Nadolol is used to help keep your blood pressure under control.
This medicine is also used to treat angina pectoris (chest pain) and arrhythmia (irregular or abnormal heartbeats).
Nadolol is also used to prevent migraine (severe throbbing or pulsating sensation usually affecting one side of the head and is often accompanied by nausea, vomiting, and sensitivity to light and sound) and relieve symptoms of hyperthyroidism (overactive thyroid gland).
This medicine may be used to treat other conditions as decided by your doctor.
Take Nadolol exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on your condition and response to the medication.
Nadolol must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it suddenly as this may worsen your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- asthma
- slow heartbeat
- heart block
- heart problems that are causing you to have difficulty breathing and swollen ankles
as Nadolol may not be suitable for you.
Inform your doctor if you have the following conditions:
- other heart problems e.g. narrowed heart arteries, weakness and inability of the heart to pump blood
- history of severe allergic reaction
- diabetes
- myasthenia gravis (muscle weakness disorder)
- peripheral vascular disease (poor circulation of blood to the arms and legs) or Raynaud's disease (poor blood circulation which makes the toes and fingers numb and pale when feeling cold or stressed)
- untreated phaeochromocytoma (a rare tumour of the adrenal gland causing high blood pressure)
- kidney disease
- liver disease
Let your doctor know if you are pregnant or breastfeeding.
Be sure to check with your doctor or pharmacist before giving Nadolol to the elderly. Elderly people may be more sensitive to the side effects.
If you are going to have an operation, inform your doctor or dentist that you are taking this medicine.
If you are going for certain laboratory tests (e.g. stress test), inform your doctor that you are taking this medicine.
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly. Regular monitoring of heart rate and blood pressure may be needed.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help control your blood pressure and improve your overall health. Engage in physical activity like walking for at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to stop your smoking habit.
Nadolol may cause any of the following side effects: tiredness, cold extremities, dizziness, drowsiness, and difficulty sleeping.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- rashes, breathlessness, swelling of the face, eyes or mouth
- chest pain accompanied by feeling weak or dizzy
- slow heartbeat
- feeling shaky, nervous or anxious; sweating, confused, irritated
- rash with itchy and/or scaly patches
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for chest pain e.g. verapamil, diltiazem
- other medicines for high blood pressure
- medicines for mood disorders e.g. thioridazine, chlorpromazine, haloperidol
- medicines to treat depression e.g. selegiline, isocarboxazid
- fingolimod (medicine for multiple sclerosis [scars or lesions in the brain and spinal cord])
- NSAIDs (medicines for pain and inflammation)
This list does not include all medicines that may interact with Nadolol.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Avoid alcohol.
Store in a cool, dry place away from the reach of children.
Protect from light.
Medicines must not be used past the expiry date.