14/11/2022
Non-selective (avoided in asthma)
- Propanolol
- Labetalol
- Carvedilol
- Nadolol
- Timolol
- Oxprenolol / pindolol (w/ intrinsic sympathomimetic activity)
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
Beta-1 selective (cardioselective)
- Atenolol
- Betaxolol
- Bisoprolol
- Esmolol
- Metoprolol
- Nebivolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
⚽️ By indication:
Cardiac arrhythmia
- Esmolol
- Sotalol
- Bisoprolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
Congestive heart failure
- Carvedilol
- Metoprolol
- Bisoprolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
Glaucoma
- Betaxolol
- Timolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
Myocardial infarction (MI)
- Atenolol
- Metoprolol
- Bisoprolol
- Timolol / Propanolol (both for migraine, too)
- Carvedilol (LVD after MI)
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
*Beta blockers are drugs which act against the
beta adrenergic receptors. There are three kinds
of adrenergic receptors namely beta1, beta2 and
beta3
⚽️ beta blockers (non-selective beta
blockers) :
- Propranolol
- Nadolol
- Timolol
Penbutalol
- Pindolol
- Oxprenolol
- Alprenolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
⚽️ beta blockers ( Beta1 selective
beta blockers = Cardioselective beta blockers ):
- Acebutalol
- Celiprolol
- Bisoprolol
- Metaprolol
- Nebivolol (most cardioselective beta blocker)
- Atenolol
- Esmolol
- Betaxolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
⚽️ beta blockers ( These are beta
blockers which have additional vasodilator
property ):
- Labetalol and Carvedilol ( act as vasodilators by
antagonising alpha1 receptors on blood vessels)
- Tilosolol ( act as vasodilator by opening up
potassium channels)
- Nebivolol and Nipradilol ( generate Nitric oxide )
- Bevantolol, Betaxolol, Carvedilol ( inhibit calcium
channels )
- Bopindolol, Carteolol, Celiprolol ( agonists of
beta2 receptors )
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
* Beta blockers with Membrane stabilising activity
(local anaesthetic activity) :
- Propranolol (most effective)
- Labetalol
- Acebutolol
- Metaprolol
- Pindolol
✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔✔
* Beta blockers with intrinsic sympathomimetic
activit