Always Include
Optional
Rarely Needed
Beta-Blocker Statement
What to Send
- Beta-blockers that have been tried and failed.
- If other beta-blockers would not be as effective.
- If other beta-blockers would cause adverse effects (e.g. contraindicated).
Common Beta-Blockers
- Acebutolol (Sectral)
- Atenolol (Tenormin)
- Bisoprolol (Zebeta)
- Metoprolol (Lopressor, Toprol)
- Nadolol (Corgard)
- Nebivolol (Bystolic)
- Propranolol (Inderal)
Hospitalization Risk
Has the patient recently been hospitalized or are they at significant risk of being hospitalized due to hypertension or associated conditions?
What to Send
- Hospitalized recently due to hypertension or associated conditions.
- At high risk of hospitalization due to hypertension or associated conditions.
- History of hospitalization due to hypertension or associated conditions.
Other Drugs
Have other drug been taken for the patient's condition?
What to Send
- Any other type of drug tried such as beta blockers (e.g. metoprolol), calcium channel blockers (e.g. amlodipine), or diuretics (e.g. hydrochlorothiazide).