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Beta blockers are everywhere in clinical practice but their side effects are just as important to recognize. A simple way to remember them is STORM: slow heart rate, tiredness, orthostatic hypotension, respiratory effects (bronchospasm), and masking of hypoglycemia. Respiratory effects are especially important with non-selective beta blockers and in patients with asthma or COPD. And remember, hypoglycemia can still happen, you just might not see the usual warning signs. Save this for your next e
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When Beta Blockers Do More Than Slow the Heart Beta blockers reduce heart rate and blood pressure by blocking beta-adrenergic receptors. With long-term use, that same mechanism can affect energy, circulation, exercise capacity, and sexual function in some people. ⚡ Fatigue Lower heart rate and contractility reduce cardiac output. In some patients this means less oxygen delivery to tissues, leading to persistent tiredness. Lipophilic beta blockers that enter the brain may further worsen fatigue.
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