{"id":50071,"date":"2022-03-28T19:09:23","date_gmt":"2022-03-28T23:09:23","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=50071"},"modified":"2025-10-06T14:15:48","modified_gmt":"2025-10-06T18:15:48","slug":"bystolic-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/bystolic-alternatives\/","title":{"rendered":"Bystolic alternatives: What can I take instead of Bystolic?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#compare-bystolic-alternatives\">Compare Bystolic alternatives<\/a> | <\/span><a href=\"#toprol-xl\"><span style=\"font-weight: 400;\">Toprol XL<\/span><\/a><span style=\"font-weight: 400;\"> | <a href=\"#lotensin\">Lotensin<\/a> | <\/span><a href=\"#diovan\"><span style=\"font-weight: 400;\">Diovan<\/span><\/a><span style=\"font-weight: 400;\"> |\u00a0<a href=\"#hydrochlorothiazide\">Hydrochlorothiazide<\/a> | <a href=\"#norvasc\">Norvasc<\/a> | <a href=\"#natural-alternatives\">Natural alternatives<\/a> | <a href=\"#how-to-switch-meds\">How to switch meds<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Options for <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/blood-pressure-treatment-and-medications\"><span style=\"font-weight: 400;\">hypertension<\/span><\/a><span style=\"font-weight: 400;\"> (high blood pressure or BP) treatment are extensive. Out of all the possibilities, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/bystolic\/what-is\"><span style=\"font-weight: 400;\">Bystolic<\/span><\/a><span style=\"font-weight: 400;\"> (brand name of nebivolol) may be your chosen antihypertensive drug\u2014and for good reason. Bystolic is a member of the <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/beta-blockers\"><span style=\"font-weight: 400;\">beta blocker<\/span><\/a><span style=\"font-weight: 400;\"> class with selective beta receptor action, meaning it has less risk of causing bronchospasm (bronchial tube tightening) compared to other beta blockers. You may be prescribed a beta blocker due to a history of heart disease or myocardial infarction (MI or heart attack). Whatever the reason for taking Bystolic, you may now be considering a change. The <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/bystolic-side-effects\/\"><span style=\"font-weight: 400;\">possible side effects of Bystolic<\/span><\/a><span style=\"font-weight: 400;\"> could be bothering you, or the thought of a better, more affordable option may be enticing. In fact, <\/span><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/HYP.0000000000000065\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">beta blockers like Bystolic are not a preferred first-line option for most people with hypertension anymore<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What can I take in place of Bystolic?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are many medications available to treat hypertension. Bystolic alternatives include other types of beta blockers or other classes of antihypertensives such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ace-inhibitors\/\"><span style=\"font-weight: 400;\">angiotensin-converting enzyme inhibitors (ACE inhibitors)<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/angiotensin-ii-receptor-blockers\"><span style=\"font-weight: 400;\">angiotensin II receptor blocker (ARBs)<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">diuretics<\/span><\/a><span style=\"font-weight: 400;\">. These prescription medications may be more effective for certain individuals due to their different indications, common side effects, and doses.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/bystolic\/dosage\"><b>Bystolic dosage guide<\/b><\/a><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h3 id=\"compare-bystolic-alternatives\"><span class=\"title\">Compare Bystolic alternatives<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Side effects<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Coupons<\/b><\/td>\n<\/tr>\n<tr>\n<td>Bystolic (nebivolol)<\/td>\n<td>Hypertension<\/td>\n<td>Dizziness, bradycardia (slow heartbeat), bronchospasm, electrical heart block, CHF, renal (kidney) impairment, lupus erythematosus, tiredness, lightheadedness<\/td>\n<td>2.5-40 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/bystolic\">Bystolic coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Coreg (carvedilol)<\/td>\n<td>Hypertension, congestive heart failure (CHF) with low ejection fraction (EF or heart squeeze), left ventricular dysfunction after MI<\/td>\n<td>Dizziness, bradycardia, bronchospasm, electrical heart block, CHF, lupus erythematosus, hypotension (low blood pressure), shortness of breath or trouble breathing<\/td>\n<td>3.125-25 mg twice daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/coreg\">Coreg coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Toprol XL (metoprolol extended release)<\/td>\n<td>Hypertension, angina (chest pain), CHF with low EF, migraine prevention (off-label)<\/td>\n<td>Dizziness, bradycardia, bronchospasm, electrical heart block, CHF, lupus erythematosus, shortness of breath, depression<\/td>\n<td>25-400 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/toprol-xl\">Toprol XL coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Zestril (lisinopril)<\/td>\n<td>Hypertension, CHF with low EF, acute MI, migraine prevention (off-label)<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia (high levels of potassium), angioedema (swelling under the skin often in the face)<\/td>\n<td>2.5-40 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/zestril\">Zestril coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Lotensin (benazepril)<\/td>\n<td>Hypertension, heart failure (off-label)<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema<\/td>\n<td>5-40 mg once or twice daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/lotensin\">Lotensin coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Hydrochlorothiazide (HCTZ)<\/td>\n<td>Hypertension, peripheral edema (swelling)<\/td>\n<td>Dizziness, hypotension, hypokalemia (low potassium), hyponatremia (low sodium), hypercalcemia (high calcium), hyperuricemia (high uric acid), sun sensitivity<\/td>\n<td>12.5-50 mg once daily (higher doses up to 200 mg may be used for edema)<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\">Hydrochlorothiazide coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Zestoretic (combination lisinopril\/hydrochlorothiazide)<\/td>\n<td>Hypertension<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema, hypokalemia, hyponatremia, hypercalcemia, hyperuricemia, sun sensitivity<\/td>\n<td>10 mg\/12.5 mg, 20 mg\/12.5 mg, or 20 mg\/25 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/zestoretic\">Zestoretic coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Cozaar (losartan)<\/td>\n<td>Hypertension, diabetic nephropathy, stroke prevention, CHF with low EF (off-label)<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, hyperkalemia, angioedema<\/td>\n<td>25-100 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cozaar\">Cozaar coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Diovan (valsartan)<\/td>\n<td>Hypertension, CHF with low EF, left ventricular dysfunction (reduced heart squeeze) after MI<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, headache, hyperkalemia, angioedema<\/td>\n<td>80-320 mg once daily (or daily dose divided into two doses)<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/diovan\">Diovan coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Avapro (irbesartan)<\/td>\n<td>Hypertension, diabetic nephropathy<\/td>\n<td>Dizziness, hypotension, cough, renal impairment, hyperkalemia, angioedema<\/td>\n<td>75-150 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/avapro\">Avapro coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Norvasc (amlodipine)<\/td>\n<td>Hypertension, coronary artery disease (CAD)<\/td>\n<td>Dizziness, hypotension, peripheral edema, palpitations, flushing, angina<\/td>\n<td>2.5-10 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/norvasc\">Norvasc coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Lotrel (combination amlodipine\/benazepril)<\/td>\n<td>Hypertension<\/td>\n<td>Dizziness, hypotension, cough, peripheral edema, palpitations, flushing, angina, renal impairment, headache, hyperkalemia, angioedema<\/td>\n<td>2.5 mg\/10 mg, 5 mg\/10 mg, 5 mg\/20 mg, 5 mg\/40 mg, 10 mg\/20 mg, or 10 mg\/40 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/lotrel\">Lotrel coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Cardizem CD (diltiazem extended release)<\/td>\n<td>Hypertension, angina<\/td>\n<td>Dizziness, hypotension, peripheral edema, bradycardia, electrical heart block or rhythm abnormality<\/td>\n<td>120-480 mg once daily<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cardizem-cd\">Cardizem CD coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Aldactone (spironolactone)<\/td>\n<td>Hypertension, CHF with low EF, edema, primary hyperaldosteronism (excess aldosterone from adrenal glands), diuretic-induced hypokalemia (off-label), idiopathic hirsutism (unexplained excess hair growth, off-label), acne vulgaris (off-label)<\/td>\n<td>Dizziness, renal impairment, hyperkalemia, breast pain, gynecomastia (male breast enlargement), menstrual irregularity, stomach irritation or ulcer<\/td>\n<td>12.5-100 mg once daily for hypertension (or up to 200-400 mg daily for some indications)<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/aldactone\">Aldactone coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Hydralazine<\/td>\n<td>Hypertension, CHF with low EF (off-label, given with isosorbide dinitrate)<\/td>\n<td>Hypotension, headache, lupus erythematosus tachycardia (fast heart rate), angina, palpitations<\/td>\n<td>10-50 mg four times daily (or up to 100 mg three times daily for CHF with low EF)<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/hydralazine-hcl\">Hydralazine coupons<\/a><\/td>\n<\/tr>\n<tr>\n<td>Cardura (doxazosin)<\/td>\n<td>Hypertension, benign prostatic hypertrophy (BPH, enlarged prostate)<\/td>\n<td>Dizziness, hypotension, headache, palpitations, edema, shortness of breath, blurred vision<\/td>\n<td>1-16 mg once daily (or maximum of 8 mg for BPH)<\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cardura\">Cardura coupons<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400;\">Other alternatives to Bystolic<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tenormin\"><span style=\"font-weight: 400;\">Tenormin (atenolol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lopressor\"><span style=\"font-weight: 400;\">Lopressor (metoprolol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/bisoprolol-fumarate\"><span style=\"font-weight: 400;\">Bisoprolol<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/inderal-la\"><span style=\"font-weight: 400;\">Inderal LA (extended-release propranolol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/coreg-cr\"><span style=\"font-weight: 400;\">Coreg CR (extended-release carvedilol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/labetalol-hcl\"><span style=\"font-weight: 400;\">Trandate (labetalol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ziac\"><span style=\"font-weight: 400;\">Ziac (bisoprolol\/HCTZ)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tenoretic-50\"><span style=\"font-weight: 400;\">Tenoretic (atenolol\/HCTZ)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/altace\"><span style=\"font-weight: 400;\">Altace (ramipril)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/accupril\"><span style=\"font-weight: 400;\">Accupril (quinapril)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/fosinopril-sodium\"><span style=\"font-weight: 400;\">Fosinopril<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/captopril\"><span style=\"font-weight: 400;\">Captopril<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/perindopril-erbumine\"><span style=\"font-weight: 400;\">Perindopril<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/benicar\"><span style=\"font-weight: 400;\">Benicar (olmesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/micardis\"><span style=\"font-weight: 400;\">Micardis (telmisartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/atacand\"><span style=\"font-weight: 400;\">Atacand (candesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tekturna\"><span style=\"font-weight: 400;\">Tekturna (aliskiren)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/chlorthalidone\"><span style=\"font-weight: 400;\">Chlorthalidone<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/calan-sr\"><span style=\"font-weight: 400;\">Calan SR (extended-release verapamil)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/nifedipine-er\"><span style=\"font-weight: 400;\">Nifedical XL (extended-release nifedipine)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/felodipine-er\"><span style=\"font-weight: 400;\">Felodipine XR<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/isradipine\"><span style=\"font-weight: 400;\">Isradipine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lotensin-hct\"><span style=\"font-weight: 400;\">Lotensin HCT (HCTZ\/benazepril)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Capozide (HCTZ\/captopril)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vaseretic\"><span style=\"font-weight: 400;\">Vaseretic (HCTZ\/enalapril)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/accuretic\"><span style=\"font-weight: 400;\">Accuretic (HCTZ\/quinapril)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/fosinopril-sodium-hctz\"><span style=\"font-weight: 400;\">HCTZ\/fosinopril<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/exforge\"><span style=\"font-weight: 400;\">Exforge (amlodipine\/valsartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/azor\"><span style=\"font-weight: 400;\">Azor (amlodipine\/olmesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/telmisartan-amlodipine\"><span style=\"font-weight: 400;\">Twynsta (amlodipine\/telmisartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/benicar-hct\"><span style=\"font-weight: 400;\">Benicar HCT (HCTZ\/olmesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/hyzaar\"><span style=\"font-weight: 400;\">Hyzaar (HCTZ\/losartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/diovan-hct\"><span style=\"font-weight: 400;\">Diovan HCT (HCTZ\/valsartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/micardis-hct\"><span style=\"font-weight: 400;\">Micardis HCT (HCTZ\/telmisartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/avalide\"><span style=\"font-weight: 400;\">Avalide (HCTZ\/irbesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/atacand-hct\"><span style=\"font-weight: 400;\">Atacand (HCTZ\/candesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tekturna-hct\"><span style=\"font-weight: 400;\">Tekturna HCT (HCTZ\/aliskiren)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tribenzor\"><span style=\"font-weight: 400;\">Tribenzor (amlodipine\/HCTZ\/olmesartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/exforge-hct\"><span style=\"font-weight: 400;\">Exforge HCT (amlodipine\/HCTZ\/valsartan)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/clonidine-hcl\"><span style=\"font-weight: 400;\">Catapres (clonidine)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/catapres-tts-1\"><span style=\"font-weight: 400;\">Catapres TTS (clonidine patch)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/methyldopa\"><span style=\"font-weight: 400;\">Methyldopa<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/terazosin-hcl\"><span style=\"font-weight: 400;\">Terazosin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lasix\"><span style=\"font-weight: 400;\">Lasix (furosemide)<\/span><\/a><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Top 5 Bystolic alternatives<\/span><\/h2>\n<h3 id=\"toprol-xl\"><span style=\"font-weight: 400;\">1. Toprol XL (extended-release metoprolol)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The beta blocker class of antihypertensives include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/toprol-xl\/what-is\"><span style=\"font-weight: 400;\">Toprol XL<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tenormin\/what-is\"><span style=\"font-weight: 400;\">Tenormin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/inderal-la\/what-is\"><span style=\"font-weight: 400;\">Inderal LA<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/coreg\/what-is\"><span style=\"font-weight: 400;\">Coreg<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/coreg-cr\/what-is\"><span style=\"font-weight: 400;\">Coreg CR<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/bisoprolol-fumarate\/what-is\"><span style=\"font-weight: 400;\">bisoprolol<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/labetalol-hcl\/what-is\"><span style=\"font-weight: 400;\">Trandate<\/span><\/a><span style=\"font-weight: 400;\">. Among the entire category, their tendency to lower heart rate and create withdrawal symptoms when stopped makes them a second-line option for hypertension in many instances. Exceptions in which they may be chosen first include individuals with a history of a heart attack. These folks might benefit from beta blocker use for blood pressure control. The heart rate-limiting effects can also be helpful for those with <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/atrial-fibrillation-treatment-and-medications\"><span style=\"font-weight: 400;\">atrial fibrillation<\/span><\/a><span style=\"font-weight: 400;\">, an irregular heart rhythm.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like Bystolic, Toprol XL and related alternatives are selective beta blockers that largely avoid the bronchospasm risk associated with other members of the drug class.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A reason to change to Toprol XL from Bystolic could be the additional Food and Drug Administration (FDA) indications for using Toprol XL. Unlike Bystolic, Toprol XL is also indicated for angina and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/congestive-heart-failure-treatment-and-medications\"><span style=\"font-weight: 400;\">CHF<\/span><\/a><span style=\"font-weight: 400;\"> with a low EF, as well as being used <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for migraine prevention. If you have any of these conditions, Toprol XL could be appealing to you.<\/span><\/p>\n<h3 id=\"lotensin\"><span style=\"font-weight: 400;\">2. Lotensin (benazepril)<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/lotensin\/what-is\"><span style=\"font-weight: 400;\">Lotensin<\/span><\/a><span style=\"font-weight: 400;\"> is one of the ACE inhibitors, similar to <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vasotec\"><span style=\"font-weight: 400;\">Vasotec<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/accupril\/what-is\"><span style=\"font-weight: 400;\">quinapril<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/altace\/what-is\"><span style=\"font-weight: 400;\">Altace<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fosinopril-sodium\/what-is\"><span style=\"font-weight: 400;\">fosinopril<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/perindopril-erbumine\/what-is\"><span style=\"font-weight: 400;\">perindopril<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/captopril\/what-is\"><span style=\"font-weight: 400;\">captopril<\/span><\/a><span style=\"font-weight: 400;\">. The class is preferred over beta blockers like Bystolic for hypertension treatment in those with <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">diabetes mellitus<\/span><\/a><span style=\"font-weight: 400;\">, and it is often a first-line choice for others as well.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hypertension frequently requires more than one drug class to control it, so combination agents are commonplace in order to provide multiple treatment mechanisms in one pill. If you need to add another drug class to your regimen for hypertension, <a href=\"https:\/\/www.singlecare.com\/prescription\/benazepril\/dosage\">benazepril<\/a> has multiple combination options, while <a href=\"https:\/\/www.singlecare.com\/prescription\/nebivolol-hcl\/dosage\">nebivolol<\/a>, the active ingredient in Bystolic, has none. Benazepril is manufactured in combination with HCTZ <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lotensin-hct\/what-is\"><span style=\"font-weight: 400;\">(Lotensin HCT)<\/span><\/a><span style=\"font-weight: 400;\"> as well as with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lotrel\/what-is\"><span style=\"font-weight: 400;\">amlodipine (Lotrel)<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"diovan\"><span style=\"font-weight: 400;\">3. Diovan (valsartan)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">ARBs, a drug class that includes <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diovan\/what-is\"><span style=\"font-weight: 400;\">Diovan<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cozaar\/what-is\"><span style=\"font-weight: 400;\">Cozaar<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/benicar\/what-is\"><span style=\"font-weight: 400;\">Benicar<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/avapro\/what-is\"><span style=\"font-weight: 400;\">Avapro<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/atacand\/what-is\"><span style=\"font-weight: 400;\">Atacand<\/span><\/a><span style=\"font-weight: 400;\">, share similar cardiovascular and renal benefits with ACE inhibitors. ARBs are another first-line option for blood pressure management, particularly for most people with diabetes mellitus. The ACE inhibitor and ARB classes do not have the heart rate-lowering effects of beta blockers, so if this is a problem for you with Bystolic, these classes may be a better fit.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike nebivolol, valsartan has combination pill options, including with HCTZ <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/diovan-hct\/what-is\"><span style=\"font-weight: 400;\">(Diovan HCT)<\/span><\/a><span style=\"font-weight: 400;\">, amlodipine <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/exforge\/what-is\"><span style=\"font-weight: 400;\">(Exforge)<\/span><\/a><span style=\"font-weight: 400;\">, and both HCTZ and amlodipine <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/exforge-hct\/what-is\"><span style=\"font-weight: 400;\">(Exforge HCT)<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">Choosing between an ARB like Diovan and an ACE inhibitor like Lotensin could come down to the ARB group\u2019s much lower incidence of cough <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/valsartan-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\">, about 3%, compared to as much as 35% with ACE inhibitors.\u00a0<\/span><\/p>\n<h3 id=\"hydrochlorothiazide\"><span style=\"font-weight: 400;\">4. Hydrochlorothiazide (HCTZ)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you have problems with peripheral edema (swelling in the lower legs), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrochlorothiazide\/what-is\"><span style=\"font-weight: 400;\">HCTZ<\/span><\/a><span style=\"font-weight: 400;\"> may be helpful. It is a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/thiazide-diuretics\"><span style=\"font-weight: 400;\">thiazide diuretic<\/span><\/a><span style=\"font-weight: 400;\">, as is <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/chlorthalidone\/what-is\"><span style=\"font-weight: 400;\">chlorthalidone<\/span><\/a><span style=\"font-weight: 400;\">. The diuretic action may help to eliminate fluid and alleviate the edema. On the contrary, <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2011\/021742s013lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Bystolic can be associated with swelling<\/span><\/a><span style=\"font-weight: 400;\">. The downside of diuretics is the potential for electrolytes disturbances like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-causes-low-potassium\/\"><span style=\"font-weight: 400;\">hypokalemia<\/span><\/a><span style=\"font-weight: 400;\"> and hyponatremia. While HCTZ could avoid the heart rate-lowering effects of Bystolic, you must be aware of the need for blood tests to monitor electrolytes if taking HCTZ.\u00a0<\/span><\/p>\n<h3 id=\"norvasc\"><span style=\"font-weight: 400;\">5. Norvasc (amlodipine)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dihydropyridine <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/calcium-channel-blockers\"><span style=\"font-weight: 400;\">calcium channel blockers<\/span><\/a><span style=\"font-weight: 400;\">, like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/norvasc\/what-is\"><span style=\"font-weight: 400;\">Norvasc<\/span><\/a><span style=\"font-weight: 400;\">, avoid the bradycardia risk of beta blockers, like Bystolic, and non-dihydropyridine calcium channel blockers, like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cardizem-cd\/what-is\"><span style=\"font-weight: 400;\">Cardizem CD<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/calan-sr\/what-is\"><span style=\"font-weight: 400;\">Calan SR<\/span><\/a><span style=\"font-weight: 400;\">. In addition, they have no adverse effects on potassium or renal function tests. Besides Norvasc, the dihydropyridine calcium channel blockers also include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nifedipine-er\/what-is\"><span style=\"font-weight: 400;\">Nifedical XL<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/felodipine-er\/what-is\"><span style=\"font-weight: 400;\">Felodipine XR<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/isradipine\/what-is\"><span style=\"font-weight: 400;\">isradipine<\/span><\/a><span style=\"font-weight: 400;\">. You should note that they all have the potential side effect of peripheral edema.<\/span><\/p>\n<h2 id=\"natural-alternatives\"><span style=\"font-weight: 400;\">Natural alternatives to Bystolic<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Prescription drugs are not the only treatment option for hypertension. Lifestyle changes might be helpful, either along with or instead of prescription or over-the-counter medications, if your healthcare professional approves.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ask for advice on whether studies showing a blood pressure benefit of <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7010165\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">weight loss<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-after-exercise\/\"><span style=\"font-weight: 400;\">exercise<\/span><\/a><span style=\"font-weight: 400;\"> apply to you.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/salt-good-or-bad-for-you\/\"><span style=\"font-weight: 400;\">Salt restriction<\/span><\/a><span style=\"font-weight: 400;\"> might also be recommended.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A more involved diet called the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/high-blood-pressure-diet\/\"><span style=\"font-weight: 400;\">DASH diet<\/span><\/a><span style=\"font-weight: 400;\"> may be of interest. The <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9099655\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dietary Approaches to Stop Hypertension<\/span><\/a><span style=\"font-weight: 400;\"> clinical trial showed that a diet rich in fruits, vegetables, and low-fat dairy products and low in saturated and total fats was effective for lowering blood pressure. The flavonoid content of fruits and vegetables could help to explain the diet\u2019s effect. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28439881\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Flavonoid-rich cocoa<\/span><\/a><span style=\"font-weight: 400;\"> was associated with a small reduction in blood pressure in one study.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood pressure improvement has also been noted with <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26039623\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">potassium<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27402922\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">magnesium<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12172309\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">fish oil<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29153856\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">fiber<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15998749\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">protein<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22492371\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">folate<\/span><\/a><span style=\"font-weight: 400;\"> in limited studies. Supplements often have little proof of efficacy and safety, and each carries its own risks. Likewise, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7554803\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cannabidiol (CBD) has drawn interest, but it has not shown proven effectiveness for hypertension at this point<\/span><\/a><span style=\"font-weight: 400;\">. Get the medical advice of your healthcare provider before trying a vitamin or supplement as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/cbd-drug-interactions\/\"><span style=\"font-weight: 400;\">possible drug interactions<\/span><\/a><span style=\"font-weight: 400;\"> could occur.<\/span><\/li>\n<\/ul>\n<h2 id=\"how-to-switch-meds\"><span style=\"font-weight: 400;\">How to switch to a Bystolic alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Bystolic has some distinct advantages over other categories of blood pressure medications. It is not for everyone, and in most instances of hypertension, Bystolic is not the first choice. Bystolic may not be suitable to take if you have diabetes, as it may hide symptoms of low blood sugar.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are experiencing serious side effects from Bystolic or if you are interested in finding an antihypertensive drug that has other benefits or FDA indications, you should have a conversation with your healthcare professional. A discussion about your alternatives could lead you to a new medicine or help you to understand why Bystolic is the right choice for you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cost may be another factor in deciding to switch from Bystolic. Without insurance, generic Bystolic may cost $170 per 30, 10 mg tablets. Fortunately, you can use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\"> to save nearly $150 on generic Bystolic and up to 80% on other blood pressure medications.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compare Bystolic alternatives | Toprol XL | Lotensin | Diovan |\u00a0Hydrochlorothiazide | Norvasc | Natural alternatives | How to switch meds Options for hypertension (high blood pressure or BP) treatment are extensive. Out of all the possibilities, Bystolic (brand name of nebivolol) may be your chosen antihypertensive drug\u2014and for good reason. Bystolic is a member [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":50280,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[737],"coauthors":[20732],"class_list":["post-50071","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-heart-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top Bystolic alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Toprol XL, Lotensin, Diovan, hydrochlorothiazide, and Norvasc are some Bystolic alternatives. 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