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Two medicines, side by side

Nadolol vs propranolol

Nadolol and propranolol are both labeled for high blood pressure and angina. Drugs@FDA records approvals of nadolol since 1979 and of propranolol since 1967. Pharmacies paid $0.147 per nadolol 20 mg tablet and $0.0493 per propranolol 20 mg tablet (NADAC, October 7, 2026).

Check it at the source: the nadolol FDA label on DailyMed (effective May 12, 2026); the propranolol FDA label on DailyMed (effective January 15, 2026).

Highlights of the nadolol record

Nadolol (Corgard) · label of May 12, 2026

Used for

From the label: indications

Angina Pectoris Nadolol tablets are indicated for the long-term management of patients with angina pectoris. Hypertension Nadolol tablets are 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
December 10, 1979
Generic labelers
16 labelers
Pharmacy cost
$0.147 per tablet

Supply and safety

Shortage
No current entry
Recalls
2

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 (Nadolol label of May 12, 2026, Propranolol label of January 15, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do nadolol and propranolol differ on the record?

Both are in FDA's class beta-adrenergic blockers.

Half-life, in each label's words: Nadolol, “The half-life of therapeutic doses of nadolol is about 20 to 24 hours, permitting once-daily dosage.”; Propranolol, “The plasma half-life of propranolol is from 3 to 6 hours.”

Generics: nadolol since 1993; propranolol since 1985 (Drugs@FDA).

NadololPropranolol
Labeled forAngina, High blood pressureHigh blood pressure, Angina, Atrial fibrillation, Migraine
Pharmacologic classbeta-Adrenergic Blockerbeta-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)The half-life of therapeutic doses of nadolol is about 20 to 24 hours, permitting once-daily dosage.The plasma half-life of propranolol is from 3 to 6 hours.
Earliest approval on file (Drugs@FDA)December 10, 1979November 13, 1967
First generic approvedOctober 31, 1993July 30, 1985
Generic labelers (NDC)16 labelers42 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.147 per tablet (Nadolol 20 mg tablet)$0.0493 per tablet (Propranolol 20 mg tablet)
12-month price change+23%-17%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded24
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)7,53271,660
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?

Alternatives to nadolol
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