Drug-induced bradycardia (rivastigmine/beta-blocker)

HIGH-YIELD Appears 5×

Teaching point

An elderly patient found down with bradycardia (HR ~45) on propranolol and a rivastigmine patch: rivastigmine (a cholinesterase inhibitor) and beta-blockers cause bradycardia. First remove the rivastigmine patch (remove the offending agent); give atropine if bradycardia is significant or persistent.

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