*Propranolol is not FDA-approved for the treatment of performance or other anxiety. Learn more about 'off-label' uses here.
*Prescription products are subject to doctor approval and require an online consultation with a physician after checkout who will determine if a prescription is appropriate.
How it works
Propranolol is a beta-blocker that can help control the physical symptoms of anxiety. Taken before a stressful event, Propranolol can help ease the performance anxiety during your big event – like a big presentation at work or interview.
Beta-blockers prevent adrenaline, from making contact with your beta receptors, limiting your body’s physical reactions to anxiety. These reactions can include a racing heartbeat, shaky voice or hands, or sweating. By reducing some of these physical reactions, Propranolol can help you feel less anxious.
*Beta-blockers such as Propranolol are FDA approved to treat high blood pressure, angina and certain other conditions. Treatment for these conditions is not currently offered through hims. Propranolol and other beta-blockers are not specifically approved by the FDA for treatment of anxiety disorders and use of Propranolol for performance anxiety is an ‘off-label use’.
Is this for me?
Propranolol can help some people who struggle from performance anxiety during particularly stressful situations. This can include having to speak in front of an audience, an audition, or an interview. Talk with your doctor about whether Propranolol is right for you.
What you get
If your doctor prescribes Propranolol, Hims sends 5 pills per month at the dose prescribed by your doctor. It is typically taken on an as-needed basis in a single dose 30-60 minutes prior to the stressful event, but make sure to follow your doctor’s instructions on dosage and timing.
Consult your doctor about any medications, supplements, or vitamins you may take in case of drug interactions. Additionally, make sure to read all of the important safety information and use our platform to consult with a doctor if you are experiencing side-effects so they can recommend adjustments to your treatment plan.
Important Safety Information
Propranolol – Patient Safety Information
Propranolol is a beta-blocker medication. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Propranolol is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the severity and frequency of migraine headaches.
Our physicians may prescribe Propranolol to control some of the more physical signs of so called performance anxiety. For example, mild shaking or tremor, racing heartbeat and sweating. The more you have of these signs, the more anxious you may feel.
WHAT ARE THE POSSIBLE SIDE EFFECTS OF PROPRANOLOL?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
- slow or uneven heartbeats;
- a light-headed feeling, like you might pass out;
- wheezing or trouble breathing;
- shortness of breath (even with mild exertion), swelling, rapid weight gain;
- sudden weakness, vision problems, or loss of coordination (especially in a child with hemangioma that affects the face or head);
- cold feeling in your hands and feet;
- depression, confusion, hallucinations;
- liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
- low blood sugar--headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery;
- low blood sugar in a baby--pale skin, blue or purple skin, sweating, fussiness, crying, not wanting to eat, feeling cold, drowsiness, weak or shallow breathing (breathing may stop for short periods), seizure (convulsions), or loss of consciousness; or
- severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common side effects may include:
- nausea, vomiting, diarrhea, constipation, stomach cramps;
- decreased sex drive, impotence, or difficulty having an orgasm;
- sleep problems (insomnia); or
- tired feeling.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
WHAT SHOULD I DISCUSS WITH MY HEALTHCARE PROVIDER BEFORE TAKING PROPRANOLOL?
You should not use propranolol if you are allergic to it, or if you have:
- very slow heart beats that have caused you to faint; or
- a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker).
To make sure propranolol is safe for you, tell your doctor if you have:
- a muscle disorder;
- bronchitis, emphysema, or other breathing disorders;
- low blood sugar, or diabetes (propranolol can make it harder for you to tell when you have low blood sugar);
- slow heartbeats, low blood pressure;
- congestive heart failure;
- liver or kidney disease;
- a thyroid disorder;
- pheochromocytoma (tumor of the adrenal gland); or
- problems with circulation (such as Raynaud's syndrome).
It is not known whether propranolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.
Propranolol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
HOW SHOULD I TAKE PROPRANOLOL?
Do not take this medicine in larger or smaller amounts or for longer than recommended. Adults may take propranolol with or without food, but take it the same way each time.
If you are taking Propranolol for performance anxiety please take it about 30-60 minutes prior to the event or situation.
If you need surgery, tell the surgeon ahead of time that you are using propranolol. You may need to stop using the medicine for a short time.
This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using propranolol.
Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.
WHAT HAPPENS IF I OVERDOSE?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include slow or uneven heartbeats, dizziness, weakness, or fainting.
WHAT OTHER DRUGS WILL AFFECT PROPRANOLOL?
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with propranolol, especially:
- a blood thinner--warfarin, Coumadin, Jantoven;
- an antidepressant--amitriptyline, clomipramine, desipramine, imipramine, and others;
- drugs to treat high blood pressure or a prostate disorder--doxazosin, prazosin, terazosin;
- heart or blood pressure medicine--amiodarone, diltiazem, propafenone, quinidine, verapamil, and others;
- NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen(Aleve), celecoxib, diclofenac indomethacin, meloxicam, and others; or
- steroid medicine--prednisone and others.
- This list is not complete. Other drugs may interact with propranolol, including prescription and over-the-counter medicines vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
REMEMBER, KEEP THIS AND ALL OTHER MEDICINES OUT OF THE REACH OF CHILDREN, NEVER SHARE YOUR MEDICINES WITH OTHERS, AND USE THIS MEDICATION ONLY FOR THE INDICATION PRESCRIBED.