Rapid Rx Quiz: Beta-Blockers

Mary L. Windle, PharmD


March 28, 2022

Established uses for propranolol include hypertension, migraine prophylaxis, angina, pheochromocytoma, hypertrophic subaortic stenosis, supraventricular arrhythmia, essential tremor, and myocardial infarction. It has orphan status for malignant glioma. Off-label uses include esophageal variceal bleeding, antipsychotic-induced akathisia, and management of panic disorder and aggressive behavior.

Established uses for metoprolol include hypertension, acute myocardial infarction, congestive heart failure, and angina; off-label uses include acute tachyarrhythmia, migraine prophylaxis, and atrial fibrillation/flutter or supraventricular tachycardia (SVT).

Established uses for nadolol include hypertension and angina pectoris. Off-label uses include SVT maintenance, management of aggressive behavior, upper gastrointestinal rebleed, migraine prophylaxis, renal impairment, and hepatic impairment.

Established uses for atenolol include hypertension, angina pectoris, and post–myocardial infarction. Off-label uses include alcohol withdrawal syndrome, supraventricular arrhythmias, and thyrotoxicosis.

Learn more about metoprolol.


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