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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Switching From Metopolol To Nadolol,advisable?

Hi, yesterday I switched from 40mg nadolol/day to 25mg XL metopolol due to increased palpitations of my heart since the holidays. My heart rate is down to 53 this boring (bp 136/70), with only some occasional missed beats. But my hands and feet are very cold. Can I switch back to my nadolol without any problems?
Tue, 9 Apr 2019
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General & Family Physician 's  Response
Hi,

No, it is not advisable.
Metoprolol succinate is the most frequently prescribed beta-blocker.
It is beta 1 selective blocker whereas nadolol is a non-selective blocker.
Review with your clinician.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. AJEET SINGH, General & Family Physician
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Is Switching From Metopolol To Nadolol,advisable?

Hi, No, it is not advisable. Metoprolol succinate is the most frequently prescribed beta-blocker. It is beta 1 selective blocker whereas nadolol is a non-selective blocker. Review with your clinician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. AJEET SINGH, General & Family Physician