Am I Taking Products That React With Esmolol?

Certain Pressor Medications
If medications that constrict the blood vessels and increase the forcefulness of the heartbeat have been given, esmolol should not be used to control a rapid heart rate. Doing so can cause cardiac arrest.
 
Digoxin
Esmolol may slightly increase the level of digoxin in the blood or may increase the risk of a slow heart rate. In most situations, this is not a problem, and these medications can usually be combined without problems. However, your healthcare provider may need to monitor you more closely.
 
Morphine
Morphine may increase the level of esmolol in your blood. Your healthcare provider may need to account for this when giving these two medications together.
 
Succinylcholine
Esmolol may cause succinylcholine (a medication used during anesthesia) to last longer than usual. Your healthcare provider may need to account for this when giving these two medications together.
 
Reserpine
Combining reserpine with a beta blocker can increase the risk of a slow heart rate or dangerously low blood pressure. You may need to be monitored very closely if you take these medications together.
 
Verapamil
In some patients with certain heart conditions, the combination of verapamil and esmolol may increase the risk of cardiac arrest. Your healthcare provider may choose to avoid this combination or to monitor you more closely in some situations.
 
Warfarin
Warfarin may slightly increase the level of esmolol in the bloodstream. However, this is probably not significant enough to cause problems in most situations.
 

Final Thoughts

It is possible that not all interactions with esmolol were discussed in this article. Therefore, you should talk with your pharmacist or healthcare provider about any specific drug interactions that may apply to you.
 
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Esmolol Drug Information

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