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Propranolol for Anxiety: Uses, Side Effects & Effectiveness

propranolol pills

What is Propranolol?

Propranolol is a beta-blocker that affects the heart and circulation. It is often used for heart conditions like high blood pressure, heart rhythm disorders, and heart failure. However, it is also prescribed for the treatment of anxiety disorders, including social anxiety and performance anxiety.

propranolol for anxiety

How Propranolol for Anxiety Helps

Propranolol blocks the effects of adrenaline. This reduces physical symptoms of anxiety such as rapid heart rate, chest tightness, irregular heartbeats, and shortness of breath. People with generalized anxiety disorder, panic disorder, and situational anxiety may find relief from these symptoms with propranolol tablets or extended-release capsules.

Types of Anxiety Treated with Propranolol

  • Generalized Anxiety Disorder (GAD): Chronic anxiety with excessive worry.
  • Social Anxiety Disorder: Fear of social interactions.
  • Performance Anxiety: Anxiety related to public speaking or performing.
  • Panic Disorder: Episodes of intense fear and racing heart.
  • Post-Traumatic Stress Disorder (PTSD): Anxiety triggered by past trauma.

Propranolol Dosage for Anxiety

The usual dose of propranolol for anxiety varies. A primary care doctor may prescribe 10-40 mg before anxiety-inducing situations. Extended-release capsules provide longer-lasting effects. Dosage time should be discussed with a health care professional.

Common Side Effects of Propranolol

  • Slow heart rate
  • Fatigue
  • Dizziness
  • Nausea
  • Shortness of breath
  • Weight gain
  • Blurred vision
  • Erectile dysfunction
man looking in mirror scared

Severe Side Effects Requiring Medical Attention

  • Chest pain
  • Rapid heart rate
  • Slow heartbeat
  • Fainting
  • Worsening of heart conditions
  • Symptoms of depression or mood changes

Warnings and Precautions

Before taking propranolol, inform your doctor about your medical history, including:

  • Heart issues like heart failure or heart rhythm disorders
  • History of depression
  • Low blood pressure
  • Respiratory problems
  • Diabetes
  • Use of other anti-anxiety medications or antipsychotic medication

Propranolol vs. Other Anxiety Treatments

Propranolol is used for physical anxiety symptoms. However, additional therapy, such as behavioral therapy and regular talk therapy sessions, may improve mental symptoms. Other anxiety treatments include benzodiazepines, antidepressants, and Medication Assisted Treatment.

Insurance Coverage for Propranolol

Health conditions like chronic anxiety disorders may require long-term treatment. Insurance eligibility checker tools can help verify coverage. Blue Cross and other insurance companies may cover the cost of propranolol tablets or propranolol capsules.

person in bed squeezing bed sheet

Propranolol Withdrawal Symptoms

Stopping propranolol suddenly may cause withdrawal symptoms, including:

  • Increased heart rate
  • High blood pressure
  • Chest pain
  • Anxiety symptoms

Consult a psychiatrist or health professional before stopping the medication.

Propranolol and Mental Health Counseling

Mental health counselors and psychiatric services provide expert care for anxiety disorders. Addiction Psychiatry, professional counselors, and primary care doctors often collaborate to develop a cohesive plan for managing anxiety through a clinical approach.

man having anxiety about work

History and Development of Propranolol

James Black developed propranolol in the 1960s. It has been widely studied for heart conditions and anxiety disorders. Clinical guidelines, including NICE guidelines and those from the American Psychiatric Association, support its use in certain cases.

FAQs

1. How fast does propranolol work for anxiety? Propranolol starts working within 30-60 minutes. Extended-release capsules may take longer but last throughout the day.

2. Can propranolol be used daily for anxiety? Some people take propranolol daily, while others use it as needed for situational anxiety. Discuss the best dose with your doctor.

3. Does propranolol affect sex life? Propranolol may cause erectile dysfunction or reduced libido in some people.

4. What happens if I miss a tablet? Take it as soon as you remember, but do not double the next dose. Consult a medical doctor if unsure.

5. Can propranolol be combined with therapy? Yes. Many mental health professionals recommend behavioral therapy or problem-solving strategies alongside propranolol for better results.

Propranolol is a useful medication for managing physical anxiety symptoms. However, it should be taken under the supervision of a health care professional, psychiatrist, or primary care doctor to ensure safe use. Visit SAMSHA or contact us today for more information.

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