Angina with COPD

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Biosoprolol because nebivolol developed Dysponea in COPD pt. & bronchospam. Nebivolol in patients with chronic obstructive pulmonary disorders, beta-adrenergic antagonists should be used with caution as airway constriction may be aggravated.

Thanx@Dr. Ajeet Singh Sir Ji
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Bisoprolol - is the preferred beta blocker as it do not cause bronchoconstriction in COPD patients - but also reduces the incidence of COPD associated heart failure

In the absence of head to head trial between Bisoprolol and Nebivolol, it would be a part of conjecture to predict superiority of over over the other Both are equally effective and similar B1 selective property and can be used interchangeably

In this case Bisoprolol will be a better option.

BISOPROLOL.. IS.. BETTER..

Tnx &wc Dr Ajeet Singh
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Navivolol 5 mg..+ Amlodopine 2.5 / 5 mg

Nebivolol is 4 times more cardioselective than Bisaprolol.

Good choice in above mentioned scenario? How to initiate ?
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Biosoprolol is selective to Avoid bronchospasm

Bisoprolol

Bisoprolo preferred

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