Contraindicated in case of sick sinus syndrome, severe bradycardia, 2nd or 3rd degree AV block, uncompensated cardiac failure, severe asthma or COPD, cardiogenic shock, untreated pheochromocytoma, metabolic acidosis, severe peripheral circulatory disease.
Contraindicated in case of patients with inadequate cardiac function, well-compensated heart failure, bronchospastic disease, Diabetes Mellitus, hyperthyroidism; patients undergoing major surgery involving general anaesthesia; may mask symptoms of hypoglycaemia and hyperthyroidism; Avoid abrupt withdrawal as it may exacerbate angina symptoms and/or precipitate MI and ventricular arrhythmias or may precipitate thyroid storm; Renal impairment; Pregnancy and lactation.
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