Propranolol and Carvedilol

[kalgs]

I’m currently taking Carvedilol for PAF. The EP has now prescribed propranolol as well . Is anyone else taking both together. He didn’t want to increase the Carvedilol because my HR would be to low. I’m confused because propranolol has the same effect ?

My PAF frequency has changed I’m get 30 min bursts around dinner time which I’ve never had before .

[BobD Volunteer]

Carvedilol seems an unusual drug for AF and propranolol is also not commonly used so not being medically trained and not knowing the rest of your medical history I have no idea why your doctor has decided to use these drugs.

[kalgs in reply to BobD]

Quite a few posts relating to Carvedilol

[BobD Volunteer in reply to kalgs]

Most common beta blocker is bisoprolol followed maybe by atenalol which is an older beta blocker.

[Elephantlydia in reply to BobD]

With the greatest of respect,bisoprolol is the most common used in the U.K. for Afib.However in the U.S.A. and many other countries Metoprolol is the most commonly used.Cardvedilol is used here and in the U.S.A. All three are cardio selective beta blockers.The major advantage of cardvedilol is its selective beta blocker properties and additional alpha properties,plus it use in heart failure with the most impressive evidence based results.The most cardio selective beta blocker and third generation beta blocker is nebivilol,which is becoming increasingly used mainly because it seems to have less side effects than other beta blockers and also has alpha properties.Atenolol which is widely used in the U.K. not so much in the U.S.A.has tended to be superseded by Bisoprolol.

However,they are all good beta blockers.If a patient has some degree of heart failure,Cardvedilol,Bisoprolol,Metoprolol and Nebivilol would be the most evidence based.

[kalgs in reply to Elephantlydia]

Thanks. It’s just that the EP has prescribed propranolol to add to my Carvedilol . Both beta blockers?

[Elephantlydia in reply to kalgs]

It appears that a combination of propranolol and Cardvedilol is unusual.I would ask your doctor why he has prescribed that combination.The only reason maybe you have thyroid problems,anxiety or migraine.Propranolol is a non selective beta blocker and generally selective beta blocker are preferred.But ask your doctor.