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Propranolol is classed as a “beta blocker”. Medicines in this category have been used for many years by doctors to treat and prevent many different conditions, including high blood pressure, angina, irregular heartbeat, anxiety, and migraines.

In the management of migraines, propranolol is used as a preventative. This means it’s intended to be taken each day, even if you don’t have a migraine at the time, in order to make it less likely that you will experience a migraine in the future.

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Description

Propranolol is classed as a “beta blocker”. Medicines in this category have been used for many years by doctors to treat and prevent many different conditions, including high blood pressure, angina, irregular heartbeat, anxiety, and migraines.

In the management of migraines, propranolol is used as a preventative. This means it’s intended to be taken each day, even if you don’t have a migraine at the time, in order to make it less likely that you will experience a migraine in the future.

Propranolol works by blocking specific receptors in the heart called beta-adrenergic receptors. This is why it is known as a ‘beta blocker’. When the receptors are blocked, the heart beats more slowly and less forcefully. This is helpful to lower blood pressure for patients who have hypertension (high blood pressure).

Propranolol can also relieve the symptoms of anxiety that are caused by the heart beating fast. Slowing the heartbeat can reduce palpitations and any tremors or trembling.

For migraine sufferers, propranolol is thought to stabilise the blood vessels in the brain to prevent their dilation. This in turn reduces the frequency or migraines.

How to take propranolol- propranolol buy online

It’s important to read the enclosed leaflet carefully before using propranolol tablets or capsules.

Many different strengths and forms of propranolol are available on prescription.

For migraine prevention, two common courses of treatment are to take a 10mg tablet three times a day; or an 80mg modified-release capsule just once a day. The modified-release capsule is simply a slow-release capsule that delivers the medicine to the body gradually throughout the day. This 80mg once-daily approach is the most common for the prevention of migraines.

For situational anxiety, the usual starting dose is to take one 10mg tablet up to three times a day. A single dose of 10mg can be effectively used as a one-off approach to dealing with difficult situations such as an important presentation or meeting. Alternatively, one 40mg tablet, twice a day or one 80mg modified-release capsule taken once a day can also be used.

Both the tablets and the modified-release capsules can be taken with or without food. The capsules are best taken at around the same time each day.

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Propranolol is available in tablets of 10mg, 40mg, 80mg and 160mg. Only 80mg and 160mg are available as sustained release preparations.

When taking propranolol to treat high blood pressure, the starting dose is 80mg twice a day. Each dose may later need to be increased to 160mg.

For migraine, the usual starting dose is 40mg taken two or three times a day. For anxiety, it is recommended to start at 40mg once a day, and this can then be increased to 40mg three times a day if necessary.

Propranolol is commonly prescribed, but some patients will experience side effects. The most common side effects include:

  • Feeling tired
  • Dizziness or feeling lightheaded
  • Getting cold fingers and toes
  • Difficulty sleeping
  • Nightmares
  • Nausea (feeling sick).

These symptoms usually settle within a few days of starting the medication. It is wise to speak to a prescriber or medical professional if the side effects are bothersome or persist for longer.

A small number of people may experience more serious side effects.

  • Shortness of breath or a cough which worsens on exercise could be a sign of heart problems
  • Wheezing, breathlessness or a tight chest could be a sign of lung problems
  • Yellowing of your skin or the whites of your eyes could be a sign of liver problems.

You should tell a health professional straight away if you notice these symptoms or signs.

Very rarely a serious allergic reaction (anaphylaxis) may occur, causing difficulty breathing or swelling inside your mouth. You must call 999 if this occurs.

What are the side effects of propranolol?

Not everybody will experience them, but propranolol can cause side effects.

Side effects that are considered to be common include fatigue, cold extremities, sleep disturbances, and nightmares. Other less common side effects can include dizziness, or stomach upsets such as nausea, vomiting, or diarrhoea. It’s advised that you stop using propranolol and talk to your doctor if you experience any side effects that are persistent or troublesome.

For a full list of potential side effects and all the other important information you need to be aware of, please read the patient information leaflet provided in the pack before starting a course of treatment. The leaflets can also be viewed online here:

  • Propranolol 10mg and 40mg tablets

Online consultations are available through the Pharmacy2U Online Doctor service. Click the ‘start consultation’ button below to start your consultation.

Is propranolol suitable for me?

There are some situations where propranolol, like all medicines, should be used with caution or would not be recommended. This might be the case, for example, in people under 18; people with asthma, COPD, or other breathing problems; diabetes; some heart conditions including heart failure, angina, peripheral vascular disease, or heart rhythm problems; and low blood pressure. It will also apply to people prone to low blood sugar and those who are allergic to any of the active or inactive ingredients.

Please make sure to tell the online doctor if you are taking any other medicines, whether you’ve got them from your doctor via a prescription or purchased from a pharmacy without a prescription. Propranolol can cause problems if taken with certain other medicines, including medicines for heart and circulation conditions (blood pressure medicines, digoxin, and medicines for heart rhythm, other beta-blockers, warfarin, and other anticoagulants) and several others.

If you are pregnant or think you may be pregnant, you should not use propranolol. The same applies if you’re breastfeeding or planning to breastfeed.

If it doesn’t work for you, tell the doctor because they may want to recommend a different treatment that’s better suited to you.

You must be sure to give as many details as possible about your general health in the consultation. This is so that the doctor has all the information required to assess the suitability of propranolol for you.

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