Nadolol Side Effects
Some side effects of nadolol may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
For the Consumer
Applies to nadolol: oral tablet
Along with its needed effects, nadolol may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking nadolol:Less common
- Blurred vision
- chest pain or discomfort
- dilated neck veins
- dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
- extreme fatigue
- irregular breathing
- lightheadedness, dizziness, or fainting
- paleness or cold feeling in fingertips and toes
- shortness of breath
- slow or irregular heartbeat
- swelling of face, fingers, feet, or lower legs
- tingling or pain in fingers or toes when exposed to cold
- unusual tiredness or weakness
- weight gain
- Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- changes in behavior
- difficulty breathing
- noisy breathing
- slurred speech
- tightness in chest
Some side effects of nadolol may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:Rare
- continuing ringing or buzzing or other unexplained noise in ears
- decreased interest in sexual intercourse
- difficulty having a bowel movement (stool)
- dry mouth, eyes, or skin
- excess air or gas in stomach or intestines
- full feeling
- gas in stomach
- hair loss, thinning of hair
- hearing loss
- inability to have or keep an erection
- itching skin
- loss in sexual ability, desire, drive, or performance
- loss of appetite
- passing gas
- relaxed and calm
- stomach pain
- stomach soreness or discomfort
- stuffy nose
- weight loss
For Healthcare Professionals
Applies to nadolol: compounding powder, oral tablet
Rare cases of A-V heart block are reported.
Cardiovascular side effects are usually mild and transient and rarely require discontinuation of therapy. Bradycardia, hypotension, conduction disturbances, chest pain, and heart failure have each been reported in 1% to 3% of patients. Complaints of cold extremities have been reported in approximately 5% of patients. Edema has rarely been associated with the use of nadolol.
Nadolol is hydrophilic and is less likely to penetrate into the central nervous system compared to other beta-blockers. Depression and anxiety are reported in one patient while receiving nadolol. The symptoms started two days after an increase in his dosage and resolved within three days of discontinuing nadolol. Organic brain syndrome was diagnosed in two patients receiving nadolol should be considered as a possible cause of acute deterioration in mental or emotional status.
The most common nervous system side effect appears to be fatigue (up to 10% of patients). Headache or dizziness have been reported in 5% and 8% of patients, respectively.
At least one case of severe bronchospasm associated with nadolol therapy is reported. This patient had a history of childhood asthma and exercise-induced bronchospasm requiring albuterol inhalations. After one dosage of nadolol the patient had a respiratory arrest and required mechanical ventilation for several days. If nadolol is necessary in a patient with a history of bronchospasm, it is recommended that therapy be initiated in a controlled environment with bronchodilators available.
Respiratory system side effects have been rare (1 in 1,000), but may be important in patients with reactive airways disease. The use of nadolol has been associated with precipitation of bronchospasm in patients with a history of asthma.
Gastrointestinal problems, such as nausea, diarrhea, constipation, and general abdominal upset have each been reported in less than 1% of patients.
Psychiatric side effects have been limited to anxiety-depression in approximately 4% of patients.
Renal insufficiency has not associated with nadolol, but one study of 10 elderly hypertensive patients has shown that the antihypertensive effect of nadolol was associated with a decrease in effective renal blood flow. The glomerular filtration rate in affected patients remained stable, however.
Hematologic side effects have included at least one reported case of nadolol-associated thrombocytopenia.
More about nadolol
- Other brands: Corgard
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