what is it?

Propranolol is a Beta-blocker. This is a class of medication that is typically used to treat issues like high blood pressure, heart failure, or an irregular heartbeat. Doctors also sometimes prescribe beta-blockers for off-label use in treating the physical symptoms of performance anxiety. treatment for issues like high blood pressure, heart failure and irregular heartbeat is not currently offered through the hims platform, and propranolol is only available through the platform in cases where a physician using platform has determined it is medically appropriate for an individual to treat performance anxiety.

Beta-blockers won’t treat the underlying psychological causes of anxiety, but they can help manage some of the physical symptoms, such as: a fast heart rate, shaky voice and hands, sweating, dizziness.

what's in it?

Active Ingredients:

propranolol hydrochloride

Inactive Ingredients:

anhydrous lactose, colloidal silicon dioxide, croscarmellose sodium, D&C Yellow No. 10, magnesium stearate, microcrystalline cellulose and stearic acid, FD&C Blue No. 1

i placed an order, how does this work?

Since this treatment is a prescription medication, after you place your requested order you will be prompted to complete a medical assessment and complete an online visit with a doctor. The doctor will determine if a prescription for Propranolol is appropriate. You can find more info about the independent doctors accessible through our platform and care delivery here.

who can take this medication?

Consultations and prescriptions for this medication are only available through the hims platform for This medication is recommended for men and women aged 18 and up.

how do I take it?

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

This medicine should come with a Medication Guide. It is very important that you read and understand this information. Be sure to ask your doctor about anything you do not understand.

how soon can I expect to see results?

Physicians typically recommend that the prescribed dosage of Propranolol be taken approximately 30-60 minutes prior to the stressful event, but follow the instructions of your doctor.

what are the potential side-effects?

Beta-blockers can cause some side effects, especially when you first start taking them. These side effects are more common if you take Beta Blockers every day. physicians only recommend taking a Beta Blocker only “as needed” and do NOT advise daily use for performance anxiety.

Possible side effects include:

  • fatigue
  • cold hands and feet
  • headache
  • dizziness or lightheadedness
  • depression
  • shortness of breath
  • vomiting, diarrhea, or constipation

Call your doctor if you experience any more serious side effects, including:

  • very slow or irregular heartbeat
  • low blood sugar
  • an asthma attack
  • swelling and fluid retention, along with weight gain

If you notice mild side effects, don’t stop taking the beta-blocker without talking to your doctor first. If you take beta-blockers regularly, you may have serious withdrawal symptoms if you suddenly stop.

For some people, the side effects of beta-blockers may actually cause anxiety symptoms. You should follow up with your doctor as soon as possible if you feel like taking beta-blockers is increasing your anxiety.

who shouldn't take beta blockers?

While beta-blockers are generally safe, certain people shouldn’t take them.
Before taking beta-blockers, make sure to tell your doctor if you have one or more of the following conditions;

  • Anaphylactic reaction/Anaphylaxis (severe)
  • Angina (severe chest pain)
  • Glaucoma
  • Recent heart attack
  • Muscle problems (eg, myopathy, myotonia or myasthenia gravis)
  • Asthma or Bronchospasm
  • Bradycardia (slow heartbeat), Heart block/heart rhythm disorder, Sick sinus syndrome (type of abnormal heart rhythm), Tachycardia (fast heartbeat)
  • Wolff-Parkinson-White syndrome (rare heart condition)
  • Heart failure
  • Tremors due to Parkinson's disease
  • Hypotension (low blood pressure)
  • Pheochromocytoma (an adrenal problem)
  • Diabetes
  • Hypoglycemia (low blood sugar)
  • Hyperthyroidism (overactive thyroid)
  • Kidney disease
  • Liver disease
  • Lung disease (eg, chronic bronchitis, emphysema, COPD)
  • Blood circulation problems (e.g., Raynaud's disease)

If you have any of these conditions or symptoms, you may still be able to take beta-blockers, but you’ll need to work with your doctor to weigh the risks and benefits.

Beta-blockers can also interact with other medications used to treat many heart conditions and antidepressants, so make sure you keep your doctor up to date about any medications, supplements, or vitamins you take.

If you are not sure about taking propranolol with another medication please discuss this with your doctor.


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

breastfeeding and pregnancy

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

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