Can you take propranolol as needed for anxiety?

Can Propranolol be Taken as Needed? Yes. When used for performance anxiety and social anxiety, propranolol can be taken only when it’s needed. Many people use propranolol as needed before public speaking events, meetings or other stressful, anxiety-inducing situations.

Thereof, When should you not take propranolol?


You should not use propranolol if you are allergic to it, or if you have:

  1. asthma;
  2. very slow heart beats that have caused you to faint; or.
  3. a serious heart condition such as “sick sinus syndrome” or “AV block” (unless you have a pacemaker).

Accordingly, How do I stop taking propranolol for anxiety?

Stopping the use of propranolol

If you want to stop taking propranolol, you should ask your doctor for help. Stopping this medicine quickly, or reducing the dose too much at once, may cause withdrawal symptoms that are dangerous to your heart. These symptoms include: sweating.

Is propranolol like diazepam? Propranolol vs.

Benzodiazepines such as alprazolam (Xanax) and diazepam (Valium) are also commonly used to treat anxiety. Although they might seem similar, beta blockers such as propranolol differ from benzodiazepines in several ways: Propranolol is not physically addictive.

Also know Can beta blockers make anxiety worse?

Side Effects of Beta Blockers

So while some may find temporary relief from their anxiety, others may find their anxiety to be much worse, while others may see no effect. The most common side effects of beta blockers for anxiety include: Nausea. Shortness of Breath.

What can you not take with propranolol?
Taking propranolol with these medications could cause negative interactions:

  • Alpha blockers: Prazosin.
  • Anticholinergics: Scopolamine.
  • Other high blood pressure medications: Clonidine, acebutolol, nebivolol, digoxin, metoprolol.
  • Other heart medications: Quinidine, digoxin, verapamil.
  • Steroid medications: Prednisone.

What time of day should you take propranolol?

Propranolol extended-release capsules should be taken at bedtime (10 pm). This medicine may be taken with or without food. However, you should take it the same way each time.

Can you take propranolol every day?

Propranolol can be used daily for migraine prevention. It’s only approved for prevention and shouldn’t be used to stop a migraine that’s already started. A common starting dose for migraine prevention is 80 mg per day, broken up into smaller, equal size doses throughout the day.

Do beta blockers shorten your life?

A large study published last month in The Journal of the American Medical Association found that beta blockers did not prolong the lives of patients – a revelation that must have left many cardiologists shaking their heads (JAMA, vol 308, p 1340).

When is the best time to take propranolol?

Propranolol extended-release capsules should be taken at bedtime (10 pm). This medicine may be taken with or without food. However, you should take it the same way each time.

Is diazepam or propranolol better for anxiety?

Though diazepam was in general more effective than propranolol or placebo in relieving anxiety, propranolol was more effective than placebo in patients with somatic anxiety but not in those with psychic anxiety. We suggest that propranolol should be reserved for patients whose anxiety symptoms are mainly somatic.

What does performance anxiety feel like?

A person may develop sweaty hands, a racing pulse, nausea, and a trembling voice. They may feel an overwhelming desire to leave the situation. Performance anxiety is often a self-fulfilling prophecy. The body’s fight-of-flight response can distract a person and affect their performance.

Can you still get palpitations on beta blockers?

Do not stop taking a beta blocker suddenly without consulting your doctor. This is important because when you take a beta blocker regularly, your body becomes used to it. Stopping it suddenly could cause problems such as palpitations, a recurrence of angina pain or a rise in blood pressure.

How much propranolol should I take for performance anxiety?

You can take a 20 to 40 mg dose of propranolol as needed about one hour before a stressful situation. If necessary, you can also combine it with imipramine or alprazolam without adverse effects.

Does propranolol keep you awake?

There are reports of insomnia, awakenings at night and other sleep problems while taking propranolol for hypertension. Several beta blockers are also linked to vivid and unusual dreams.

Can I drink coffee with propranolol?

Caffeine-containing food items and beverages when taken along with propranolol may decrease the effectiveness of the drug. It is better to avoid tea or coffee while taking propranolol.

What is propranolol used for in mental health?

Propranolol has been used for many years to treat high blood pressure and heart disease, and has been found useful in treating

anxiety states

such as social phobia and migraine.



Propranolol for the Treatment of Acute Stress Disorder.

Last Update Posted: March 4, 2008
Last Verified: October 2004

How many hours does propranolol last?

There are a few different ways to take propranolol, but it is mostly taken orally. Extended-release capsules slowly release the drug into the bloodstream over the course of the day. These are usually taken once a day, and the effects last for 24 hours.

What is 10 mg of propranolol used for?

PROPRANOLOL (proe PRAN oh lole) is a beta-blocker. Beta-blockers reduce the workload on the heart and help it to beat more regularly. This medicine is used to treat high blood pressure, to control irregular heart rhythms (arrhythmias) and to relieve chest pain caused by angina.

Can propranolol damage your heart?

Propranolol may cause heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing, an irregular heartbeat, swelling of the face, fingers, feet, or lower legs, or weight gain.

What are the long term side effects of propranolol?


Here are some of the severe and potentially long-term side effects to be aware of when considering or taking propranolol:

  • Hallucinations.
  • Cold hands or feet.
  • Muscle weakness.
  • Muscle cramps.
  • Shortness of breath.
  • Memory loss.
  • Fluid retention.
  • Blood sugar changes.

Why do beta-blockers increase stroke risk?

The most likely explanation for the increase in deaths and stroke among those taking beta blockers was that these patients could go into shock if their blood pressure were too low, a not uncommon complication of surgery, Devereaux said.

Can you still get palpitations on beta-blockers?

Do not stop taking a beta blocker suddenly without consulting your doctor. This is important because when you take a beta blocker regularly, your body becomes used to it. Stopping it suddenly could cause problems such as palpitations, a recurrence of angina pain or a rise in blood pressure.

Do beta-blockers help anxiety?

Beta-blockers can be helpful in managing symptoms for some people with anxiety. It’s been shown as a viable treatment option for short-term anxiety, especially before a stressful event. However, beta-blockers aren’t as useful for long-term treatment.

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