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Two medicines, side by side

Nifedipine vs propranolol

Nifedipine and propranolol are both labeled for high blood pressure and angina. Drugs@FDA records approvals of nifedipine since 1981 and of propranolol since 1967. Pharmacies paid $0.130 per nifedipine ER 30 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, nifedipine is a dihydropyridine calcium channel blocker and propranolol a beta-adrenergic blocker.

Check it at the source: the nifedipine FDA label on DailyMed (effective December 24, 2024); the propranolol FDA label on DailyMed (effective January 15, 2026).

Highlights of the nifedipine record

Nifedipine (Procardia) · label of December 24, 2024

Used for

From the label: indications

Nifedipine extended-release tablets are indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive agents.

On the market

Earliest approval on file
December 31, 1981
Generic labelers
32 labelers
Pharmacy cost
$0.130 per tablet

Supply and safety

Shortage
No current entry
Recalls
7

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 (Nifedipine label of December 24, 2024, Propranolol label of January 15, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do nifedipine and propranolol differ on the record?

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

Half-life, in each label's words: Nifedipine, “The elimination half-life of nifedipine administered as nifedipine extended-release tablets are approximately 7 hours …”; Propranolol, “The plasma half-life of propranolol is from 3 to 6 hours.”

Generics: nifedipine since 1989; propranolol since 1985 (Drugs@FDA).

NifedipinePropranolol
Labeled forHigh blood pressure, AnginaHigh blood pressure, Angina, Atrial fibrillation, Migraine
Pharmacologic classDihydropyridine Calcium Channel 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 elimination half-life of nifedipine administered as nifedipine extended-release tablets are approximately 7 hours in contrast to the known 2 hour elimination half-life of nifedipine administered as an immediate …The plasma half-life of propranolol is from 3 to 6 hours.
Earliest approval on file (Drugs@FDA)December 31, 1981November 13, 1967
First generic approvedApril 28, 1989July 30, 1985
Generic labelers (NDC)32 labelers42 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.130 per tablet (Nifedipine ER 30 mg tablet)$0.0493 per tablet (Propranolol 20 mg tablet)
12-month price change+19%-17%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded74
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)41,05971,660
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?

Propranolol label, drug interactions

The mean C max and AUC of nifedipine are increased by 64% and 79%, respectively, by co-administration of propranolol.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to nifedipine
every medicine labeled for the same conditions