Written by Anna Brooks. Disclaimer If you have any medical questions or concerns, please talk to your healthcare provider. Vitals Propranolol is used to treat atrial fibrillation, high blood pressure, migraines, essential tremor, and performance anxiety. This drug can be taken as a tablet or liquid taken by mouth or as an injection usually used in a hospital setting.
Propranolol comes in doses of 10 mg, 20 mg, 40 mg, 60 mg, and 80 mg, as well as an extended-release tablet in higher amounts of mg and mg. Your dosage will depend on your underlying medical condition. Learn more. Related articles. Propranolol for anxiety: does it work? Generalized anxiety disorder: how to diagnose and treat 5 minute read. Metoprolol: different doses for different circumstances 6 minute read.
Propranolol: everything you need to know 12 minute read. Beta blockers: how they're used to treat heart conditions 4 minute read. Propranolol is not recommended if you have asthma, a slow heartbeat bradycardia , Raynaud's syndrome, overt congestive heart failure, or certain heart-rhythm disorders.
In addition, tell your doctor if you have had lung diseases, heart, liver, or kidney disease, diabetes , severe allergies, or thyroid problems. Drug interactions. Tell your doctor about any prescription and nonprescription medication you take, especially cimetidine Tagamet ; medication for migraine headaches , asthma, allergies, colds or pain ; medication for heart disease or high blood pressure; reserpine; and vitamins. Side effects. Report the following reactions to your doctor immediately: a slow, irregular heartbeat, difficulty breathing, a sore throat, unusual weight gain, swelling of the feet or hands, unusual bleeding, or chest pain.
Side effects reported in studies of beta-blockers for performance anxiety include gastrointestinal distress, headaches, insomnia, nightmares, hallucinations, dizziness, lethargy, depression, low blood pressure, and a slowed heart rate. If you're having surgery, tell your doctor or dentist that you use propranolol, which might increase the risks associated with anesthesia.
A slow heart rate, respiratory depression, and low blood sugar have been reported in newborns whose mothers took beta-blockers during pregnancy. Tell your doctor if you're pregnant, plan to become pregnant, or are breast-feeding. Try nondrug approaches. That therapy teaches anxiety management and includes performance practice. You can sharpen your public speaking in workshops given by Toastmasters International. Be evaluated by a doctor before using beta-blockers.
Your doctor should also look for contributing causes of anxiety, such as alcohol withdrawal, thyroid problems, low blood sugar, mental disorders, and the use of stimulating medication or substances, including caffeine and nicotine.
Sample a trial dose before the day of your performance. Bottom line. Many people find beta-blockers to be helpful in managing the physical symptoms of performance anxiety, even though this use is not supported by substantial evidence from well-designed studies.
Behavioral or cognitive therapy in addition to medication for performance anxiety could also be beneficial. Billing info update failed. Most of us have experienced performance anxiety at least once. Unfortunately, as humans, our bodies have not yet adjusted to our modern environment. Reviewed by Dr. Alex Dimitriu Dr. You might also like. How Long Does Propranolol Last? June 27 Propranolol's half-life is between hours, meaning most people are able to get around hours of relief from the physical symptoms of performance anxiety.
What Drugs Interact With Propranolol? June 23 Propranolol, a prescription beta-blocker medication, may potentially interact with other drugs that affect your heart, circulatory system, or blood pressure. Often social anxiety symptoms are so strong that beta blockers, while helpful, cannot reduce enough of the symptoms to provide relief.
Because they can lower blood pressure and slow heart rate, people diagnosed with low blood pressure or heart conditions may not be able to take them.
Not recommended for patients with asthma or any other respiratory illness that causes wheezing, or for patients with diabetes. Possible Benefits.
Used for short-term relief of social anxiety. May reduce some peripheral symptoms of anxiety, such as tachycardia and sweating, and general tension, can help control symptoms of stage fright and public-speaking fears, has few side effects. See disadvantages-Beta-Blockers, above. Consult your physician before taking while pregnant or while breast-feeding. If taking daily, do not stop this drug abruptly.
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