Chronic Conditions

Propranolol

Generic For Inderal

starting at $24.99

Propranolol is used for the treatment of high blood pressure, performance anxiety, 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 prevention of migraine headaches when taken daily

Trial for prevention should be at least 2 to 3 months to determine effectiveness

The typical starting dose is 40 mg to 80 mg per day in 1 to 4 divided doses

May lower blood pressure

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
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.
understand that the Telehealth Providers are not able to: (1) monitor ongoing health or lab values for side effects or efficacy, (2) observe how you (or your pet) tolerate any prescribed treatment, or (3) determine if the prescribed treatment is working as intended and assume any risks associated with this modality of care and waive any claim I may have in the future against TelyRx and/or the Telehealth Providers.
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Propranolol Medication Description
Propranolol tablets (Inderal®) are a prescription medication in the class of drugs known as beta-blockers. While FDA-approved for the treatment of high blood pressure, angina, and certain heart rhythm disorders, propranolol is also commonly prescribed off-label for migraine prevention.

For migraine management, propranolol helps reduce the frequency and severity of migraine attacks by blocking beta-adrenergic receptors in the body. This action reduces the effects of adrenaline, leading to steadier blood vessel tone and a calmer cardiovascular response, which can play a role in decreasing migraine triggers. Propranolol is not used to treat a migraine once it has started, but rather to lower the likelihood of future episodes.

How to Use
- For migraine prevention, propranolol is typically prescribed as a daily medication.
- Starting doses are often in the range of 40 mg taken 2 to 3 times daily, with adjustments made by a healthcare provider based on response and tolerability.
- Extended-release formulations may be prescribed once daily instead of multiple doses.
- Tablets should be swallowed whole with water, with or without food.
- It may take several weeks of consistent use to notice a reduction in migraine frequency.
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, sleep disturbances, or cold hands and feet.
- Serious risks include low blood pressure, severe bradycardia, or worsening breathing problems in patients with asthma.
- Patients with diabetes should be aware that propranolol may mask symptoms of low blood sugar (such as rapid heartbeat).
- This medication should not be stopped suddenly, as abrupt discontinuation may worsen chest pain or heart problems.
Inform your healthcare provider about all medications you are taking, especially other blood pressure drugs, antidepressants, or migraine therapies, to avoid drug 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.