Mental Health

Propranolol

Generic For Inderal

starting at $19.99

Propranolol is used for the treatment of performance anxiety, public speaking, or other situational events. It is taken as needed, however, it can also be used for other health conditions including high blood pressure, migraine prevention, and specific heart conditions. It is advised to avoid smoking while taking this medication as it may decrease the effectiveness of propranolol.

Used for the treatment of performance anxiety, public speaking, or other situational events

Helps alleviate symptoms associated with performance, including fast heartbeat and tremor

Take 30 to 60 minutes before an event or performance

The typical starting dose is 10 mg to 20 mg, which may be increased based on response

Recommended to take on an empty stomach

Refill

HSA/FSA Eligible

Propranolol

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Propranolol

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am 18 years or older
have not had a hypersensitivity reaction to propranolol, other beta blockers (e.g. metoprolol, carvedilol, bisoprolol, atenolol) or any component of the formulation
do not have a history of the following heart conditions; uncompensated heart failure, cardiogenic shock, severe sinus bradycardia, sick sinus syndrome, or vasospastic angina
do not have second- or third-degree heart block, or significant first-degree heart block
understand that the medication must be gradually discontinued, and I cannot stop taking metoprolol abruptly due to the risk of recurring chest pain (angina pectoris) and heart attack (myocardial infarction)
do not have a history of asthma or COPD
do not have hepatic (liver) impairment, renal (kidney) impairment
understand this medication may mask symptoms of diabetes and overactive thyroid disease
am not pregnant or breastfeeding
have already tried the initial dose (propranolol 10 mg) or have been previously prescribed propranolol 20 mg if selecting propranolol 20 mg
understand this is not a comprehensive list of precautions, risks, side effects, or details about taking this medication
understand that only major drug interactions are listed and have not been reviewed against the other medications, supplements, or herbal products I may be taking unless also filled by TelyRx

understand that TelyRx LLC does not provide medical care and the providers who use TelyRx to provide telehealth services (“Telehealth Providers”) should not replace your primary provider.
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Propranolol Medication Description
Propranolol tablets (Inderal®) are a prescription medication in the class of drugs known as beta-blockers. They are FDA-approved for the treatment of high blood pressure, angina, irregular heart rhythms, and other cardiovascular conditions. In addition to these uses, propranolol is often prescribed off-label for performance anxiety, sometimes called “stage fright.”

When used for performance anxiety, propranolol works by blocking the effects of adrenaline on the body. This reduces physical symptoms of anxiety such as rapid heartbeat, trembling, sweating, and flushing, allowing patients to feel calmer and more in control during stressful situations like public speaking, interviews, or performances. Unlike sedatives, propranolol does not affect mental clarity.

How to Use
- For performance anxiety, propranolol is often prescribed as a single dose taken 30 to 60 minutes before an anxiety-provoking event.
- Doses may vary, but are typically in the range of 10 mg to 40 mg depending on individual response and tolerance.
- Tablets should be swallowed whole with water, with or without food.
Your healthcare provider will determine the most appropriate dose and timing for your specific needs.

Important Notes and Warnings
- Propranolol should not be used in patients with certain heart or lung conditions, including severe asthma, uncontrolled heart failure, or very slow heart rate.
- Common side effects may include fatigue, dizziness, cold hands or feet, or mild stomach upset.
- Serious but less common risks include worsening shortness of breath, severe bradycardia (slow heart rate), or low blood pressure.
- This medication may mask symptoms of low blood sugar in patients with diabetes, particularly the rapid heartbeat normally associated with hypoglycemia.
- Patients should avoid abruptly stopping propranolol, as this can lead to worsening chest pain or heart problems.
Inform your healthcare provider about all medications you are taking, including other blood pressure drugs, antidepressants, or migraine therapies, to prevent interactions.
Propranolol Side Effects

Side effects may include dizziness, upset stomach, diarrhea, or trouble sleeping.
Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only a healthcare provider has the knowledge and training to decide which medicines are right for you. TelyRx does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a limited summary of general information about the medicine’s uses from the patient education materials and is not intended to be comprehensive. This limited summary does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not intended to provide medical advice, diagnosis or treatment and does not replace information you may receive from your healthcare provider. For a more detailed summary of information about the risks and benefits of using this medicine, please review the entire patient education information you receive with the medication.