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Treat Situational & Performance Anxiety
Feeling anxious in high-pressure situations like presentations, speeches and interviews is a normal human response. However, for some people that aren't used to these situations or have a stronger natural response, may find that the physical effects can stop them from performing their best.
Propranolol is a prescription-only medicine that helps to reduce the physical symptoms of anxiety, such as flushing, shaking, sweating and a high heart rate. It can be taken 30 - 60 minutes before a stressful situation to provide up to 4 hours of symptom relief.
To buy propranolol 10mg tablets, simply fill in our short online consultation and one of our qualified medical team will assess your symptoms to ensure they will be the best treatment for you.
Propranolol 10mg Tablets - Important Information
What does Propranolol do?
Propranolol tablets have many uses, including relief of the symptoms and effects of social & situational anxiety. These include sweating, trembling and a quick heartbeat. The tablets usually take around 20 - 30 minutes to take effect and will last for up to four hours. Propranolol is not known to be addictive and doesn't usually cause significant side effects when taking a 10mg - 40mg dose for situational anxiety. It should only be taken as needed, such as before a speech or presentation.
The correct Propranolol dosage for situational or performance anxiety is one to four tablets at the onset of anxiety (or before an event), up to three times daily. The Independent Pharmacy sells Propranolol tablets to help reduce the physical symptoms of short-term situational anxiety. Higher doses of propranolol are available to reduce the frequency of regular migraines.
How does Propranolol work?
Propranolol is a beta blocker, a category of medicines that were initially developed to treat heart problems. This low dose has a minor but noticeable effect on the heart and blood vessels, preventing the heart from overworking in stressful situations. It also inhibits the effects of the stress hormone norepinephrine, which further helps to combat the physical symptoms of anxiety.
Propranolol helps with the physical symptoms of anxiety, such as tremor, flushing, increased heart rate, and sweating. It is not effective at treating the mental symptoms of anxiety such as worry, and a foggy or blank mind. However, most people find that treating the physical symptoms of anxiety before a stressful situation, such as an exam or presentation, it also helps to relieve the mental symptoms of anxiety as you are less aware of your nerves.
When is Propranolol a suitable option?
Propranolol 10mg tablets will help to reduce the physical symptoms of anxiety including:
- Fast heartbeat
- Fast breathing (hyperventilating)
Propranolol will not treat the psychological symptoms of anxiety, such as:
- Feeling tense or nervous
- Feeling a sense of dread
Propranolol from an online pharmacy is suitable for when you experience anxiety that most people would feel - even if the physical symptoms are more severe. For example, most people experience stress in situations where they are under pressure or have to perform. If these happen every so often and the anxiety caused by these situations doesn't affect your day-to-day life, managing your situation anxiety online would be suitable.
If you find your anxiety is becoming more of a regular occurrence in your normal life, you find that it stops you doing things or means you get less enjoyment from things, it is unlikely propranolol would be the best treatment for you. Where the symptoms are mainly psychological, anxiety is best treated with alternative medicines or talking therapies.
Propranolol vs Atenolol
Propranolol and Atenolol are both beta-blockers and can both be used to lower blood pressure and control heart rate. Atenolol, in particular, is good for regulating heart problems and blood pressure as it only targets the heart – not other areas of the body.
Propranolol can be used for a wider range of ailments, including anxiety, migraines, and tremors. This is because propranolol is also active in the extremities where it helps to prevent tremor, flushing and other physical symptoms of anxiety, whereas atenolol is only active in the heart meaning it is much less effective for the symptoms of anxiety.
Do beta blockers cause muscle pain?
Blurred vision, muscle cramps, rash and fatigue are side effects sometimes associated with taking beta blockers. In addition, abrupt withdrawal from beta blockers can make angina worse – and even cause heart attacks. Always take the medication as advised.
Propranolol 10mg tablets are a very low dose, and as such you are unlikely to experience the side effects listed above whilst taking them.
Non-prescription options for anxiety
There are many over the counter products that you can purchase at your pharmacy. Some include Kalms, Rescue Remedy and even herbal tablets such as St. John's Wort.
Non-medicinal alternatives to treat anxiety
- Stress and relaxation techniques: Relaxation and breathing techniques can produce moderate short-term reduction of anxiety.
- Meditation: Some evidence suggests that meditation can be useful for symptoms of anxiety and depression in adults.
- Ensure you look after yourself: getting enough sleep (8 hours a night), eating a healthy balanced diet, and getting regular exercise can all help to make you feel better.
- Contact a specialist organisation: Talking to experts can help - you can find details of support groups, forums and helplines on the Anxiety Care, Anxiety UK, No More Panic, or No Panic.
- Propranolol 10mg Tablets Patient Information Leaflet: https://www.medicines.org.uk/emc/product/2903/pil
Reading the following warnings carefully will help to ensure you are selecting an appropriate product.
Propranolol is unsuitable for you if:
- You have recently had heart problems or failure
- You have low blood pressure
- You suffer from poor blood circulation
- You have Type 1 diabetes
- You are currently on a fasting diet
- You suffer from asthma or another breathing difficulty
- You regularly have chest pain
- You have high blood pressure caused by a tumour near the kidneys (phaeochromocytoma)
Consult your doctor if you plan on taking Propranolol if:
- You have a history of muscle problems
- You have liver or kidney disease
- You have blood circulation problems
- You have any symptoms of an overactive thyroid gland (hyperthyroidism), including weight loss and increased appetite
- You suffer from intermittent claudication or Raynaud’s disease
- You smoke
Propranolol and other medicines
Speak to a doctor before taking propranolol if you are taking any of the following medicines:
- Verapamil and diltiazem
- Quinidine and amiodarone
- Ergotamine derivatives
- Medicines for diabetes including insulin, lidocaine, propafenone or flecainide
- Digitalis glycosides such as digoxin
- Other medicines used to treat high blood pressure
- Monoamine-oxidase inhibitors (MAOIs)
- Imipramine or fluvoxamine
The above list is not exhaustive. Please read all packaging and the Patient Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.
Propranolol dosage for situational anxiety
If using Propranolol to combat performance anxiety, take 10-40mg, 20-30 minutes ahead of time.
If using Propranolol routinely to combat situational anxiety, start by taking one 10mg tablet three times per day. If necessary, you may increase the dose to four tablets.
Propranolol can be taken either with or without food.
If you do miss a dose, take the tablet as soon as possible, unless it is nearly time for the following dose. If this is the case, skip the first dose and resume your regular routine. Never double your dose to compensate for a skipped tablet.
Find out more in our general Propranolol guide that also discusses Propranolol dosage amounts.
The active ingredients contained in Propranolol 10mg tablets is: Propranolol hydrochloride 10mg
Propranolol 10mg tablets also contain the following inactive ingredients to make up the complete product: Lactose, magnesium stearate, maize starch, stearic acid, hypromellose (E464).
The coating contains: polysorbate, carmoisine (E122), titanium dioxide (E171), iron oxide red (E172), hypromellose (E464)
Side effects of Propranolol
Not everyone will experience side effects when they take Propranolol tablets, however, if you do they can include:
- Cold extremities (these symptoms tend to go away as you continue taking the medicine)
- Raynaud’s syndrome
- Slow or irregular heartbeat.
At this low dose, any side effects will be very mild.
If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.
Propranolol 10mg Tablets reviews
Propranolol 10mg Tablets FAQs
Propranolol is often prescribed for short-term anxiety relief. It can help to reduce peripheral symptoms such as sweating, tension and tachycardia, and is used often to alleviate the social anxiety caused by stage fright and fear of public-speaking. It can be taken as required for situational anxiety symptoms, it does not need to be taken regularly.
Though it has relatively few side effects, the most common include a slowed heart rate, dry eyes, nausea, tiredness, and occasionally a change in sex drive. Side effects with propranolol are less common with the dosages taken to treat anxiety.
Yes – and doing so can even result in severe heart problems. Never exceed the stated dose as prescribed by your doctor or pharmacist. Too much Propranolol can cause light-headedness, blurred vision and even fainting, as it lowers your heart rate and blood pressure.
While it’s one of the go-to drugs for anxiety treatment, older beta-blockers like Propranolol can sometimes cause weight gain because they slightly reduce the body’s ability to burn fat - although this is less likely at the dose used for anxiety treatment. Maintaining a healthy, plant-rich diet and regular exercise regime will help – and bonus: this will help with your anxiety too.
Propranolol lowers your blood pressure. What can happen if you drink while taking beta-blockers is that your blood pressure drops even further, leading to feelings of dizziness and possibly even fainting. People taking beta-blockers should therefore keep their alcohol intake low.