Are beta-blockers safe to use in patients with asthma or COPD?
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Are beta-blockers safe to use in patients with asthma or COPD? Evidence-based answer: Beta-blockers (cardioselective and nonselective) appear safe in patients with mild to moderate asthma or chronic obstructive pulmonary disease (COPD) and do not produce significant adverse respiratory effects (SOR: A, systematic review of RCTs). Betablockers are not associated with increased hospital admissions or length of stay and are, in fact, associated with fewer outpatient clinic visits. Avoiding beta-blockers in patients with asthma or COPD who present with acute coronary syndrome is associated with increased mortality (SOR: B, cohort studies).
Evidence Based Practice 18(6): 1-2