 \u03b1\u03c0\u03cc\u03c4\u03bf\u03bc\u03b7 \u03b4\u03b9\u03b1\u03ba\u03bf\u03c0\u03ae \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af <strong>\u03b1\u03bd\u03b1\u03b4\u03c1\u03bf\u03bc\u03b9\u03ba\u03ae \u03c4\u03b1\u03c7\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03b4\u03b5\u03af\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7\u03c2<\/strong> \u03b5\u03bd\u03c4\u03cc\u03c2 24-48 \u03c9\u03c1\u03ce\u03bd, \u03bb\u03cc\u03b3\u03c9 \u03c5\u03c0\u03b5\u03c1\u03ad\u03ba\u03c6\u03c1\u03b1\u03c3\u03b7\u03c2 \u03c4\u03c9\u03bd \u03b2\u03b7\u03c4\u03b1 \u03c5\u03c0\u03bf\u03b4\u03bf\u03c7\u03ad\u03c9\u03bd \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ae. \u03a3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c3\u03c4\u03b5\u03c6\u03b1\u03bd\u03b9\u03b1\u03af\u03b1 \u03bd\u03cc\u03c3\u03bf, \u03b1\u03c5\u03c4\u03cc \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03ad\u03c3\u03b5\u03b9 \u03ad\u03bc\u03c6\u03c1\u03b1\u03b3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03bc\u03c5\u03bf\u03ba\u03b1\u03c1\u03b4\u03af\u03bf\u03c5 \u03ae \u03b1\u03c3\u03c4\u03b1\u03b8\u03ae \u03c3\u03c4\u03b7\u03b8\u03ac\u03b3\u03c7\u03b7. \u03a0\u03ac\u03bd\u03c4\u03b1 \u03bc\u03b5\u03b9\u03ce\u03bd\u03b5\u03c4\u03b5 \u03c3\u03c4\u03b1\u03b4\u03b9\u03b1\u03ba\u03ac \u03c4\u03b7 \u03b4\u03cc\u03c3\u03b7 \u03c3\u03b5 1-2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03cc\u03c4\u03b1\u03bd \u03b4\u03b9\u03b1\u03ba\u03cc\u03c0\u03c4\u03b5\u03c4\u03b5.<\/p>\n<h3 class=\"wp-block-heading\">\u0398\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03c3\u03b5\u03b9 \u03c4\u03bf Ciplar \u03c4\u03b7\u03bd \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03ae \u03bc\u03bf\u03c5 \u03c3\u03c4\u03b7\u03bd \u03ac\u03c3\u03ba\u03b7\u03c3\u03b7;<\/h3>\n<p>Yes \u2014 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 \u2014 where they reduce physiological tremor).<\/p>\n<h3 class=\"wp-block-heading\">\u0398\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03c3\u03b5\u03b9 \u03c4\u03bf Ciplar \u03c4\u03bf \u03c3\u03ac\u03ba\u03c7\u03b1\u03c1\u03cc \u03bc\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b1\u03af\u03bc\u03b1 \u03b1\u03bd \u03ad\u03c7\u03c9 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7;<\/h3>\n<p>\u0392\u03ae\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 <strong>\u03bc\u03b1\u03c3\u03ba\u03b1\u03c1\u03b5\u03cd\u03bf\u03c5\u03bd \u03c4\u03b1 \u03c0\u03c1\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03ac \u03c3\u03b7\u03bc\u03ac\u03b4\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03c5\u03c0\u03bf\u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03af\u03b1\u03c2 \u03cc\u03c0\u03c9\u03c2 \u03b7 \u03c4\u03b1\u03c7\u03c5\u03ba\u03b1\u03c1\u03b4\u03af\u03b1, \u03bf \u03c4\u03c1\u03cc\u03bc\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c0\u03b1\u03bb\u03bc\u03bf\u03af<\/strong>, \u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ce\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7 \u03c7\u03b1\u03bc\u03b7\u03bb\u03ae \u03c3\u03ac\u03ba\u03c7\u03b1\u03c1\u03bf \u03c0\u03b9\u03bf \u03b4\u03cd\u03c3\u03ba\u03bf\u03bb\u03bf \u03bd\u03b1 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03c5\u03b8\u03b5\u03af. \u039c\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03bd\u03b1 \u03bc\u03b5\u03b9\u03ce\u03c3\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03c1\u03bf\u03c6\u03b7 \u03c1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7\u03c2. \u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03c5\u03b8\u03b5\u03af\u03c4\u03b5 \u03c4\u03b7 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b1 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ac \u03cc\u03c4\u03b1\u03bd \u03b2\u03c1\u03af\u03c3\u03ba\u03b5\u03c3\u03c4\u03b5 \u03c3\u03b5 \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7 \u03ae \u03c3\u03bf\u03c5\u03bb\u03c6\u03bf\u03bd\u03c5\u03bb\u03bf\u03c5\u03c1\u03af\u03b5\u03c2. <a href=\"https:\/\/medsbase.com\/el\/nebicard\/\">\u039d\u03b5\u03bc\u03c0\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03ba\u03b1\u03b9 <a href=\"https:\/\/medsbase.com\/el\/concor\/\">\u03b2\u03b9\u03c3\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03ad\u03c7\u03bf\u03c5\u03bd \u03c4\u03bf \u03ba\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03cc \u03c0\u03c1\u03bf\u03c6\u03af\u03bb.<\/p>\n<h3 class=\"wp-block-heading\">\u039c\u03c0\u03bf\u03c1\u03ce \u03bd\u03b1 \u03c0\u03af\u03bd\u03c9 \u03b1\u03bb\u03ba\u03bf\u03cc\u03bb \u03bc\u03b5 \u03c4\u03bf Ciplar;<\/h3>\n<p>\u03a4\u03bf \u03bc\u03ad\u03c4\u03c1\u03b9\u03bf \u03b1\u03bb\u03ba\u03bf\u03cc\u03bb \u03b5\u03af\u03bd\u03b1\u03b9 \u03b3\u03b5\u03bd\u03b9\u03ba\u03ac \u03b1\u03c0\u03bf\u03b4\u03b5\u03ba\u03c4\u03cc, \u03b1\u03bb\u03bb\u03ac \u03c4\u03bf \u03b1\u03bb\u03ba\u03bf\u03cc\u03bb \u03b5\u03bd\u03b9\u03c3\u03c7\u03cd\u03b5\u03b9 \u03c4\u03b9\u03c2 \u03c5\u03c0\u03bf\u03c4\u03b1\u03c3\u03b9\u03ba\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf \u039a\u039d\u03a3. \u03a3\u03b7\u03ba\u03c9\u03b8\u03b5\u03af\u03c4\u03b5 \u03b1\u03c1\u03b3\u03ac \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03ba\u03b1\u03c4\u03b1\u03bd\u03ac\u03bb\u03c9\u03c3\u03b7 \u03b1\u03bb\u03ba\u03bf\u03cc\u03bb. \u03a4\u03bf \u03b1\u03bb\u03ba\u03bf\u03cc\u03bb \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b1\u03bd\u03b5\u03be\u03ac\u03c1\u03c4\u03b7\u03c4\u03bf\u03c2 \u03b1\u03c5\u03be\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 \u03c0\u03b1\u03c1\u03ac\u03b3\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03c2 \u03c0\u03af\u03b5\u03c3\u03b7\u03c2\u00b7 \u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03ba\u03b1\u03c4\u03b1\u03bd\u03ac\u03bb\u03c9\u03c3\u03b7\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03b5\u03b9 \u03c4\u03bf\u03bd \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03c4\u03b7\u03c2 \u03c0\u03af\u03b5\u03c3\u03b7\u03c2 \u03b1\u03bd\u03b5\u03be\u03ac\u03c1\u03c4\u03b7\u03c4\u03b1 \u03b1\u03c0\u03cc \u03c4\u03bf Ciplar.<\/p>\n<h3 class=\"wp-block-heading\">\u03a0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af \u03c4\u03bf Ciplar \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2;<\/h3>\n<p>\u039f\u03b9 \u03c0\u03b1\u03bb\u03b1\u03b9\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 (\u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03cc\u03bb\u03bf\u03bb, \u03b1\u03c4\u03b5\u03bd\u03cc\u03bb\u03bf\u03bb, \u03bc\u03b5\u03c4\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb) \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03bc\u03ad\u03c4\u03c1\u03b9\u03b1 \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2 (1-3 \u03ba\u03b9\u03bb\u03ac) \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03b4\u03b5\u03af\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03c5\u03b1\u03b9\u03c3\u03b8\u03b7\u03c3\u03af\u03b1\u03c2 \u03c3\u03c4\u03b7\u03bd \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7 \u03bc\u03b5 \u03c4\u03bf \u03c0\u03ad\u03c1\u03b1\u03c3\u03bc\u03b1 \u03c4\u03bf\u03c5 \u03c7\u03c1\u03cc\u03bd\u03bf\u03c5. <strong>\u039f \u03bd\u03b5\u03b2\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb \u03ba\u03b1\u03b9 \u03bf \u03ba\u03b1\u03c1\u03b2\u03b5\u03b4\u03b9\u03bb\u03cc\u03bb \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf\u03c5\u03b4\u03ad\u03c4\u03b5\u03c1\u03bf\u03b9 \u03c9\u03c2 \u03c0\u03c1\u03bf\u03c2 \u03c4\u03bf \u03b2\u03ac\u03c1\u03bf\u03c2 \u03ae \u03b5\u03bb\u03b1\u03c6\u03c1\u03ce\u03c2 \u03b5\u03c5\u03bd\u03bf\u03ca\u03ba\u03bf\u03af \u03b3\u03b9\u03b1 \u03c4\u03bf \u03b2\u03ac\u03c1\u03bf\u03c2<\/strong> \u03bb\u03cc\u03b3\u03c9 \u03c4\u03c9\u03bd \u03b1\u03b3\u03b3\u03b5\u03b9\u03bf\u03b4\u03b9\u03b1\u03c3\u03c4\u03b1\u03bb\u03c4\u03b9\u03ba\u03ce\u03bd \u03c4\u03bf\u03c5\u03c2 \u03c3\u03c5\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ce\u03bd. \u0393\u03b9\u03b1 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03cc \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf, <a href=\"https:\/\/medsbase.com\/el\/nebicard\/\">\u03bd\u03b5\u03bc\u03c0\u03b9\u03b2\u03bf\u03bb\u03cc\u03bb\u03b7<\/a> \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf \u03c0\u03c1\u03bf\u03c4\u03b9\u03bc\u03ce\u03bc\u03b5\u03bd\u03bf\u03c2 \u03b2-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03ad\u03b1\u03c2 \u03cc\u03c4\u03b1\u03bd \u03b1\u03c0\u03b1\u03b9\u03c4\u03b5\u03af\u03c4\u03b1\u03b9.<\/p>\n<h3 class=\"wp-block-heading\">\u0395\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf Ciplar \u03b1\u03c3\u03c6\u03b1\u03bb\u03ad\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7;<\/h3>\n<p>Reasonable \u2014 propranolol has extensive reassuring data in pregnancy. Small risk of intrauterine growth restriction and neonatal bradycardia \/ hypoglycaemia. Usually preferred only for migraine prevention in pregnancy; for BP control in pregnancy, <a href=\"https:\/\/medsbase.com\/el\/labebet\/\">\u03bb\u03b1\u03b2\u03b5\u03c4\u03b1\u03bb\u03cc\u03bb\u03b7<\/a> \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c0\u03c1\u03ce\u03c4\u03b7 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae.<\/p>\n<h3 class=\"wp-block-heading\">\u039c\u03c0\u03bf\u03c1\u03ce \u03bd\u03b1 \u03c0\u03ac\u03c1\u03c9 \u03c4\u03bf Ciplar \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 \u03ac\u03bb\u03bb\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03c0\u03af\u03b5\u03c3\u03b7;<\/h3>\n<p>Yes \u2014 beta-blockers combine well with <strong>\u03b4\u03b9\u03c5\u03b4\u03c1\u03bf\u03c0\u03c5\u03c1\u03b9\u03b4\u03b9\u03bd\u03bf\u03af \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03b1\u03b3\u03c9\u03b3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5<\/strong> (<a href=\"https:\/\/medsbase.com\/el\/amlode\/\">amlodipine<\/a>), <strong>\u0391\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 ACE<\/strong> (\u03c1\u03b1\u03bc\u03b9\u03c0\u03c1\u03af\u03bb\u03b7, \u03bb\u03b9\u03c3\u03b9\u03bd\u03bf\u03c0\u03c1\u03af\u03bb\u03b7), <strong>\u03bb\u03bf\u03c3\u03b1\u03c1\u03c4\u03ac\u03bd\u03b7<\/strong> (<a href=\"https:\/\/medsbase.com\/el\/losar\/\">losartan<\/a>, <a href=\"https:\/\/medsbase.com\/el\/telmaheal\/\">telmisartan<\/a>, <a href=\"https:\/\/medsbase.com\/el\/olmin\/\">\u03bf\u03bb\u03bc\u03b5\u03c3\u03b1\u03c1\u03c4\u03ac\u03bd\u03b7<\/a>), \u03ba\u03b1\u03b9 <strong>\u03b4\u03b9\u03bf\u03c5\u03c1\u03b7\u03c4\u03b9\u03ba\u03ac \u03b8\u03b5\u03b9\u03b1\u03b6\u03af\u03b4\u03b7\u03c2<\/strong> (<a href=\"https:\/\/medsbase.com\/el\/aquazide\/\">HCTZ<\/a>). <strong>\u0391\u03c0\u03bf\u03c6\u03cd\u03b3\u03b5\u03c4\u03b5 \u03c4\u03bf\u03bd \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03bc\u03b7 \u03b4\u03b9\u03c5\u03b4\u03c1\u03bf\u03c0\u03c5\u03c1\u03b9\u03b4\u03b9\u03bd\u03bf\u03cd\u03c2 \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03b1\u03b3\u03c9\u03b3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b1\u03c3\u03b2\u03b5\u03c3\u03c4\u03af\u03bf\u03c5<\/strong> (verapamil, diltiazem) \u2014 additive bradycardia and heart-block risk.<\/p>\n<h3 class=\"wp-block-heading\">\u03a0\u03bf\u03cd \u03bc\u03c0\u03bf\u03c1\u03ce \u03bd\u03b1 \u03b1\u03b3\u03bf\u03c1\u03ac\u03c3\u03c9 Ciplar online;<\/h3>\n<p>\u039c\u03c0\u03bf\u03c1\u03b5\u03af\u03c4\u03b5 \u03bd\u03b1 \u03b1\u03b3\u03bf\u03c1\u03ac\u03c3\u03b5\u03c4\u03b5 \u03c4\u03bf Ciplar (\u03c0\u03c1\u03bf\u03c0\u03c1\u03b1\u03bd\u03bf\u03bb\u03cc\u03bb\u03b7 10 mg \u03c4\u03b1\u03bc\u03c0\u03bb\u03ad\u03c4\u03b1 \u03ac\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03bf\u03b4\u03ad\u03c3\u03bc\u03b5\u03c5\u03c3\u03b7\u03c2, 30-180 \u03c4\u03b1\u03bc\u03c0\u03bb\u03ad\u03c4\u03b5\u03c2) \u03b1\u03c0\u03cc \u03c4\u03bf MedsBase \u03bc\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae.<\/p>\n<h2 class=\"wp-block-heading\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u0392-\u0391\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 &amp; \u0391\u03bd\u03c4\u03b9\u03c5\u03c0\u03b5\u03c1\u03c4\u03b1\u03c3\u03b9\u03ba\u03ac<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/atenheal\/\">Atenheal \u2014 Atenolol 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/carloc\/\">Carloc \u2014 Carvedilol 3.125 mg (HF starter)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/carvego\/\">Carvego \u2014 Carvedilol 6.25 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/p-nolol-sr\/\">P-Nolol SR \u2014 Propranolol 80 mg sustained-release<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/provanol-sr\/\">Provanol SR \u2014 Propranolol 80 mg SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/high-blood-pressure-medication\/\"><strong>\u03a0\u03b5\u03c1\u03b9\u03ae\u03b3\u03b7\u03c3\u03b7 \u03c3\u03b5 \u03cc\u03bb\u03b1 \u03c4\u03b1 \u03a6\u03ac\u03c1\u03bc\u03b1\u03ba\u03b1 \u03b3\u03b9\u03b1 \u03a5\u03c8\u03b7\u03bb\u03ae \u03a0\u03af\u03b5\u03c3\u03b7 \u0391\u03af\u03bc\u03b1\u03c4\u03bf\u03c2<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background: #fff3f3; border-left: 4px solid #d9534f; padding: 16px 20px; margin: 24px 0; border-radius: 4px;\"><strong>\u2695 Medical Disclaimer.<\/strong> 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 \u2014 always use beta-blockers under medical guidance.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2<\/h3>\n<p>\u0386\u03bb\u03bb\u03b1 \u03c0\u03c1\u03bf\u03ca\u03cc\u03bd\u03c4\u03b1 \u03c3\u03b5 <strong>\u03a7\u03c1\u03cc\u03bd\u03b9\u03b5\u03c2 \u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2<\/strong> \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03bf\u03c5\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/indicid-75-sr\/\">Indicid-75 SR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/primox\/\">Primox<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/instgra\/\">Instgra<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/abana\/\">\u0391\u03bc\u03c0\u03ac\u03bd\u03b1<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/flucort-n-cream\/\">Flucort-N \u039a\u03c1\u03ad\u03bc\u03b1<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u03a4\u03bf Ciplar \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03b1 \u03b4\u03b9\u03c3\u03ba\u03af\u03b1 \u03bc\u03c0\u03b9\u03c3\u03bf\u03c0\u03c1\u03bf\u03bb\u03cc\u03bb\u03b7\u03c2 10 mg \u03ac\u03bc\u03b5\u03c3\u03b7\u03c2 \u03b1\u03c0\u03bf\u03b4\u03ad\u03c3\u03bc\u03b5\u03c5\u03c3\u03b7\u03c2 \u03c4\u03b7\u03c2 Cipla \u2014 \u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03c0\u03b9\u03bf \u03b5\u03c5\u03c1\u03ad\u03c9\u03c2 \u03c3\u03c5\u03bd\u03c4\u03b1\u03b3\u03bf\u03b3\u03c1\u03b1\u03c6\u03bf\u03cd\u03bc\u03b5\u03bd\u03b1 \u03b2\u03c1\u03b1\u03b4\u03ad\u03c9\u03c2 \u03b1\u03c0\u03bf\u03b4\u03b5\u03c3\u03bc\u03b5\u03c5\u03cc\u03bc\u03b5\u03bd\u03b1 \u03b2\u03ae\u03c4\u03b1-\u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 \u03c3\u03c4\u03b7\u03bd \u0399\u03bd\u03b4\u03af\u03b1. \u03a7\u03c1\u03b7\u03c3\u03b9\u03bc\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03ac\u03b3\u03c7\u03bf\u03c2 \u03b1\u03c0\u03cc\u03b4\u03bf\u03c3\u03b7\u03c2, \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03b4\u03cc\u03c3\u03b7 \u03c5\u03c0\u03ad\u03c1\u03c4\u03b1\u03c3\u03b7\u03c2, \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc \u03c4\u03c1\u03ad\u03bc\u03bf\u03c5\u03bb\u03bf, \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf \u03c3\u03c5\u03bc\u03c0\u03c4\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03b8\u03c5\u03c1\u03b5\u03bf\u03c4\u03bf\u03be\u03af\u03ba\u03c9\u03c3\u03b7\u03c2.<\/p>","protected":false},"featured_media":51600,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3380,3381],"class_list":{"0":"post-51599","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-ciplar","11":"product_tag-propranolol","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/51599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=51599"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/51600"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=51599"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=51599"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=51599"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=51599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}