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