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May reduce some peripheral symptoms of anxiety, such as tachycardia andDosages Recommended By Investigators. You can take a 20 to 40 mg dose of propranolol as needed about one hour before a stressful situation. Does anyone take propranolol for anxiety and panic attacks? Antidepressants increase it to the point where I'm in such a state I almost pass out from hypervenitlating. I've heard propranolol is good for this, and is effective. Propranolol is a non-selective beta-blocker that prevents adrenaline from binding to various beta receptor sites found in the heart, lungs and certain parts of the autonomic nervous system. By blocking the effects of adrenaline on these receptors, the autonomic (physical) symptoms of anxiety/panic are typically reduced. The degree of reduction depends upon the dosage, and if the drug is well-tolerated. Propranolol has no effect on perception or the thought process - its only potential advantage is to block the physical manifestations of panic. If you have many physical features accompanying your A/P, Propranolol would likely serve as a useful adjunct to either an antidepressant or anxiolytic. Beta blockers can be helpful in the treatment of the physical symptoms of anxiety, especially social anxiety. Physicians prescribe them to control rapid heartbeat, shaking, trembling, and blushing in anxious situations for several hours. Often social anxiety symptoms are so strong that beta blockers, while helpful, cannot reduce enough of the symptoms to provide relief. Because they can lower blood pressure and slow heart rate, people diagnosed with low blood pressure or heart conditions may not be able to take them. May reduce some peripheral symptoms of anxiety, such as tachycardia and sweating, and general tension, can help control symptoms of stage fright and public-speaking fears, has few side effects. Taken occasionally, propranolol has almost no side effects. Atenolol is longer acting than propranolol and generally has fewer side effects. If taken daily, abrupt withdrawal can cause very high blood pressure. If there is no response, increase to two 50 mg tablets, taken together or divided. Not recommended for patients with asthma or any other respiratory illness that causes wheezing, or for patients with diabetes. Some people may feel a little light-headed, sleepy, short-term memory loss, unusually slow pulse, lethargy, insomnia, diarrhea, cold hands and feet, numbness and/or tingling of fingers and toes. It has less of a tendency to produce wheezing than other beta blockers. Use alcohol with caution, since alcohol can increase the sedative effect and exaggerate this drug's ability to lower blood pressure. After two weeks of 100 mg the patient should notice a marked decrease in the racing heart, trembling, blushing, and/or sweating in social situations. 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