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.

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Important Safety Information

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 prescription is appropriate. Take the medication as prescribed.

Common side effects of propanolol include nausea, diarrhea, constipation, stomach cramps, decreased sex drive, impotence, difficulty having an orgasm, insomnia, or feeling tired. Do not take propanolol if you are allergic to it, have asthma, a very slow heart beat that has caused you to faint, a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), liver problems or low blood sugar.

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, swelling, or rapid weight gain, sudden weakness, vision problems, or loss of coordination, cold feeling in your hands and feet, depression, hallucinations or confusion, liver problems (nausea, itching, fatigue, loss of appetite, dark urine, clay-colored stools, jaundice), low blood sugar (headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, feeling jittery), fever, facial swelling, skin pain and rash associated with blistering.

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

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.

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.