Labetalol
Description
Labetalol is a medicine used to lower high blood pressure and reduce related ch
est pain. It works by blocking certain signals in the heart and blood vessels, helping the blood vessels relax and allowing blood to flow more easily. This lowers the pressure on the heart and helps prevent complications like stroke, heart attack, or kidney problems. Because it acts on both alpha and beta receptors, Labetalol controls blood pressure more effectively than some other medicines. Take it exactly as prescribed, and do not stop it suddenly without your doctor’s advice. If you feel dizziness, tiredness, or an unusually slow heartbeat, inform your doctor so your treatment can be adjusted if needed.
Uses
- High blood pressure (hypertension), including high blood pressure in pregnancy
- Chest pain (that increases on exercise or doing any work called ‘angina pectoris’) in patients with high blood pressure
Contraindications
When should one not use Labetalol
- Allergy to Labetalol or any of its components
- If you have a lower than usual heart rate or missed heartbeats (heart block/ bradycardia) and low blood pressure
- Heart failure that is not responding to treatment
- Sudden fall in the pumping efficiency of the heart which can be fatal (cardiogenic shock)
- If the specialized muscle in the heart that regulates the heartbeat (natural pacemaker of your heart) is not working correctly (sick sinus syndrome)
- Poor blood circulation that requires treatment
- History of asthma or any lung problems
- Do not eat properly/ improper food habits
- High acid levels in blood due to kidney problems (metabolic acidosis)
- Cancer of the adrenal glands (present above the kidney) causing life-threatening high blood pressure (a condition called phaeochromocytoma)
- Chest pain at rest (prinzmetal’s angina)
Side effects
Common side effects of this drug are:
- Allergic reactions causing swelling of the face, lips, throat causing breathing difficulty with or without skin rashes or itching (angioedema)
- Failure of the heart to pump efficiently causing breathing problem, swelling of feet and missed heartbeats
- Difficulty in passing urine
- Difficulty in maintaining erection of the penis or ejaculation
- Feeling dizzy
- Fever, chills, headache, weakness (flu-like symptoms)
- Tingling sensation in the scalp
- Increased blood levels of liver enzymes
- Lung problems (coughing or breathing problems, asthma or worsening of symptoms)
- Change in behavior, sleep issues, depression, confusion, etc
- Very slow heartbeats (rare)
- Severe skin reactions with joint pains and fever (Systemic Lupus Erythematosus or SLE, an immune system disorder). This side effect is sporadic
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
- Liver or kidney disease
- Any conditions that may cause poor blood circulation (obesity, diabetes, tendency to form blood clots, or Raynaud’s disease, a condition which causes severe narrowing of blood vessels)
- Red, scaly patches on the skin (psoriasis)
- Planning a surgery that requires anaesthesia
- Planning an operation and have taken a medicine called Tamsulosin
- Prone for allergic reactions
- Uncontrolled blood sugars (low or diabetes)
Mode of Action
How Does It Work?
Interactions
Interactions with other medicines
- Anti-depressants (Amitryptiline, etc.)
- Barbiturates (Phenobarbital etc.)
- Other medicines used to lower blood pressure (Hydralazine, Nifedipine)
- Other similar medicines (Atenolol, Propranolol, Metaprolol)
- Medicines that contain a hormone called adrenaline (a powerful medicine to lower blood pressure)
- Medicines used to treat mental illness (Chlorpromazine, etc.)
- Painkillers
- Medicines used to treat stomach ulcers or heartburn (Cimetidine, etc.)
- Antimalarial medicines (Mefloquine, Quinine)
- Migraine medications (Ergotamine, etc.)
- Medicines used to treat impotence (Alprostadil, Moxisylyte)
- Aldesleukin (treats kidney cancer)
- Hormone pills (estrogen and progesterone)
- Injection medicines used to treat abnormal heart rhythm (Verapamil, Diltiazem, Quinidine, Amiodarone, Disopyramide, Digoxin)
- Clonidine (used to treat high blood pressure)
- A class of medicines used to treat depression (Monoamine Oxidase (MAO) inhibitors – Phenelzine, Rasagiline, Selegiline)
Interactions with food items
Dietary Restrictions
Dosage
Overdose
Missed a Dose
Content Details
Dr. Arpit Verma
MBBS, MD, CCEBDM Diabetology
Dr. Ritu Budania
MBBS, MD (Pharmacology)
Frequently Asked Questions (FAQs)
Q: Is there anything else I need to know about Labetalol?
- Do not self-medicate or self-adjust the dose with Labetalol
- If you feel any discomfort or do not feel like taking medicine, do not stop on your own
- Sudden discontinuation of Labetalol can worsen the symptoms
- Inform your doctor and he will decide and reduce the dose gradually, if required
Q: Does Labetalol cause impotence in males?
- No
- Due to its effect of lowering blood pressure, the blood supply to penis may not be adequate and thus it will cause erection problems
- This effect is reversible on stopping Labetalol
- If you are facing such issues which is causing you discomfort, you can speak to your doctor and he will change the medication
References
Medicines containing Labetalol
LEBATENS STRIP OF 10 TABLETS
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