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Labetalol has a maximal onset time of 20 minutes and no purchase labetalol metabolites, and the elimination half-life is approximately 6 hours. The onset of action is observed within 2 to 15 minutes after IV administration of labetalol and may last for about 2 to 6 hours. The longer duration of action and variability in pharmacokinetics may make labetalol extremely difficult to titrate as a continuous infusion. Labetalol reduces the SVR without reducing total peripheral blood flow. The duration of hypotension may be unpredictable because it may last as long as 6 hours after IV dosing. Larger bolus boluses may precipitate severe hypotension and should be avoided.
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Four of the patients had severe left ventricular failure. A fall in both systolic mean to mm Hg and diastolic mean 87 to 68 mm Hg blood pressure occurred in all patients. Labetalol lowered pulmonary artery pressure in the patients with left ventricular failure. Labetalol is an effective antihypertensive agent in patients with acute myocardial infarction and our results suggest it is safe provided cardiac output is within or near the normal range. It seems not to be contraindicated in the presence of pulmonary oedema. The effects imply that myocardial oxygen requirements will be reduced.
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