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Medications · FAQ

Who should not take propranolol for performance anxiety?

Short answer

Propranolol is generally not suitable for people with asthma, a very slow heartbeat, or certain heart rhythm problems. Low blood pressure and other conditions may also make it unsafe. A licensed physician in your state must review your health history and medicines before deciding whether treatment is appropriate.

Propranolol affects both the heart and the airways. It is generally not suitable for people with asthma because it can narrow the airways and interfere with some rescue inhalers. A very slow heartbeat, certain heart conduction problems, or some serious heart conditions can also make it unsafe.

Tell your physician about low blood pressure, fainting, heart failure, breathing problems, poor circulation, and liver or kidney disease. These conditions may affect whether propranolol is appropriate or how it should be used. Do not decide on your own that a low dose is safe.

Diabetes also needs special attention. Propranolol can hide some warning signs of low blood sugar, such as a fast heartbeat. Your physician may recommend added monitoring or a different treatment.

Share all prescription medicines, over-the-counter products, and supplements. Also mention pregnancy, plans for pregnancy, or breastfeeding. A licensed physician in your state will weigh these details before prescribing. Online access to treatment does not replace this safety review, and approval is not guaranteed.

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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