All are true about staing a beta-blocker therapy in a patient with congestive hea failure except:
Beta-blocker is useful in mild to moderate hea failure. Staing dose should be very low then titration upward as tolerated to a target level. Sudden stoppage of beta-blockers is also not recommended (REF. Essential of medical pharmacology KD TRIPATHI 8th Edition)
They should be staed with maximum dose
They should be gradually increased over weeks
Special precautions should be taken in cases of NYHA class III and IV
Carvedilol and metoprolol are the preferred drugs.
Cardiovascular system