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This can be problematic because if medications are not taken correctly, they are less effective.
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You definitely need nonselective beta-blockers: beta-1 and beta-2 blockers.
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As a result, differences in study findings may be attributed to heterogeneity across studies.
First of all decrease the dose by 25% and use the 75% of the total dose for 4-5 days, then decrease the dose again by 25% and use 50% of the initial dose for another 4-5 days.
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Before the initiation of therapy, the potential risks of adverse effects are carefully considered and weighed against the benefits of intervention.
If the patient has no other indication for a beta-blocker, perform a screening endoscopy to determine whether a beta-blocker is necessary instead of using beta blockers for all cirrhotic patients, which would include many patients who have not developed varices.
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