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Doctor insights on: Difference Between Propranolol And Atenolol For Anxiety

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Can I take atenolol (tenormin) and propranolol (inderal) in small doses like 25mg Tenormin and 40 inderal? Its for anxiety

Can I take atenolol (tenormin) and propranolol (inderal) in small doses like 25mg Tenormin and 40 inderal? Its for anxiety

Does not make sense: Both of these drugs belong to the same class of agents and have the same effects. Therefore, it does not make sense to take both of them. It would be better to take only one of them in a higher dose. Read more

Dr. Stanley Berger
431 Doctors shared insights

Atenolol (Definition)

Atenolol is a relatively long-acting (24 hours) beta-blocker. Beta-blockers as a group of medications calm or slow the heart rate down. They stop the swings in hr from stress or nerves. If someone is on a good dose of a beta-blocker and are startled, the medication suppresses the pounding of your heart. It also won't allow the hr to climb with exercise. It's used to ...Read more


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Inderal (propranolol) or tenormin? What is better for the physical symtoms of anxiety and why? Is Tenormin working only on the heart?

Anxiety: Actually blocks secondary responses that come with the psychological anxiety. I'm not aware of a study showing one superior for anxiety. Atenolol longer acting so can take less often. Read more

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What's the diference between atenolol and propanolol? What is better for the physical symtoms of anxiety? Its true that atenolol work only on the heart?

What's the diference between atenolol and propanolol? What is better for the physical symtoms of anxiety? Its true that atenolol work only on the heart?

Similar to a point: Both are in the same class of heart meds (beta-blockers). It is true, though, that atenolol works more just on the heart, because it crosses into the brain much less than propranolol. This is what makes Propranolol much more effective for other things, like migraines, anxiety, etc., where the drug has to cross into the brain in order to work for these things. For anxiety, I would use propranolol. Read more

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Does atenolol work similar to inderal (propranolol) like for aniexty?

Does atenolol work similar to inderal (propranolol) like for aniexty?

Largely: Both are beta blockers, which will help keep your heart from beating so forcefully and rapidly when you are anxious. Inderal, (propranolol) which crosses into the brain may have some additional effect on anxiety because it can be a little sedating. Read more

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Can inderal (propranolol) and atenolol be taken at the same time?

Can inderal (propranolol) and atenolol be taken at the same time?

BOTH same class: Inderal (propranolol) & atenolol are both beta blockers and combined can lead to significant slowing of your pulse! Read more

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Which medication is more for letting blood pressure inderal (propranolol) or atenolol?

Which medication is more for letting blood pressure inderal (propranolol) or atenolol?

Bets blockers: They are both beta blockers with same action on BP. Their pharmokinetics are different. Inderal (propranolol) is shorter acting. Read more

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Why did propranolol give me a bad cough a hard time breathing? Atenolol does not give me these symptoms why did the 2 have different reactions

Why did propranolol give me a bad cough a hard time breathing? Atenolol does not give me these symptoms why did the 2 have different reactions

B1 and B2 receptors: propranolol is not selective for b1 and b2 receptors while Atenolol in lower doses only affects periphery (b2) receptors which doesn't work on your heart that much. Do you have Asthma? Propanol is even worse for people with Asthma. Read more

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Could prolonged use of propranolol or atenolol lead to aortic atherosclerosis?

Could prolonged use of propranolol or atenolol lead to aortic atherosclerosis?

Beta Blocker: Hi, No, the Beta-Blockers are not responsible for any Atherosclerotic lesions, but uncontrolled hypertension, Diabetes and elevated Cholesterol are. Beta blocker with controlling Blood pressure could slow down the Atherosclerotic disease. Read more

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Treatment suggestions for very symptomatic Inappropriate Sinus Tach? No success at 25-50mg: diltiazem (calcium chan. Blocker), atenolol + propranolol.

Treatment suggestions for very symptomatic Inappropriate Sinus Tach? No success at 25-50mg: diltiazem (calcium chan. Blocker), atenolol + propranolol.

Try Nadolol: An older, generic (cheap) treatment option that is often very successful in IAST is Nadolol, a non-selective, longer acting B-blocker that allows you to take it once daily. Since nadolol is an older generic, many physicians are not familiar with its use. Atenolol and propranolol are shorter acting B-blockers and rarely work for IAST. Diltiazem and other calcium channel blockers almost never work. Read more

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Inderal (propranolol) could be contributing to confusion in my 88 yr old mother. Is there a water-based beta blocker less apt to do so? Not metoprolol or atenolol..

Inderal (propranolol) could be contributing to confusion in my 88 yr old mother. Is there a water-based beta blocker less apt to do so? Not metoprolol or atenolol..

Atenolol: Atenolol is the most hydrophilic (least lipophilic) of the betablockers, crossing the blood brain barrier less than any other. If your grandmother can't tolerate atenolol, then she can't be on any beta blocker at all. Here is one of many articles on the subject: http://www. Ncbi. Nlm. Nih. Gov/pubmed/2865153. Read more

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

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

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 Read more

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What is difference between short acting and long acting propranolol? Doc gave me short acting for anxiety, will it still lower blood pressure?

What is difference between short acting and long acting propranolol? Doc gave me short acting for anxiety, will it still lower blood pressure?

The short: Acting is required to be taking more than once a day because of its elimination time. The long acting is released slowly hence last longer in your blood and requires single dosing. Both will lower your BP and heart rate Read more

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I take metoprolol 25 MG for anxiety. Dr. says propranolol may be more affective. What is the difference?

I take metoprolol 25 MG for anxiety. Dr. says propranolol may be more affective. What is the difference?

Propranolol: The effectiveness of a beta blocking drug for helping anxiety is related to its ability to cross the blood-brain barrier which, in turn, is related to it's lipophilic vs hydrophilic properties. Both drugs cross, but propranolol does it better, so may be more effective in some people. Read more

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Is it okay to take atenolol on PRN basis for anxiety rather than daily?

Is it okay to take atenolol on PRN basis for anxiety rather than daily?

If ok with your doc: Medications like Atenolol can be taken as needed for anxiety instead of every day as long as that is done along with your prescribing doctor and as long as there is no other reason like high blood pressure why you are prescribed the medication. Read more

Dr. Heidi Fowler
3,276 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


Dr. Marilyn Cox
768 Doctors shared insights

Propranolol (Definition)

Treats high blood pressure, angina (chest pain), irregular heartbeat, migraine headaches, tremors, and lowers the risk of repeated heart attacks. This medicine ...Read more