Performance anxiety aid

Propranolol for Anxiety

Perhaps you have some important meetings coming up, a speaking engagement, or an interview – Propranolol is a drug sometimes prescribed by doctors to help control the physical symptoms of performance anxiety.

Propranolol

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* Propranolol is not FDA-approved for the treatment of performance anxiety, situational anxiety or other anxiety. Learn more about 'off-label' uses

* Prescription products are subject to healthcare provider approval and require an online consultation with a healthcare provider after checkout who will determine if a…Read more

* Common side effects of propanolol include nausea, diarrhea, constipation, stomach cramps, decreased sex drive, impotence, difficulty having an orgasm, insomnia, or…Read more

* Call your doctor immediately if you have slow or uneven heartbeats, a light-headed feeling like you might passout, wheezing or trouble breathing, shortness of breath,…Read more

How propranolol works

Propranolol is a beta-blocker that can help control the physical symptoms of anxiety. Taken before a stressful event, Propranolol can help ease the performance anxiety during your big event – like a big presentation at work or interview.

LEARN: PROPRANOLOL INFORMATION AND FAQS

A beta-blocker for anxiety

Beta-blockers prevent adrenaline, from making contact with your beta receptors, limiting your body’s physical reactions to anxiety. These reactions can include a racing heartbeat, shaky voice or hands, or sweating. By reducing some of these physical reactions, propranolol can help you feel less anxious.

LEARN: WHAT BETA BLOCKERS ARE AND WHAT THEY DO

* Beta-blockers such as Propranolol are FDA approved to treat high blood pressure, angina and certain other conditions. Treatment for these conditions is not currently offered through hims. Propranolol and other beta-blockers are not specifically approved by the FDA for treatment of anxiety disorders and use of Propranolol for performance anxiety is an ‘off-label use’. Learn more.

Propranolol uses

Propranolol can help some people who struggle from performance anxiety during particularly stressful situations. This can include having to speak in front of an audience, an audition, or an interview. Talk with your doctor about whether Propranolol is right for you.

LEARN: HOW TO MANAGE PERFORMANCE ANXIETY

Buy propranolol pills online

If your doctor prescribes propranolol, Hims sends the dose approved by your doctor. It is typically taken on an as-needed basis in a single dose 30-60 minutes prior to the stressful event, but make sure to follow your doctor’s instructions on dosage and timing.

Play it safe

Consult your doctor about any medications, supplements, or vitamins you may take in case of drug interactions. Additionally, make sure to read all of the important safety information and use our platform to consult with a doctor if you are experiencing side-effects so they can recommend adjustments to your treatment plan.

We’ve got answers

Frequently asked questions about propranolol

how long does it take for propranolol work?

Most people who take propranolol will notice its effects within 30 to 60 minutes of ingestion. Effects will be noticeable for about three to four hours after you take propranolol.

what are the side effects of propranolol?

Like any other medicine, propranolol has side effects that you should be aware of:

chest pain
lightheadedness
slow heartbeat or irregular heartbeat
heart attack
allergic reaction
fever
hair loss
lightheadedness
tiredness
weight gain

If you experience increasing or more serious side effects, such as allergic reaction, difficulty breathing, loss of vision, or heart failure, seek immediate medical attention. If side effects increase or become bothersome day to day, seek medical advice.

who should not take propranolol?

You should not take propranolol without talking to a healthcare professional if you have medical conditions such as:

diabetes
low blood sugar
low blood pressure
a serious heart condition called Sick Sinus Syndrome
heart disease
history of irregular heartbeat or heart rate
other heart problems
kidney disease
hyperthyroidism or another thyroid condition

do I need a prescription to buy propranolol online?

Yes, a prescription is required in order to get propranolol online legally and safely. Hims gives you access to a propranolol prescription online if medically appropriate and we can ship directly to you, no pharmacy trips required.

what drugs interact with propranolol?

Use of the following drugs while taking propranolol may cause an increased risk of adverse side effects and is generally not recommended. Talk to your healthcare professional before using propranolol if you are taking CYP2D6-, CYP2C19, or CYP1A2- inhibitors (ex: Paroxetine, Fluoxetine, Bupropion, Quinidine, Fluvoxamine, Enoxamine, Ciprofloxacin, Ticlopidine, Fluconazole), CYP1A2 or CYP2C19 inducers (ex: Phenytoin and Montelukast), alpha blockers (ex: Prazosin), nonsteroidal anti-inflammatory drugs (ex: ibuprofen), amide anesthetics (ex: lidocaine, bupivacaine, mepivacaine), MAO inhibitors, or tricyclic antidepressants.
Also, check with a healthcare professional before taking propranolol if you are currently taking any of the following: Warfarin, Propafenone, Cholestyramine, Colestipol, Clonidine, Dobutamine, Epinephrine (as propranolol can decrease the effectiveness of epinephrine pens for allergic reaction), Propafenone, Pravastatin, Lovastatin, Zolmitriptan, Rizatriptan, Thioridazine, Diazepam, Theophylline, Diltiazem, Digoxin, Chlorpromazine, Cimetidine, Aluminum hydroxide, Nifedipine, Nisoldipine or Nicardipine. Propranolol interactions with these medications can drastically alter the effectiveness of each, as well as propranolol itself.

If you are interested in a prescription, Hims will match you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product.

Important Safety Information

Propranolol – Patient Safety Information

Propranolol is a beta-blocker medication. Beta-blockers affect the heart, lungs and circulation (blood flow through arteries and veins). Propranolol is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the severity and frequency of migraine headaches.

Doctors may prescribe propranolol to control some of the more physical signs of so called performance anxiety. For example, mild shaking or tremor, racing heartbeat and sweating. The more you have these symptoms, the more anxious you may feel.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF PROPRANOLOL?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Consult your doctor at once if you have:

slow or uneven heartbeats;
a light-headed feeling, like you might pass out;
wheezing or trouble breathing;
shortness of breath (even with mild exertion), swelling, rapid weight gain;
sudden weakness, vision problems, or loss of coordination (especially in a child with hemangioma that affects the face or head);
cold feeling in your hands and feet;
depression, confusion, hallucinations;
liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
low blood sugar--headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery;
low blood sugar in a baby--pale skin, blue or purple skin, sweating, fussiness, crying, not wanting to eat, feeling cold, - drowsiness, weak or shallow breathing (breathing may stop for short periods), seizure (convulsions), or loss of consciousness; or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Common side effects may include:

nausea, vomiting, diarrhea, constipation, stomach cramps;
decreased sex drive, impotence, or difficulty having an orgasm;
sleep problems (insomnia); or
tired feeling.

This is not a complete list of side effects and others may occur. Consult your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

WHAT SHOULD I DISCUSS WITH MY DOCTOR BEFORE TAKING PROPRANOLOL?

You should not use propranolol if you are allergic to it, or if you have:

Asthma; COPD
very slow heart beats that have caused you to faint; or a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker).

To make sure propranolol is safe for you, tell your doctor if you have:

a muscle disorder;
bronchitis, emphysema, or other breathing disorders;
low blood sugar, or diabetes (propranolol can make it harder for you to tell when you have low blood sugar);
slow heartbeats, low blood pressure;
congestive heart failure;
depression;
liver or kidney disease;
a thyroid disorder;
pheochromocytoma (tumor of the adrenal gland); or
problems with circulation (such as Raynaud's syndrome).

It is not known whether propranolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

Propranolol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

HOW SHOULD I TAKE PROPRANOLOL?

If you are taking propranolol for performance anxiety please take 1 tablet 30-60 minutes prior to the event or situation. Do not take more than 2 tablets in a 24 hour period.

Do not take this medicine in larger or smaller amounts or for longer than recommended.

Adults may take propranolol with or without food, but take it the same way each time.

If you need surgery, tell the surgeon ahead of time that you are using propranolol. You may need to stop using the medicine for a short time.

This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using propranolol.

Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

WHAT HAPPENS IF I OVERDOSE?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include slow or uneven heartbeats, dizziness, weakness, or fainting.

WHAT OTHER DRUGS WILL AFFECT PROPRANOLOL?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with propranolol, especially:

a blood thinner--warfarin, Coumadin, Jantoven;
an antidepressant--amitriptyline, clomipramine, desipramine, imipramine, and others;
drugs to treat high blood pressure or a prostate disorder--doxazosin, prazosin, terazosin;
heart or blood pressure medicine--amiodarone, diltiazem, propafenone, quinidine, verapamil, and others;
NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen(Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; or
steroid medicine--prednisone and others.
This list is not complete. Other drugs may interact with propranolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

REMEMBER, KEEP THIS AND ALL OTHER MEDICINES OUT OF THE REACH OF CHILDREN, NEVER SHARE YOUR MEDICINES WITH OTHERS, AND USE THIS MEDICATION ONLY FOR THE INDICATION PRESCRIBED.