Propranolol ( is it good for anxiety ?)

 

Propranolol ( is it good for anxiety ?)

What is Propranolol.


Propranolol is a beta-blocker medication that helps to relieve anxiety symptoms such as sweating and shivering. It merely addresses the physical symptoms of anxiety, not the anxiety itself. 

Propranolol belongs to a class of drugs known as beta blockers. It's used to treat cardiac problems, anxiety, and migraine prevention.


If you have a cardiac condition, propranolol can be used to:

  • high blood pressure treatment
  • Atrial fibrillation, for example, is a condition that causes an irregular heartbeat (arrhythmia).
  • aid in the prevention of heart disease, heart attacks, and strokes in the future
  • Angina is a type of chest pain that is caused by a blockage in the arteries.


If you have too much thyroid hormone in your body, propranolol can help you feel better (thyrotoxicosis).
It's frequently combined with other medications to treat an overactive thyroid.


This medication can only be obtained with a prescription. It comes in the form of tablets, slow-release capsules, or a liquid to consume.  

Propranolol can and cannot be taken by certain people.



Propranolol is safe for most adults and children over the age of 12. However, it is not officially approved for the treatment of high blood pressure in children under the age of 12.

Propranolol is not appropriate for everyone. To ensure your safety, inform your doctor before beginning to take propranolol if you: 

  • Ever been allergic to propranolol or any other medication.
  • Have a slow heart rate or low blood pressure.
  • I'm suffering from heart failure, which is getting worse.
  • Suffer from diabetes.
  • Have liver or kidney issues.
  • Have severe blood circulation problems in your limbs (such as Raynaud's phenomenon), which may cause your fingers and toes to tingle or turn paler or blue than usual.
  • When there is too much acid in your blood, you have metabolic acidosis.
  • Suffer from lung disease or asthma.
  • Are pregnant, trying to conceive, or are breastfeeding .

Propranolol And Anxiety


One of the functions of Propranolol (in its 10mg pill form) is to treat the physical symptoms of social and situational anxiety, as we indicated above.


Physical anxiety symptoms can be reduced with propranolol 10mg tablets, which include:

  • Flushing Sweating
  • Rapid heartbeat
  • Breathing quickly (hyperventilating)
  • Trembling or shaking



The psychological symptoms of anxiety, such as feeling tense, nervous, worried, or a sense of dread, are not treated by propranolol. The lessened physical symptoms from propranolol, on the other hand, often alleviate these psychological issues. 

When it comes to anxiousness, how quickly does Propranolol work?  


Situational anxiety symptoms can be relieved immediately with propranolol. In as little as half an hour, and in some cases as little as 20 minutes, it can help to alleviate peripheral symptoms including perspiration, stress, and tachycardia.

If you're frightened and apprehensive about a stressful scenario, event, or performance, such as a work presentation, an interview, or a test, you should take Propranolol 30 to 60 minutes beforehand.

It may take a few hours for some people to experience the effects of Propranolol, so it's a good idea to test it out first rather than using it for the first time right before a stressful circumstance.  

Is Propranolol effective in the treatment of anxiety?


Propranolol is widely recognised as an excellent anxiety treatment that is generally deemed safe to take for a long period. If you take it for several months or even years, it does not appear to have any long-term negative consequences.


However, there are several circumstances in which Propranolol should not be used, such as if you are pregnant, have certain medical conditions, or are already taking other medications.


It's also a bad idea to combine Propranolol with alcohol. This is due to the fact that both Propranolol and alcohol lower blood pressure.

As a result, your blood pressure may drop dangerously low, causing dizziness, lightheadedness, migraines, and a variety of other symptoms. 

There are some potential side effects to be aware of, as with all medicines.
Side effects, on the other hand, are uncommon and usually mild; many users report only minor or no side effects at all.

The following are some of the most prevalent side effects of propranolol use:

  • Sleeping difficulties
  • Nightmares
  • Cold toes or hands
  • Tiredness
  • Dizziness

It's also worth noting that Propranolol isn't usually prescribed for those who have peripheral vascular disease. This is because beta-blockers have been shown to exacerbate the symptoms of intermittent claudication.

If you have any negative effects while taking Propranolol, you should contact your doctor. 

Important information


Propranolol reduces your heart rate and makes it easier for your heart to circulate blood throughout your body.

It's typically used to treat high blood pressure and other heart problems, but it can also help with physical symptoms of anxiety, such as sweating and shaking.

Because your first dose of propranolol may cause dizziness, take it before going to bed.
If you don't feel dizzy after that, you can take it in the morning.

The most common side effects of propranolol are dizziness or tiredness, cold hands or feet, difficulty sleeping, and nightmares. These side effects are typically mild and transient. 

 

When and how should you take propranolol?



Propranolol is available in two formulations:

Standard release – this releases propranolol into your body quickly, so depending on your dose, you may need to take it several times a day.

Slow release – the medicine is released gradually, so you don't have to take it as frequently; once a day is usually sufficient.

If you take it once a day, your doctor may advise you to take your first dose before bedtime because it can cause dizziness. If you do not feel dizzy after the first dose, take propranolol in the morning.  

IMPORTANT
TAKE THIS MEDICINE ONLY AS DIRECTED BY YOUR DOCTOR. DO NOT TAKE MORE OF IT, DO NOT TAKE IT MORE OFTEN, AND DO NOT TAKE IT FOR A LONGER TIME THAN YOUR DOCTOR ORDERED. YOUR DOSE MAY NEED TO BE CHANGED SEVERAL TIMES IN ORDER TO FIND OUT WHAT WORKS BEST FOR YOU.

PLEASE ASK YOUR DOCTOR FOR MORE INFORMATION - WE ARE MAKING THE INFORMATION MORE CLEAR FOR YOU BUT WE STILL CAN'T BE YOUR DOCTOR.

Dosage and potency

  • Propranolol tablets are available in 10mg, 40mg, 80mg, and 160mg strengths.
  • The slow release capsules come in two strengths: 80mg and 160mg.
  • The liquid is available in 5ml strengths of 5mg, 10mg, 40mg, or 50mg.

The amount you take is determined by the reason you require propranolol. (Source

high blood pressure – a starting dose of 80mg, taken twice a day, is usually recommended. If this dose does not reduce your blood pressure sufficiently, your doctor may increase it to a maximum of 160mg twice a day.

for migraines or angina (chest pain) 40mg, 2 or 3 times per day,This amount can be increased to 120mg to 240mg per day. Your doctor or pharmacist will tell you how to divide the dose throughout the day.

Arrhythmia (irregular heartbeat) – 10mg to 40mg, taken 3 or 4 times per day

Anxiety – 40mg once daily, which can be increased to 40mg three times daily.

Too much thyroid hormone (thyrotoxicosis) – 10mg to 40mg three or four times per day. 

Doses are typically lower for people over the age of 65 or those who have a kidney or liver problem.

If your child is under the age of 12 and requires propranolol, your doctor will usually calculate the appropriate dose based on your child's weight. 

Reminder IMPORTANT
TAKE THIS MEDICINE ONLY AS DIRECTED BY YOUR DOCTOR. DO NOT TAKE MORE OF IT, DO NOT TAKE IT MORE OFTEN, AND DO NOT TAKE IT FOR A LONGER TIME THAN YOUR DOCTOR ORDERED. YOUR DOSE MAY NEED TO BE CHANGED SEVERAL TIMES IN ORDER TO FIND OUT WHAT WORKS BEST FOR YOU. WE STILL ARE NOT YOUR DOCTOR!


Storage


Keep the medication in a tightly sealed container at room temperature, away from heat, moisture, and direct light. Prevent it from freezing.

  • Keep out of children's reach.
  • Do not keep out-of-date or no-longer-needed medications.
  • Inquire with your healthcare provider about how to properly dispose of any medications you no longer require.

If you take too much!


An overdose of propranolol might cause your heart rate to slow and make breathing difficult. It can also make you feel dizzy and shaky.


The amount of propranolol that might cause an overdose varies depending on the individual. 

CONTACT 111 FOR ADVICE NOW IF:

  • You take more than your prescribed dose of propranolol
                      Call 111 or go to 111 online
 

Side effects that are common


More than 1 in 100 persons experience these typical adverse effects. They're usually moderate and only last a few days.


If the adverse effects annoy you or linger longer than a few days, consult your doctor or pharmacist:

Propranolol, like all drugs, can produce negative effects in some people, although many people experience no or moderate side effects.

As your body adjusts to the medication, the side effects usually fade.  

Serious negative Effects



It happens occasionally, but some people who take propranolol experience major side effects.


If you have any of the following symptoms, see a doctor or dial 111 right away.

  • Your eyes turn yellow, your complexion turns yellow (albeit less so on brown or black skin), and you have pale poo or dark urine –These could be symptoms of a liver disease.

  • If you get nosebleeds that last longer than 10 minutes, have unexplained bruises, or bruise more easily than usual, it could be a symptom of low platelet counts in your blood (thrombocytopenia).

Go to 111.nhs.uk or call 111.

Breastfeeding and pregnancy


Pregnancy and propranolol


Propranolol belongs to a family of medicines called beta blockers. Studies have not shown that beta blockers cause birth defects, stillbirth or preterm birth.

Although propranolol is not known to be hazardous during pregnancy, it may have an impact on your baby's growth later on. Consult your doctor or midwife about taking propranolol, as you may require additional scans to monitor your baby's growth.

Talk to your doctor about the benefits and risks of taking propranolol if you're attempting to get pregnant or are already pregnant. Other medications may be more appropriate for use during pregnancy.  

Summary



Propranolol is a beta-blocker, which is a type of prescription-only medication. It's used to treat anxiety as well as a variety of other ailments, such as heart problems and migraines.


Propranolol is available in a variety of strengths, and the dosage you should take will be determined by the health problem you're treating.

Propranolol in low doses can aid with performance or situational anxiety by lowering physical symptoms such as flushing, shaking, sweating, and an accelerated heart rate. Propranolol can cure these symptoms fast (between 30 and 60 minutes) and last for three to four hours.

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References and sources :
https://www.nhs.uk/medicines/propranolol/
https://www.theindependentpharmacy.co.uk/anxiety/guides/propranolol-guide
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/beta-blockers/art-20044522

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