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Nadolol

Published: July 26, 2026Updated: August 24, 2026

Nadolol is a non-selective beta-blocker medication used to treat high blood pressure, chest pain (angina), and certain heart rhythm disorders. It works by blocking the effects of adrenaline on beta receptors in the heart and blood vessels, helping to reduce heart rate, blood pressure, and the heart's workload. This medication is typically taken once daily due to its long duration of action.

Quick summary

Nadolol is a beta-blocker used to manage high blood pressure, angina, and heart rhythm problems by reducing heart rate and blood pressure.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
C07AA12
RxNorm
7226
Generic
Nadolol
Class
atc-c07
Brands
Corgard
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
40-80mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
not established
Maximum
consult physician
Frequency
not applicable
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
20-40mg once daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose above 2 grams may cause serious or fatal toxicity in adults
Chronic overdose: Prolonged use at supratherapeutic doses can lead to cumulative cardiac depression and bradycardia
Immediate actions
Activated charcoal within 1-2 hours if recent ingestion, gastric lavage for large recent doses, continuous cardiac monitoring, intravenous fluids
Antidote
Glucagon(May help reverse severe cardiovascular depression by increasing cAMP independently of beta-receptors)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use unless benefits outweigh risks

Monitor

regular fetal monitoring and growth assessment

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use close to delivery, discontinue 24-48 hours before delivery if possible

Monitor

fetal monitoring, monitor for neonatal bradycardia and hypoglycemia

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

avoid breastfeeding during nadolol treatment due to excretion in breast milk

Monitor

monitor infant for signs of beta-blockade including bradycardia and hypotension

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start with reduced dose

Key Recommendations

start at lower end of dosing range, use with caution due to increased sensitivity

Monitor

monitor blood pressure, heart rate, and renal function closely

Use with caution and monitor for adverse effects.

?

pediatric_age

children
unknown
FDA Category
C
Dose Adjustment

not recommended

Key Recommendations

not typically recommended for use in children and adolescents due to limited safety and efficacy data

Monitor

monitor growth, development, blood pressure, and heart rate

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

reduce dose

Key Recommendations

reduce dose in patients with renal impairment, extend dosing interval

Monitor

monitor renal function and adjust dose accordingly, watch for drug accumulation

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

significant dose reduction required

Key Recommendations

use with extreme caution, significant dose reduction and extended dosing interval required

Monitor

frequent monitoring of renal function and drug levels

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution in hepatic impairment, no specific dose adjustment recommended but monitor closely

Monitor

monitor liver function and blood pressure response

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1979

FDA approval information for Nadolol

drug_classWHO
2023

Drug class

Value:Non-selective beta-blocker

Pharmacological classification

usageMedical guidelines
2023

Common uses

Value:Hypertension, angina, arrhythmia

Therapeutic indications

mechanismFDA
2023

Mechanism of action

Value:Beta-adrenergic receptor blockade

Pharmacological mechanism

Nadolol is primarily used to treat hypertension (high blood pressure), chronic stable angina (chest pain), and some types of irregular heartbeat (arrhythmias). It may also be used to help prevent migraines in some patients.

Nadolol is a non-selective beta-blocker that blocks both beta-1 receptors in the heart and beta-2 receptors in blood vessels and lungs. By preventing adrenaline from binding to these receptors, it reduces heart rate, decreases the force of heart contractions, and lowers blood pressure.

Nadolol should not be stopped suddenly as this can cause worsening chest pain or heart attack. It may mask symptoms of low blood sugar and should be used cautiously in patients with asthma or diabetes. Always follow your healthcare provider's instructions regarding dosing and monitoring.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy