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. 2007 Nov;93(11):1473–1477. doi: 10.1136/hrt.2005.085464

Table 1 β‐blockers used for the treatment of chronic stable angina.

β‐blocker class Cardio‐selective Initial dose Dose range Unique additional properties
First generation None
 Propranolol No 20 mg twice daily 40–320 mg twice daily
 Timolol No 5 mg twice daily 10–240 mg twice daily
Second generation None
 Metoprolol Yes
 Short acting 25 mg twice daily 50–200 mg twice daily
 Sustained release 25 mg daily 50–200 mg daily
 Atenolol Yes 25 mg daily 25–200 mg daily
 Bisoprolol Yes 2.5 mg daily 2.5–20 mg daily
 Betaxolol Yes 10 mg daily 10–40 mg daily
Third generation Vasodilation
 Labetalol No 100 mg twice daily 200–1200 mg twice daily Higher affinity for α1 receptor (α1 receptor blockade) than β1 and β2
 Carvedilol Yes 3.125 mg twice daily 3.125–25 mg twice daily β1 selective, ↓selectivity at higher dosesα1 receptor blockade; increases insulin sensitivity; antioxidant properties
 Nebivolol Yes 2.5 mg daily 2.5–10 mg daily Higher β1 selectivity; endothelium‐dependent vasodilation via the L‐arginine/nitric oxide pathway