Key takeaways
Propranolol (Inderal LA, Inderal XL, Innopran XL) and Nebivolol (Bystolic) are both beta blockers, but they have some key differences. Propranolol is a non-selective beta blocker, meaning it affects both the heart and blood vessels, and is used to treat a variety of conditions including high blood pressure, chest pain, migraines, and tremors. In contrast, Nebivolol is more selective, primarily targeting the heart, and is mainly used to treat high blood pressure. Propranolol is available in both immediate-release and extended-release forms, requiring multiple doses per day for the former and once daily for the latter, while nebivolol is typically taken once a day. Propranolol can cause side effects like dizziness, tiredness, and weight gain, whereas nebivolol is less likely to cause weight gain and erectile dysfunction. Both medications can hide symptoms of low blood sugar, but nebivolol is less likely to cause breathing problems compared to propranolol, which is not recommended for people with asthma.
