Abstract
In the clinical situation of cardiac arrhythmias, angina, hypertension, and myocardial infarction, beta-blockers are commonly coadministered with other pharmacologic agents, but there is still scant information available on possible pharmacokinetic interactions between betablockers and other drugs used to treat these disease states. Such interactions could be of considerable clinical importance if they lead to decreased efficacy or enhanced toxicity of other coadministered drugs. Betablockers in therapeutic doses can reduce cardiac output and hepatic blood flow and thus might reduce the total metabolic clearance rate of drugs whose systemic clearance is hepatic blood flow dependent.
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