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Medications · FAQ

What does propranolol help with during performance anxiety?

Short answer

Propranolol may reduce physical signs of performance anxiety, such as a racing heart or shaky hands. Results vary. It does not treat anxious thoughts or worry itself. This use is off-label, and a licensed physician in your state must decide whether it is appropriate for you.

Propranolol is a beta-blocker. It blocks some effects of adrenaline, a chemical involved in your body's stress response. This can slow your heart rate and reduce shaking during a stressful event, such as a presentation or audition. Results vary.

It does not directly treat anxious thoughts, fear of judgment, or the reasons you feel anxious. If worry affects daily life or leads you to avoid activities, ask about a broader care plan. Therapy and other treatments may be more appropriate for ongoing anxiety. Results vary.

Using propranolol for performance anxiety is off-label. That means this use is not among the uses approved by the FDA for the drug. Off-label prescribing still requires a medical review and a clear discussion of risks.

A licensed physician in your state will review your symptoms, health history, and current medicines. Propranolol is not suitable for everyone, especially people with asthma or certain heart conditions. Do not use someone else's prescription.

Sources

Written by the Verra clinical team · Medical review pending

General information, not medical advice. If you're in crisis, call or text 988.

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