03. Beta Blocker Conversion Table

Resident Editor: Patrick Azcarate, MD
Faculty Editor: Elisabeth Askin, MD

Drug

Recommended dosing

frequency

Sample dose equivalency

Maximum total daily dose

Dose reduction

Beta-1 Selective

 

Acebutolol

BID

100mg BID

1,200mg

CrCl <50

Atenolol

Daily

50mg Daily

100mg

CrCl <35

Bisoprolol

Daily

5mg Daily

20mg

CrCl <40, cirrhosis, heart failure (10mg total daily)

Metoprolol IR

BID

50mg BID

400mg

Heart failure (200mg total daily)

Metoprolol SR

Daily

100mg Daily

Non-Selective

 

Carvedilol IR

BID

12.5mg BID

100mg

Weight <85kg, heart failure (50mg total daily), Contraindicated in severe liver impairment

Carvedilol ER

BID

40mg daily

80mg

 

Labetalol

BID-TID

100mg BID

2400mg

 

Nadolol

Daily

80mg Daily

320mg

CrCl <50

Pindolol

BID

5mg BID

60mg

Liver impairment

Propranolol IR

BID

40mg BID

640mg

Liver impairment

Propranolol ER

Daily

80mg Daily

Sotalol

BID

80mg BID

320mg

CrCl <60

Timolol

BID

5mg BID

60mg

 

*Disclaimer: These are not typical starting doses. Recommended starting doses depend on the clinical scenario.

 

Reference:

Pham P. Beta-blockers. Johns Hopkins Guides. September 26, 2013. Available

http://www.globalrph.com/beta_blockers.htm

Yancy 2013

Micromedex Comparison Tables: Beta Blockers. Last Modified: May 11, 2016.

Lexi-Comp, Inc. (Lexi-Drugs). Lexi-Comp, Inc.; April 10, 2018.