title: Adverse Reactions - Neonatal Intensive Care Drug Manual
text: May cause transient worsening of heart failure symptoms (e.g. in too fast up-titration).
  The manifestations of -blocker overdose include bradycardia, atrioventricular (AV)blockade, hypotension, left ventricular failure and cardiogenic shock.
  Common (>1%) adverse reactions include bradycardia, hypotension, orthostatic
  hypotension, transient worsening of heart failure (when treatment starts), nausea, diarrhoea, bronchospasm, dyspnoea, cold extremities, exacerbation of Raynaud’s phenomenon, fatigue, dizziness, abnormal vision, alteration of glucose and lipid metabolism.
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