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Two medicines, side by side

Colestipol vs propranolol

Colestipol is labeled for high cholesterol; propranolol for high blood pressure, angina and atrial fibrillation. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of colestipol since 1977 and of propranolol since 1967. Pharmacies paid $0.658 per colestipol HCl 1 g 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, colestipol is a bile acid sequestrant and propranolol a beta-adrenergic blocker.

Check it at the source: the colestipol FDA label on DailyMed (effective February 19, 2024); the propranolol FDA label on DailyMed (effective January 15, 2026).

Highlights of the colestipol record

Colestipol (Colestid) · label of February 19, 2024

Used for

From the label: indications

Since no drug is innocuous, strict attention should be paid to the indications and contraindications, particularly when selecting drugs for chronic long-term use. Colestipol hydrochloride tablets are indicated as adjunctive therapy to diet for the reduction of elevated serum total and LDL-C in patients with primary hypercholesterolemia (elevated LDL-C) who do not respond adequately to diet. […]

On the market

Earliest approval on file
April 4, 1977
Generic labelers
8 labelers
Pharmacy cost
$0.658 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

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 (Colestipol label of February 19, 2024, Propranolol label of January 15, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do colestipol and propranolol differ on the record?

In FDA's classes, colestipol is a bile acid sequestrant and propranolol a beta-adrenergic blocker.

Generics: colestipol since 2006; propranolol since 1985 (Drugs@FDA).

ColestipolPropranolol
Labeled forHigh cholesterolHigh blood pressure, Angina, Atrial fibrillation, Migraine
Pharmacologic classBile Acid Sequestrantbeta-Adrenergic Blocker
How it works (label)n/aMechanism 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)April 4, 1977November 13, 1967
First generic approvedMay 2, 2006July 30, 1985
Generic labelers (NDC)8 labelers42 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.658 per tablet (Colestipol HCl 1 g tablet)$0.0493 per tablet (Propranolol 20 mg tablet)
12-month price change-0.7%-17%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded04
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)2,59971,660
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)

Do their labels mention each other?

Colestipol label, drug interactions

Repeated doses of colestipol hydrochloride given prior to a single dose of propranolol in human trials have been reported to decrease propranolol absorption.

Propranolol label, drug interactions

Lipid Lowering Drugs Co-administration of cholestyramine or colestipol with propranolol resulted in up to 50% decrease in propranolol concentrations.

Propranolol label, drug interactions

Cholestyramine and Colestipol: Co-administered cholestyramine or colestipol significantly reduces the plasma concentrations of co-administered propranolol which may result in loss of efficacy [see Clinical Pharmacology ( 12.7 )].

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to colestipol
every medicine labeled for the same conditions