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A 83-year-old female asked:

83 yrs f; stable diastolic hf; rate controlled a-fib. meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). would a cardioselective betablocker be better than inderal ?

2 doctor answers2 doctors weighed in
Dr. Allen Anderson
Internal Medicine 33 years experience
Beta blockers elderl: Limited data on this but nebivolol might be better. Likely fewer CNS side effects.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Donald Colantino
Internal Medicine 63 years experience
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol).
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jul 23, 2020

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