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Pindolol Medication: Uses, Dosage, Side Effects, and Interactions
Summary of Key Points
Pindolol is a beta-blocker commonly prescribed to manage high blood pressure (hypertension), chest pain (angina), anxiety, and heart rhythm disorders. It works by blocking certain natural chemicals, such as epinephrine, to help lower heart rate and blood pressure. Always consult a healthcare provider before starting or adjusting your dose. You can schedule a telemedicine appointment with one of our providers for personalized care.
Names of Pindolol Medication
US Brand Name: Visken
Generic Name: Pindolol
Pindolol is the generic name, referring to the active ingredient in the medication, while Visken is the brand name given by the manufacturer.
Pharmacologic Category of Pindolol
Pindolol belongs to the pharmacologic category of nonselective beta-blockers.
Other medications in this category include propranolol, nadolol, and timolol.
Pindolol Dosage Guidelines
Pindolol is prescribed for a variety of conditions. Below are common dosing guidelines for adults. Always consult your doctor before making any changes to your dose. You can also speak with one of our telemedicine providers for personalized advice.
Pindolol for Hypertension (High Blood Pressure)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term treatment, as directed by your healthcare provider
Pindolol for Angina Pectoris (Chest Pain)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term treatment, depending on symptom control
Pindolol for Anxiety Disorders
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: As needed, based on symptom management
Pindolol for Essential Tremor
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term, depending on symptom control
Pindolol for Migraine Prophylaxis (Prevention)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term, based on your healthcare provider’s recommendation
Pindolol for Heart Failure
Initial Dose: 2.5 mg twice daily
Maintenance Dose: 5-15 mg per day, divided into 2 doses
Duration: Long-term, as directed by your doctor
Pindolol for Arrhythmias (Irregular Heartbeat)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term, depending on symptom control
Pindolol for Hyperthyroidism (Overactive Thyroid)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: As needed, based on symptom management
Pindolol for Post-Myocardial Infarction (After a Heart Attack)
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: Long-term, as directed by your healthcare provider
Pindolol for Performance Anxiety
Initial Dose: 5 mg twice daily
Maintenance Dose: 10-30 mg per day, divided into 2 doses
Duration: As needed, based on symptom management
Dosage Forms and Strengths of Pindolol
Pindolol is available in tablet form, with strengths of 5 mg and 10 mg.
Administration Instructions for Pindolol
Pindolol is taken orally, typically twice a day, with or without food. It’s important to take it at the same time each day. Do not crush or chew the tablets. If you miss a dose, take it as soon as you remember, unless it’s close to your next dose. Never double up on doses. Always follow your healthcare provider’s instructions and consult them if you have any concerns.
Contraindications for Pindolol
A contraindication is a specific situation or condition where a medication should not be used because it may cause harm. It’s important to know if you have any conditions that make taking Pindolol unsafe. Below is a list of contraindications for Pindolol and why it’s not recommended in these situations:
- Severe bradycardia (slow heart rate): Pindolol can further slow your heart rate, which can be dangerous if you already have a very slow heartbeat.
- Heart block (second or third degree): Pindolol can worsen heart block, a condition where the electrical signals in the heart are delayed or blocked, leading to an irregular heartbeat.
- Uncontrolled heart failure: Pindolol can reduce the heart’s ability to pump blood effectively, worsening heart failure if it’s not well-managed.
- Asthma or severe chronic obstructive pulmonary disease (COPD): Pindolol can cause airway constriction, making it harder to breathe, which is particularly dangerous for people with respiratory conditions like asthma or COPD.
- Severe peripheral artery disease: Pindolol may worsen circulation problems in people with severe peripheral artery disease, leading to pain or other complications.
- Untreated pheochromocytoma: Pindolol can cause a dangerous increase in blood pressure in people with this rare adrenal gland tumor.
If you have any of these conditions, discuss them with your healthcare provider before starting Pindolol. Our telemedicine providers are available to help you assess your risks and determine if Pindolol is right for you.
Pindolol Drug Interactions
Some medications can interact with Pindolol, increasing the risk of side effects or reducing the effectiveness of your treatment. Below is a list of medications that may interact with Pindolol:
- Calcium channel blockers (e.g., verapamil, diltiazem): These medications can further slow your heart rate and lower your blood pressure, which can be dangerous when combined with Pindolol.
- Clonidine (Catapres): Stopping clonidine suddenly while taking Pindolol can cause a dangerous spike in blood pressure.
- Antiarrhythmics (e.g., amiodarone, quinidine): These medications can increase the risk of heart rhythm problems when taken with Pindolol.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen, naproxen): NSAIDs can reduce the effectiveness of Pindolol in lowering blood pressure.
- Insulin and oral diabetes medications (e.g., metformin, glipizide): Pindolol can mask the symptoms of low blood sugar, making it harder to manage diabetes.
Always inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements. If you’re unsure about potential interactions, our telemedicine providers can review your medication list and offer guidance.
Pindolol in Pregnancy
Is it Safe to Take Pindolol During Pregnancy?
Pindolol is classified as a pregnancy category C drug by the FDA, meaning there are no well-controlled studies in humans to confirm its safety during pregnancy. While animal studies have shown some potential risks to the fetus, in certain situations, the benefits of taking Pindolol may outweigh these risks. If you are pregnant or planning to become pregnant, it’s essential to have a detailed discussion with your healthcare provider about the potential risks and benefits. Our telemedicine team is here to help you make an informed decision based on your unique health needs.
Pindolol While Breastfeeding
Is it Safe to Take Pindolol While Breastfeeding?
Pindolol is known to pass into breast milk. Although there is limited data on its effects on nursing infants, there is a potential risk of side effects such as a slow heart rate or low blood pressure in the baby. If you are breastfeeding, it’s important to carefully weigh the benefits of continuing Pindolol against the possible risks. Be sure to consult your healthcare provider to explore your options. Our telemedicine providers are available to support you in making the best choice for both you and your baby.
Estimated Cost of Pindolol Medication
The estimated cost for a 30-day supply of Pindolol (5 mg tablets, taken twice daily) without insurance ranges from approximately $15 to $30 when using a GoodRx coupon. Prices may vary depending on the pharmacy and your location. If cost is a concern, our telemedicine providers can help you explore more affordable alternatives or generic options.
Possible Alternatives to Pindolol
If Pindolol is not the right fit for you, there are several alternative treatments and lifestyle changes that may help manage your condition. Always consult your healthcare provider before making any changes to your treatment plan. Our telemedicine providers are available to guide you through these alternatives.
Hypertension
Alternatives include other beta-blockers (e.g., metoprolol), ACE inhibitors (e.g., lisinopril), or lifestyle modifications such as reducing salt intake, exercising regularly, and managing stress.
Angina Pectoris
Other options include calcium channel blockers (e.g., amlodipine) or nitrates (e.g., nitroglycerin). Lifestyle changes like quitting smoking and managing cholesterol levels can also be beneficial.
Anxiety Disorders
Alternatives include selective serotonin reuptake inhibitors (SSRIs) such as sertraline, or non-medication approaches like cognitive-behavioral therapy (CBT) to help manage anxiety.
Essential Tremor
Other medications, such as propranolol or primidone, may be considered. Additionally, reducing caffeine intake and managing stress can help minimize tremors.
Migraine Prophylaxis
Alternatives include other beta-blockers like propranolol, anticonvulsants (e.g., topiramate), or lifestyle adjustments such as avoiding known migraine triggers.
Heart Failure
ACE inhibitors (e.g., enalapril), angiotensin receptor blockers (ARBs), or diuretics may be used as alternatives. Managing fluid intake and monitoring weight can also play a role in managing heart failure.
Arrhythmias
Alternatives include antiarrhythmic medications (e.g., amiodarone) or procedures like catheter ablation. Avoiding caffeine and alcohol may help reduce the frequency of arrhythmia episodes.
Hyperthyroidism
Beta-blockers like propranolol or medications such as methimazole may be used to manage symptoms. Lifestyle changes, including reducing iodine intake, can also be helpful.
Post-Myocardial Infarction
Other beta-blockers like metoprolol or ACE inhibitors may be recommended. Lifestyle changes, such as quitting smoking, adopting a heart-healthy diet, and engaging in regular exercise, are crucial for recovery.
Performance Anxiety
Alternatives include propranolol or non-medication approaches such as CBT or relaxation techniques to manage performance anxiety.
Recent Updates on Pindolol Research
Recent studies have explored the potential use of Pindolol in combination with antidepressants to enhance the treatment of major depressive disorder. Some research suggests that Pindolol may accelerate the onset of antidepressant effects, though further studies are needed to confirm these findings. Additionally, ongoing research is examining Pindolol’s role in treating anxiety disorders, particularly in patients who do not respond well to traditional treatments. As always, consult your healthcare provider before making any changes to your treatment plan. Our telemedicine providers are available to discuss the latest research and how it may apply to your care.
