Welcome to Helix Talk, an educational podcast for healthcare students and providers covering real-life clinical pearls, professional pharmacy topics, and drug therapy discussions.

This podcast is provided by pharmacists and faculty members at Rosal Franklin University College of Pharmacy.

This podcast contains general information for educational purposes only. This is not

professional advice and should not be used in lieu of obtaining advice from a qualified health

care provider. And now on to the show. Welcome to Helix Talk episode of 118. I'm your co-host,

Dr. Cain. And I'm Dr. Patel. And the title of today's episode is cocaine and beta blockers, absolute contraindication or medical myth.

So today we're really going after whether patients who have cocaine use disorders should be completely contradicated from ever having a beta blocker or if this is a remnant of the past and

there is a lack of data to support that concern.

And Dr. Kane, that sounds like a century old question. So we're excited to present some evidence-based

information on either supporting or debunking this myth.

Exactly. So why don't we start with a patient case to kind of set the context for a typical patient

scenario where this question could come up in.

So Dr. Rital, imagine you go back to your P4 year and you have a patient who is admitted

to the hospital, a 55-year-old guy comes in with chest pain, just like everyone else in the

ED.

EKG is fine.

He's admitted for a 23-hour observation, and you're part of that internal medicine team for the

patient.

So you take a look at him.

You note that his proponent levels are negative, so he did not have an in-stem-e, no-stem,

nothing like that.

He just had angina. Past medical history is he has heart

...