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How Does Propranolol Help with Anxiety?

Propranolol is a prescription medication that can be used to help manage the physical symptoms of anxiety. Specifically, it is used short-term to help reduce...

propranolol for anxiety dose

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Propranolol is a prescription medication that can be used to help manage the physical symptoms of anxiety. Specifically, it is used short-term to help reduce sensations of rapid heartbeat, restlessness, and shakiness in anxiety. Without further ado, let’s get into this Meds for Less article regarding some commonly asked questions about propranolol for anxiety.

what is the maximum dose of propranolol for anxiety

What Is Propranolol Used For Besides Anxiety?

Propranolol is a prescription drug that can be used in the treatment of anxiety to help reduce some of the physical symptoms like a racing heart, shaking, or sweating. Propranolol can help to decrease your heart rate which means that your heart does not need to work as hard to pump blood to the rest of the body. So aside from anxiety, what is propranolol used for:

  • High blood pressure treatment
  • Prevention of heart problems such as strokes and heart attacks
  • Irregularities in heartbeat such as atrial fibrillation
  • Preventing chest pain
  • Managing symptoms of an overactive thyroid

As you can see, there are many propranolol uses. Thus, the dosage and treatment regime will also vary depending on what condition you are using propranolol for. If you are unsure about this medication or you have any concerns, please speak to your healthcare provider for more information.

How Quickly Does Propranolol Work for Anxiety?

Before we get into your burning questions like “how long does propranolol take to work?”, it is helpful to get a general understanding of what anxiety is. Anxiety disorders are unfortunately a very common problem in this day and age. However, anxiety is actually a natural response to a stressful event. In this case, ‘fight or flight’ hormones like adrenaline are released as it is important for your heart to beat faster and for you to be acutely alert.

The part that is problematic in anxiety disorder is that the state of anxiety is constant even when they are not faced with a stressor or the stressor does not even exist. This feels awful for the person experiencing anxiety and can greatly affect their daily life.

As anxiety disorder is classed as a mental health disorder, what is often underestimated by people who have never experienced it is how intense and scary the physical symptoms can be. Common physical symptoms of anxiety include chest pain, feeling like your heart is racing, sweating, and shaking. Sometimes the fear of episodes of these symptoms leads to more anxiety and the cycle continues. This is where Propranolol comes in. Propranolol is a beta blocker drug that can help block the effects of ‘fight or flight’ hormones like adrenaline to slow down your heart rate and prevent these physical symptoms of anxiety. This can also help to calm you down and reduce levels of anxiety in situations that may spike your anxiety (e.g driving test, public speaking). So how quickly does propranolol work for anxiety? You will likely start to feel the effects of propranolol on anxiety within around one hour of taking the medication.

What Is the Recommended Propranolol Dose for Anxiety?

Generally, it is best to be on the lowest dose that is effective. Starting on 40mg once daily is the recommended propranolol for anxiety dose. This will be monitored and reviewed regularly to assess your response to the medication. If appropriate, the dosage could be increased to 40mg three times every day.

What Is the Maximum Dose of Propranolol for Anxiety in 24 Hours?

So what is the maximum dose of propranolol for anxiety? You should only take propranolol according to your doctor’s instructions so the maximum dose would be the dose that your doctor has put you on. Taking too much could cause serious side effects, please seek medical attention in this case:

  • Dizziness
  • Seizures
  • Your heart beating too slowly
  • Finding it difficult to breathe

The dose of propranolol that can bring about these serious side effects is different for everyone so it is important that you stick to the instructions on your prescription.

How Long Does Propranolol Last After Taking It?

So how long does propranolol last after taking it? Around 8 – 12 hours. Then to ensure the drug is eliminated from your body it may take 15 – 30 hours. Therefore, it is important to stick to the instructions on your prescription on taking propranolol as stopping the medication suddenly can lead to serious side effects.

When Should You Take Propranolol for Best Results?

Follow your doctor’s instructions on when to take propranolol. Otherwise, for the best results it is generally advised that you take propranolol at a similar time every day with or without food. If you are prescribed multiple doses throughout the day, it may be helpful to set up reminders on your phone or plan a time schedule that works for you and allows for an appropriate time gap between doses.

How Safe Is Long-Term Use of Propranolol for Anxiety?

Using propranolol for anxiety treatment is typically a short-term thing (e.g a few months). Your doctor should be reviewing your response to treatment (e.g symptom relief, side effects) regularly so it is best to speak to them about how you have felt taking propranolol. They can then discuss other treatment options and help weigh up the pros and cons of taking propranolol for months to years.

Can You Combine Propranolol with Other Anxiety Medications?

You must tell your doctor if you are taking any other treatment for anxiety (over the counter, herbal remedies) as there is a chance it may interact with propranolol and cause side effects. For example, some medications for treating heart problems or mental health problems can interact with propranolol. Consult a pharmacist or your healthcare provider if you are unsure or worried about interactions in the medications you are taking.

propranolol for anxiety dose

What Side Effects Can Occur with Propranolol for Anxiety?

Much like other medication, taking propranolol for anxiety can bring about side effects. Some more common side effects include:

  • Dizziness
  • Fatigue
  • Cold fingers/toes
  • Nausea or vomiting
  • Diarrhoea
  • Headaches

These are generally mild and should go away with home treatment. However, if they persist, get worse, or start to affect your daily life you should consult your healthcare provider for more information.

There are also some more serious but rare side effects that you should be aware of:

  • Your skin turns yellow, the white part of your eyes turn yellow, or your poo becomes pale
  • You notice a lot more unexplained bruises or you get a prolonged (more than 10 minutes) nosebleed
  • You feel like you cannot breathe
  • You feel like your legs are swelling and you have chest pain
  • You have a severe allergic reaction

Seek prompt medical attention if this happens.

Who Should Avoid Using Propranolol for Anxiety?

Not everyone is suited to taking propranolol for anxiety. If you take any regular medication or you have any long-term health conditions, please tell your doctor before you start propranolol so that they can check it is still safe for you. Some cases where propranolol may not be appropriate include:

  • If you have asthma
  • If you have low blood pressure
  • If you are pregnant or trying to get pregnant
  • If you have diabetes
  • If you have a slow heart rate
  • If you have heart, liver, or kidney problems

FAQ

Is propranolol for anxiety habit-forming or addictive?

Can propranolol help with panic attacks as well as general anxiety?

How does propranolol compare to benzodiazepines for anxiety?

Does propranolol reduce physical or emotional symptoms more?

Can I drink coffee or alcohol while taking propranolol for anxiety?

How often can I safely take propranolol for performance anxiety?

Do you need a prescription for propranolol in the UK?