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Drug interactions

Nadolol + Timolol

Severity: Moderate

Nadolol and Timolol: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Two beta-blockers taken together give duplicated beta-blockade. This raises the risk of symptomatic bradycardia, hypotension, AV conduction block and bronchospasm.

What this interaction means in plain words

Nadolol and Timolol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Nadolol belongs to Cardiovascular; Timolol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic beta-adrenergic receptor antagonism.

What to do

Avoid combining two beta-blockers; choose a single agent. If unavoidable, monitor heart rate and blood pressure and adjust doses.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Nadolol with Timolol?

MediHelp rates the interaction as moderate. Nadolol and Timolol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Two beta-blockers taken together give duplicated beta-blockade. This raises the risk of symptomatic bradycardia, hypotension, AV conduction block and bronchospasm.

How serious is the interaction between Nadolol and Timolol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining two beta-blockers; choose a single agent. If unavoidable, monitor heart rate and blood pressure and adjust doses.

What other medicines interact with Timolol?

MediHelp also lists interactions of Timolol with, for example, Acebutolol, Albuterol, Aldesleukin. The full list is on the Timolol page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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