A member asked:

What is the difference between carvedilol and propranolol? why is propranolol much use for panic or anxiety attack? thank you.

9 doctors weighed in across 2 answers
Dr. Richard Zimon answered

Specializes in Internal Medicine

Different BETA: blockers have different effects on the RECEPTORS (beta and alpha) that they act upon. There is a lot more DATA and EXPERIMENTAL studies with the use of PROPRANALOL ("Inderal") (One of the "first" beta blockers ever used) and its effect upon anxiety (eg "stage fright") Hope this is helpful Dr Z

Answered 5/26/2017

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Not identical: Carvedilol is both alpha and beta blocker, less sedating, more effective for blood pressure control. Propranolol is more sedating, less effective for blood pressure, more effective for hyperventillation, rapid heart action, tremors, panic symptoms.

Answered 5/15/2017

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