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Online Inderal (Propranolol)

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On this page: Overview FAQ Gov/NIH

Overview

Propranolol, sold under the brand name Inderal, is a non-selective beta-adrenergic blocker used for cardiovascular and neurological indications. Developed in the 1960s, it was one of the first beta-blockers introduced into clinical practice. By blocking beta-1 and beta-2 receptors, Inderal reduces heart rate, myocardial contractility, and peripheral adrenergic activity. It has both cardiac and non-cardiac therapeutic applications.

Uses

Inderal treats hypertension, angina pectoris, arrhythmias, and secondary prevention of myocardial infarction. It also controls tremors, migraine prophylaxis, anxiety-related tachycardia, and certain hyperthyroid symptoms. Off-label, it is occasionally used for stage fright or performance anxiety due to its calming cardiovascular effects.

Dosage & Administration

For hypertension, initial oral dosing is typically 40 mg twice daily, titrated up to 120–240 mg/day in divided doses. For migraine prevention or anxiety, 10–40 mg before stressful events may be effective. Extended-release formulations (Inderal LA) allow once-daily dosing.

Side Effects & Warnings

Common reactions include fatigue, dizziness, bradycardia, and gastrointestinal upset. Severe adverse effects may include heart block, bronchospasm (in asthmatics), and hypotension. Abrupt discontinuation can cause rebound hypertension or angina. Contraindicated in asthma, severe bradycardia, and heart block.

Patient Considerations

Take Inderal consistently at the same times daily. Do not stop suddenly—taper gradually. Monitor heart rate and blood pressure regularly. Avoid in uncontrolled asthma or chronic obstructive pulmonary disease.

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Frequently asked questions

Can Inderal help with anxiety?

Yes, it reduces physical symptoms such as tremor and palpitations associated with anxiety.

: Does Inderal cause weight gain?

Some patients experience minor weight gain due to slowed metabolism.

Is Inderal safe during pregnancy?

It may be used only if clearly needed; discuss risks and benefits with your doctor.

Government / NIH sources

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