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Two medicines, side by side

Amlodipine vs propranolol

Amlodipine and propranolol are both labeled for high blood pressure and angina. Drugs@FDA records approvals of amlodipine since 1992 and of propranolol since 1967. Pharmacies paid $0.0102 per amlodipine besylate 5 mg tablet and $0.0493 per propranolol 20 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, amlodipine is a calcium channel blocker and propranolol a beta-adrenergic blocker.

Check it at the source: the amlodipine FDA label on DailyMed (effective February 15, 2023); the propranolol FDA label on DailyMed (effective January 15, 2026).

Highlights of the amlodipine record

Amlodipine (Norvasc) · label of February 15, 2023

Used for

From the label: indications

NORVASC is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: • Hypertension ( 1.1 ) o NORVASC is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
July 31, 1992
Generic labelers
42 labelers
Pharmacy cost
$0.0102 per tablet

Supply and safety

Shortage
No current entry
Recalls
30

Highlights of the propranolol record

Propranolol (Inderal) · label of January 15, 2026

Used for

From the label: indications

Hypertension Propranolol hydrochloride tablets are indicated in the management of hypertension. It may be used alone or used in combination with other antihypertensive agents, particularly a thiazide diuretic. Propranolol hydrochloride tablets are not indicated in the management of hypertensive emergencies. […]

On the market

Earliest approval on file
November 13, 1967
Generic labelers
42 labelers
Pharmacy cost
$0.0493 per tablet

Supply and safety

Shortage
In shortage
Recalls
4

Source: FDA drug labels via openFDA (Amlodipine label of February 15, 2023, Propranolol label of January 15, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do amlodipine and propranolol differ on the record?

In FDA's classes, amlodipine is a calcium channel blocker and propranolol a beta-adrenergic blocker.

How each works, in its label's words: Amlodipine, “Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow‑channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac …”; Propranolol, “Mechanism of Action The mechanism of the antihypertensive effect of propranolol has not been established.”

Generics: amlodipine since 2005; propranolol since 1985 (Drugs@FDA).

AmlodipinePropranolol
Labeled forHigh blood pressure, Angina, Heart attack and coronary artery diseaseHigh blood pressure, Angina, Atrial fibrillation, Migraine
Pharmacologic classCalcium Channel Blocker, Dihydropyridine Calcium Channel Blockerbeta-Adrenergic Blocker
How it works (label)Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow‑channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle.Mechanism of Action The mechanism of the antihypertensive effect of propranolol has not been established.
Half-life (label)n/aThe plasma half-life of propranolol is from 3 to 6 hours.
Earliest approval on file (Drugs@FDA)July 31, 1992November 13, 1967
First generic approvedOctober 3, 2005July 30, 1985
Generic labelers (NDC)42 labelers42 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0102 per tablet (Amlodipine besylate 5 mg tablet)$0.0493 per tablet (Propranolol 20 mg tablet)
12-month price change-10%-17%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded304
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)409,18671,660
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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