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Propranolol may not be the right choice for every patient. In such cases, it is important to discuss with a medical provider potential propranolol alternatives.

Propranolol Alternatives

What are your options when it comes to alternatives for propranolol?

For Anxiety

Effective alternatives might include other beta-blockers such as acebutolol (Sectral) or bisoprolol (Zebeta). They can have similar effects as propranolol. Other alternative agents to help treat anxiety include benzodiazepines like alprazolam (Xanax) and Lorazepam (Ativan).

For High Blood Pressure (Hypertension)

Metoprolol (Lopressor) is another beta-blocker sometimes used to treat high blood pressure. The mechanism of action is very similar. 

For Sleep

Atenolol (Tenormin)  is a beta-blocker sometimes associated with controlling sleep disturbances. It works in a similar way to propranolol. Other alternative agents to help treat insomnia include medications such as zolpidem (Ambien), eszopiclone (Lunesta), and supplements such as melatonin.

For Akathisia

There are several drugs proving to be helpful in the treatment of this movement disorder, including the antidepressant mirtazapine (Remeron). Often akathisia is a side effect of another medication, so discontinuing that treatment may be all that is necessary, as well.  

For Tremors

For more information, please visit our page on taking propranolol for tremors.

For Alcohol Withdrawal

There are many options available for the medical treatment of alcohol withdrawal beyond propranolol, such as benzodiazepines like diazepam (Valium). The goal is to treat the anxiety, tremors, and potential seizures that comes with alcohol withdrawal. Diazepam will do that, as well, just in a different way.

Disclaimer: this article does not constitute or replace medical advice. If you have an emergency or a serious medical question, please contact a medical professional or call 911 immediately. To see our full medical disclaimer, visit our Terms of Use page.

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