Starting beta blockers before alpha blockade in pheochromocytoma is contraindicated. Beta blockers cancel out the vasodilatory effect of peripheral beta-2 adrenoceptors, potentially leading to unopposed alpha-adrenoceptor stimulation โ vasoconstriction โ hypertensive crisis.
submitted by โxxabi(293)
Starting beta blockers before alpha blockade in pheochromocytoma is contraindicated. Beta blockers cancel out the vasodilatory effect of peripheral beta-2 adrenoceptors, potentially leading to unopposed alpha-adrenoceptor stimulation โ vasoconstriction โ hypertensive crisis.