Views on beta-blockers in Asthmatics who have IHD?? I have just seen a patient
who was seen at A&E yesterday. Told - ischaemic pain (known angina for a
time). Told to come to me and to be started on Imddur and Atenolol to be
increased to maximal level. She is not known to me prior to today - I note
that she is on inhalers, check re why ajnd am told that she is Asthmatic. I
comment that we cannot therefore start her on Atenolol to whcih she answers
that she has been on thse for a time and yes, she is indeed on 25mgs daily.
I have advised her that I am reluctant to increase these. I would be relcutant
to sign a script for the 25mgs. What is the defensibility of this - i.e.
continuing to sign a script for the 25s and also increasing the dose??
Best wishes
Paul Bromley
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