BETA BLOCKERS AND CONTRACEPTIVES

The blood levels of metoprolol are increased in women taking hormonal contracep- tives, but the clinical importance of this is probably very small. Acebutolol, oxprenolol and propranolol pharmacokinetics are minimally affected by contraceptives.
No action needed. However, be aware that hormonal contraceptives are cautioned or contraindicated in some of the patient groups who may be treated with beta blockers, and oestrogens can raise blood pressure, which may antagonise the effects of the beta blockers.
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