Propranolol (used off-label for performance anxiety)

Product Information:

• Generic name: Propranolol

• Drug class: Beta-blocker

• Uses:

  • Treats high blood pressure (hypertension)

  • Controls heart rate in arrhythmias

  • Prevents migraines

  • Reduces symptoms of anxiety (like rapid heartbeat, tremors)

  • Sometimes used after heart attacks or for certain heart conditions

How to take:

• Usually taken orally, with or without food.

• Swallow tablets whole; do not crush or chew.

• Take at the same time each day for best effect.

• If prescribed for anxiety, doctors may adjust timing based on symptoms.

Dosage:

• Low dose: 10 mg, often 1–3 times daily depending on the condition

• For adults: Dosage can vary widely (10–40 mg 2–3 times daily for high blood pressure or heart issues)

• For migraine prevention: Sometimes 40–80 mg per day, split into two doses

• Important: Only your doctor can determine the exact dose for you.

Warnings:

• Heart problems: If you have asthma, COPD, diabetes, low blood pressure, or heart failure, talk to your doctor first.

• Pregnancy / breastfeeding: Only use if clearly prescribed by a doctor.

• Allergies: Avoid if allergic to propranolol or other beta-blockers.

• Other medications: Can interact with blood pressure meds, antidepressants, diabetes meds, and more.

Side effects:

• Fatigue or tiredness

• Dizziness or lightheadedness

• Cold hands or feet

• Mild nausea