How long do you wait before starting a non-selective beta blocker in patients with newly reduced LVEF and recent cocaine use?

When do you typically start a non-selective beta blocker in patients with newly reduced LVEF and recent cocaine use?

• Immediately, irrespective of recent cocaine use
• Wait at least 24-48 hours after the last cocaine use, ensuring the patient is hemodynamically stable
• Wait 72 hours or more after cocaine use to ensure complete resolution of acute vasospasm risk
• Beta blockers are contraindicated in this scenario, I do not use them
• Other