What You Need To Know About Propranolol For Anxiety

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Four trials found mixed effects of propranolol versus other medication in the treatment of panic disorder with or without agoraphobia (Munjack et al., 1985, 1989; Noyes et al., 1984; Ravaris et al., 1991). Three of these four studies (Munjack et al., 1989; Noyes et al., 1984; Ravaris et al., 1991) qualified for formal meta-analyses. Low doses of Propranolol can be used to help treat performance or situational anxiety by reducing physical symptoms including flushing, shaking, sweating, and an elevated heart rate.

Therefore, this trial was judged to have a high risk of selective outcome reporting. Another study found that the calming effects of an atenolol-combination drug on patients prior to medical procedures were significant. Replacing benzodiazepines in these types of high-anxiety situations could mean fewer side effects and reduced risk of addiction.

After one dose, propranolol’s effects can last for six to 12 hours. In its extended-release form, propranolol’s effect can last up to 24 hours. However, it is sometimes also used off-label to reduce the physical symptoms of performance anxiety and stage fright. On the other hand, one meta-analyses indicated some promising results for the use of beta-blocker propranolol in panic disorder, but still found insufficient evidence to support its use for anxiety disorders overall. Doctors typically prescribe propranolol for heart-related issues, but it can also relieve the physical symptoms of anxiety, such as shaking and sweating. The effects are most noticeable between 1 and 4 hours after taking a dose.

The poison control center can also give you advice on what to do if you are unable to seek emergency care right away. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Propranolol blocks stress hormones such as adrenaline and other hormones on the body’s beta source receptors. In other words, it works by blocking the fight or flight response. Evidence suggests that taking propranolol with protein-rich foods increases its bioavailability in the blood by 50%. This is useful when you need to be on alert for a real threat, but it may be harmful when you live in an adrenaline-fueled state long-term.

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If you have taken too much propranolol, you might experience a slow heart rate or abnormal heart rate. If you are allergic to propranolol, there are a variety of symptoms you could experience. The most serious is an anaphylactic reaction during which you throat could over here swell; this reaction is rare. Some people who are allergic to propranolol can get a rash, fever, sore throat, or shortness of breath. If you have had an allergic reaction to another beta-blocker, you may also experience an allergic reaction to propranolol.

That being said, the authors agreed that these promising findings still required further, more robust research. As we mentioned earlier, beta-blockers work by slowing the heart rate and relieving the physical symptoms of anxiety. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.

As we’ve mentioned above, one of the uses of Propranolol (in its 10mg tablet form) is to relieve the physical symptoms of social and situational anxiety. While there are no well-controlled studies that have been done in pregnant women, there have been some deficits reported in active mothers who were on propranolol during pregnancy. If you are on propranolol and become pregnant or are considering starting propranolol during pregnancy, discuss this with your medical provider. Together you can determine if the benefits outweigh the risks in your situation.

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