Very nervous on propranolol ER 60 dr put me back on bystolic (nebivolol) 5 mg is it as affective on BP as propranolol I also take losartan 50.

Both meds control BP. All medication doses must be individualized to the needs of the patient. Although these medications have similar mechanism of action, at comparable doses, the change in blood pressure will vary. The doctor will follow your BP and adjust the medication as needed.