Labetalol hydrochloride is an alpha and beta blocker available for the management of hypertension. This drug can lower and control blood pressure to protect patients from the risks of abnormally high blood pressure. It is one among several options available that can be discussed with a medical provider when considering treatments and alternatives. Patients taking labetalol hydrochloride need to exercise caution when they stop taking the medication, as they can experience complications related to withdrawal if they stop suddenly.
The recommended dosage tends to be individualized, based on how well the patient responds. It acts very quickly, and a medical practitioner may recommend that the patient take the first dose in an office setting. This allows for an immediate check to determine if the patient has an acute reaction. Some people experience very rapid blood pressure drops when they start medications like labetalol hydrochloride that are potentially dangerous. If such a reaction does occur, another medication may need to be considered.
Once the basic safety of the medication is established, the patient can slowly increase the dosage into the therapeutic range, between 200 and 400 milligrams daily. The goal is to find a low effective dose so the patient experiences benefits with the lowest possible risk of side effects. While on labetalol hydrochloride, the patient may need to be monitored for complications. If problems develop, the dosage can be reduced or the patient may need to transition under supervision to a different medication.
Some heart conditions and asthma are contraindications for labetalol hydrochloride because the patient could experience serious side effects. Patients can also experience interactions with other drugs intended to control heart rate and regulate blood pressure, along with some psychiatric medications. Side effects like fatigue and gastrointestinal upset may develop, but should resolve as the patient adjusts to the medication; if they persist, the patient may be experiencing a bad reaction, and it may be necessary to discontinue the labetalol hydrochloride.
For pregnant patients, the safety of this medication is not known. Not enough studies are available to indicate whether it poses a definitive risk, and it should be avoided, if possible, to limit risks to the pregnancy. If a woman must take labetalol hydrochloride during pregnancy and complications do develop, these can be reported to a drug database for future reference. Information like this helps regulators and manufacturers determine if medications need more aggressive warning labeling.