The adverse effects described as follows are sorted according to system organ classes.
Frequencies are classified as follows:
Very common (affects more than 1 person in 10).
Common (affects less than 1 person in 10).
Uncommon (affects less than 1 person in 100).
Rare (affects less than 1 person in 1,000).
Very rare (affects less than 1 person in 10,000).
Frequency not known (cannot be estimated from available data).
Very Common: bradycardia (in patients with chronic heart failure). Common: worsening of pre-existing heart failure (in patients with chronic heart failure). Uncommon: AV-conduction disturbances; bradycardia (in patients with hypertension or angina pectoris); worsening of preexisting heart failure (in patients with hypertension or angina pectoris).
Rare: increased triglycerides, increased liver enzymes (ALAT, ASAT).
Nervous system disorders:
. Rare: Syncope.
Rare: reduced tear flow (to be considered if the patient uses contact lenses). Very rare: conjunctivitis.
Ear and labyrinth disorders:
Rare: hearing disorders.
Respiratory, thoracic and mediastinal disorders:
Uncommon: bronchospasm in patients with bronchial asthma or a history of obstructive airways disease. Rare: allergic rhinitis.
Common: gastrointestinal complaints such as nausea, vomiting, diarrhoea, constipation.
Skin and subcutaneous tissue disorders:
Rare: hypersensitivity reactions such as pruritus, flush, rash, and angioedema. Very rare: alopecia. Beta-blockers may provoke or worsen psoriasis or induce psoriasis-like rash.
Musculoskeletal and connective tissue disorders:
Uncommon: muscle weakness, muscle cramps.
Common: feeling of coldness or numbness in the extremities, hypotension especially in patients with heart failure.
Common: asthenia (in patients with chronic heart failure), fatigue*
. Uncommon: asthenia (in patients with hypertension or angina pectoris).
Reproductive system and breast disorders:
Rare: erectile dysfunction.
Uncommon: depression, sleep disorders. Rare: nightmares, hallucinations.
Applies only to patients with hypertension or angina pectoris: *
These symptoms especially occur at the beginning of the therapy. They are generally mild and usually disappear within 1-2 weeks.
Tell the doctor if any of the side effects listed previously is noticed or any other unwanted or unexpected effects. To prevent serious reactions, speak to a doctor immediately if a side effect is severe, occurred suddenly, or gets worse rapidly.