Non-selective β-blocker
Nadolol
Brand names: Corgard
Adult dose
Dose: 40mg OD initially, max 240mg/day. Migraine prophylaxis: 40–160mg/day
Route: PO
Frequency: OD
Clinical pearls
- Long-acting non-selective β-blocker; migraine prophylaxis
Contraindications
- Asthma
- Severe bradycardia
- 2nd/3rd degree AV block
- Cardiogenic shock
- Severe heart failure
Side effects
- Bradycardia
- Bronchospasm
- Cold extremities
- Fatigue
- Sleep disturbance
Interactions
- Verapamil/diltiazem
- Other antihypertensives
- Insulin/sulfonylureas (mask hypos)
Monitoring
- BP
- HR
Reference: BNF; NICE NG136; https://bnf.nice.org.uk/drugs/nadolol/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines