Propranolol Is Helping, But Would Like Recommendations For A 'Selective' Beta Blocker

[iheartcats]

Hello all!

I've had my ups and downs lately and am trying to get things together for my annual visit with the POTS Cardiologist.

I'm currently on Propranolol and it's helping, so that's a good things. It's a 'non-selective' Beta Blocker, though, and, while I've kept my allergies (and thus my allergy-induced Asthma) under control, I wonder if there are any selective Beta Blockers that you use that work for POTS?

I want to take a few discussion points to my doctor, and this is a concern in case I have to switch Beta Blockers down the road.

[janiedelite]

I use carvedilol, which was suggested to me by my cardio because of my elevated norepinephrine levels. It helps my chest pain and controls my heartrate a bit, but I can only take it in low doses or the fatigue increases.

BTW, carvedilol is an alpha/beta blocker, and might not be good if you already have low BP.

[TXPOTS]

Beta 1 selective agents in order of selectivity: Metoprolol (Lopressor®), atenolol (Tenormin®), bisoprolol (Zebeta®), and nebivolol (Bystolic®) at 5mg dose

Labetalol and carvediol are mixed alpha/ beta antagonists, as thankful mentioned. The beta portion is non-selective (beta 1 and beta 2).

[iheartcats]

Thank you so much! I know a lot of medicines are trial and error with us but if I have to change to a selective BB I want to be prepared.

[TXPOTS]

Thank you so much! I know a lot of medicines are trial and error with us but if I have to change to a selective BB I want to be prepared.

Very smart with a history of allergy induced asthma.