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. 2022 Aug 16;108(19):1571–1579. doi: 10.1136/heartjnl-2020-318811

Table 5.

Beta-blockers indicated in HFrEF

Beta-blocker Initiation dose (mg) Target dose (mg)
Bisoprolol 1.25 once daily 10 once daily
Carvedilol 3.125 two times a day 25–50 two times a day*
Metoprolol succinate (CR/XL)† 12.5 once daily 200 once daily
Nebivolol 1.25 once daily 10 once daily

*50 mg two times a day if weight >85 kg.

†Extended-release preparations not available in the UK—no data to support the use of standard-release preparations of metoprolol tartarate.

HFrEF, heart failure with reduced ejection fraction.