Can I use propranolol for performance anxiety while pregnant or breastfeeding?

Pregnancy and breastfeeding can change the balance of benefits and risks for propranolol. An occasional prescription for performance anxiety needs its own review. Advice for someone taking propranolol for a heart condition may not apply to your situation.

During pregnancy, propranolol may affect fetal growth. Use near delivery may also affect a newborn's heart rate or blood sugar. Your physician and pregnancy care team can decide whether treatment is appropriate and whether extra monitoring is needed. Let them know your dose and how often you take it.

Propranolol passes into breast milk in small amounts. Your physician should consider the baby's age, whether the baby was born early, and any health concerns. Ask whether you should watch for feeding changes, unusual sleepiness, or other symptoms.

If you become pregnant while taking propranolol, contact your prescribing physician. Do not abruptly stop regular use without guidance. For performance anxiety, ask about non-drug options such as therapy or skills practice as part of your care plan. Results vary.