A member 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 doctors weighed in across 2 answers
Dr. Allen Anderson answered

Specializes in Internal Medicine

Beta blockers elderl: Limited data on this but nebivolol might be better. Likely fewer CNS side effects.

Answered 7/23/2020

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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).

Answered 6/25/2014

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