Which medication should be avoided when treating myocarditis?

Sympathomimetic agents

In general, sympathomimetic drugs should be avoided because they increase the extent of myocardial necrosis and mortality. Beta-blockers should be avoided in the acutely decompensating phase of illness. Treatment of myocarditis includes supportive therapy for symptoms of acute heart failure with use of diuretics, nitroglycerin/nitroprusside, and ACE inhibitors. Inotropic drugs (eg, dobutamine, milrinone) may be necessary for severe decompensation, although they are highly arrhythmogenic. Long-term treatment follows the same medical regimen, including ACE inhibitors, beta-blockers, and aldosterone receptor antagonists. However, in some instances, some of these drugs cannot be implemented initially because of hemodynamic instability. For more visit www.rimemcq.com