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Princeton, WV
A 67-year-old female asked about a 88-year-old female:

mom (88) on inderal (propranolol) for arrhythmia; what drug is a better choice? she's very confused; medication may be a cause.

1 doctor answer2 doctors weighed in
Dr. James Chapman
Cardiology 41 years experience
Multiple: Inderal, because it is fat soluble, crosses into the brain and cause side effects like this. Newer beta-blockers, such as metoprolol, atenolol, bystolic, (nebivolol) among others, are water soluble, and do not enter the brain. Depending on the type of arrhythmia, calcium channel blockers such as verapamil or Diltiazem may also be choices.

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Last updated Jun 25, 2014

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