Nadolol: A Comprehensive Medication Profile

Summary or Key Points

Nadolol is a medication primarily used for treating various cardiovascular conditions, including hypertension, angina, and arrhythmias. It is also utilized in migraine prophylaxis, essential tremor, and as adjunctive treatment in some cases. Always consult with your healthcare provider, who is available via our telemedicine service, before adjusting your medication or dosage.

Names of Medication

US Brand Name: Corgard (Nadolol)

A medication’s generic name (found in parenthesis) is the standard medical term for the drug without branding. It’s the common name that healthcare professionals use to identify a specific medication.

Pharmacologic Category

Nadolol belongs to the pharmacologic category known as Beta-Blockers, Nonselective. Other medications in this category include Propranolol and Timolol.

Dosing

Remember, always consult your healthcare provider before adjusting your dose. You can easily reach out to our telemedicine providers for consultation. Below are the conditions Nadolol is used to treat with respective dosages, frequencies, and treatment lengths:

• Hypertension: 40-240 mg/day in single or divided doses.
• Angina Pectoris: 40-240 mg/day.
• Migraine Prophylaxis: 40-240 mg/day.
• Essential Tremor: 80-160 mg/day.
• Supraventricular Arrhythmias: 10-30 mg 1-2 times/day.
• Ventricular Arrhythmias: 10-30 mg 1-2 times/day.
• Acute Myocardial Infarction: 40-240 mg/day.
• Hypertrophic Subaortic Stenosis: 30-60 mg/day.
• Pheochromocytoma (adjunctive treatment): 60 mg/day.
• Anxiety: 40-80 mg/day.
• Portal Hypertension (prevention of bleeding from esophageal varices): 20-40 mg/day.
• Thyrotoxicosis (adjunctive treatment): 10-40 mg 1-2 times/day.

Dosage Forms and Strengths

Nadolol is available in tablet form in strengths of 20 mg, 40 mg, 80 mg, and 120 mg.

Administration Instructions

Adverse Reactions and Side Effects

Nadolol may cause several side effects. Their occurrence can vary from infrequent to common. Always contact your healthcare provider, available via our telemedicine service, if you experience these symptoms:

• Bradicardia (slow heart rate): Common
• Leg pain or swelling: Less Common
• Dizziness or lightheadedness: Common
• Shortness of breath: Less Common
• Nausea or vomiting: Less Common

Administration Instructions

Nadolol is taken by mouth, usually once daily or as directed by your healthcare provider. This medication can be taken with or without food. If you’re taking Nadolol for hypertension or heart conditions, it is crucial to take it regularly to benefit from it. It’s best to take it at the same time each day for consistency. Ensure you consult with our telemedicine providers if you have any queries regarding the administration of this medication.

Adverse Reactions and Side Effects (cont.)

Continue to be vigilant for the following potential side effects:

• Difficulty sleeping: Less Common
• Reduced libido or impotence: Less Common
• Tiredness: Common
• Depression: Less Common
• Numbness or tingling in hands or feet: Less Common

Remember, this is not a comprehensive list, and some people may experience side effects not listed. Always consult with your healthcare provider if you experience any unusual or severe symptoms. Our telemedicine service is readily available for any concerns you may have.

Interactions

Nadolol may interact with certain medications and medical conditions. Be sure to tell your healthcare provider about all medications, supplements, and herbal products you are currently using, as well as your medical history. A few significant interactions include:

• Other blood pressure medications
• Heart medications
• Insulin or other diabetes medications
• Antidepressants
• Medications for asthma or other breathing disorders

Conclusion

Nadolol is an effective treatment for a range of cardiovascular and other conditions. It’s essential to understand how to use this medication safely and effectively. Please consult with your healthcare provider if you have any concerns or questions regarding Nadolol. Our telemedicine service is readily available to provide expert care and answer any queries you may have.

Contraindications

A contraindication is a specific situation or medical condition that makes a particular treatment or procedure potentially harmful. Here are the contraindications for taking Nadolol:

• Severe bradycardia: Nadolol slows heart rate, which can be risky if your heart rate is already slow.
• Heart block greater than first degree: Nadolol can exacerbate this condition.
• Cardiogenic shock: Nadolol can further lower blood pressure and worsen the situation.
• Uncompensated heart failure: The medication can make it more difficult for the heart to pump blood.
• Hypersensitivity to Nadolol: Allergic reactions can occur if there’s a known sensitivity.

Drug to Drug Interactions

Here are some medications known to interact with Nadolol (Corgard):

• Amiodarone (Cordarone)
• Clonidine (Catapres)
• Epinephrine (Adrenalin)
• Insulin and oral diabetes medications
• Antidepressants like fluoxetine (Prozac)

Nadolol in Pregnancy

Although Nadolol can be used during pregnancy if the benefits outweigh the risks, it may cause harm to the fetus. Always consult with your healthcare provider available via our telemedicine service before using Nadolol during pregnancy.

Nadolol while Breastfeeding

Nadolol can pass into breast milk and may cause side effects in the nursing infant. Please consult with your healthcare provider available via our telemedicine service if you are breastfeeding or plan to breastfeed.

Estimated Cost of Medication

The estimated cost of a 30-day supply of Nadolol without insurance, using a GoodRX coupon, is approximately $20. Prices may vary depending on the pharmacy and location.

Possible Alternatives

While Nadolol is an effective treatment for many, alternative treatments or lifestyle changes may also help manage your condition. Always discuss these alternatives with your healthcare provider before making any changes to your treatment plan. They can be reached easily via our telemedicine service.

• Hypertension: Lifestyle changes such as a healthier diet, exercise, and stress management
• Angina Pectoris: Other medications such as Nitroglycerin (Nitrostat), Beta blockers like Atenolol (Tenormin)
• Migraine Prophylaxis: Lifestyle adjustments, acupuncture, and other medications such as Topiramate (Topamax)

Recent Updates on Nadolol Research

Recent studies indicate that Nadolol may be useful in treating infantile hemangiomas, a common vascular tumor in infants. A 2022 randomized clinical trial found that Nadolol was as effective as Propranolol with fewer side effects. Another recent study is exploring Nadolol’s potential in the management of liver disease due to its portal hypotensive effects. Remember, research is ongoing, and findings are continuously evolving. Consult with your healthcare provider, readily available via our telemedicine service, for the most recent and relevant information.

Brief Legal Disclaimer

This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.
Brief Legal Disclaimer: This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.