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Common questions
Propranolol
Steady hands, steady voice.
Propranolol · 20 mg
- Calms the physical symptoms
- Take before the moment
- Non-sedating, non-habit-forming
- Provider reviewed, real pricing up front
Find the plan that fits you.
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Purchase type
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Cadence
Strength set by your provider. They confirm the right strength and dose after reviewing your required post-purchase intake.
Payment does not guarantee a prescription. Complete the required pharmacist intake after purchase.
What's included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before your propranolol ships.
Blocks the physical symptoms, not your focus
Propranolol blunts adrenaline's physical effects, like a racing heart, shaking hands, and a trembling voice, without sedating you or clouding your thinking.
Take it before the moment
You take a tablet about an hour before a specific high-stakes event rather than every day.
Non-sedating and non-habit-forming
Propranolol is a beta blocker, not a sedative or benzodiazepine, so it is not habit forming and does not make you drowsy.
An FDA-approved medicine, used off-label
Propranolol is an FDA-approved beta blocker. For situational performance anxiety it is prescribed off-label after a provider reviews your history.
About Propranolol
Propranolol does not sedate you or change your mind; it blocks the physical side of anxiety, the racing heart, shaking hands and trembling voice, by blocking adrenaline's effect on the body. Taken before a specific high-stakes moment. Reviewed by a licensed provider, dispensed by a US-licensed pharmacy.
- Blocks the physical symptoms, not your focus
- Taken before a specific event
- Non-sedating, non-habit-forming
- Provider-reviewed, real pricing up front
Propranolol is a non-selective beta blocker that blunts adrenaline's peripheral effects like heart rate and tremor. Dispensed by a US-licensed pharmacy.
Stress releases adrenaline
Before a high-pressure moment, your body releases adrenaline that speeds your heart and shakes your hands.
Propranolol blocks beta receptors
As a beta blocker, it stops adrenaline from acting on the receptors that drive those physical symptoms.
The physical response settles
Your heart rate and tremor ease, while your mind stays clear.
Propranolol calms the physical signs of performance anxiety. It works on your body's adrenaline response, not on your mood or focus.
How to get it
Today
Answer a few health questions
Share your history, including asthma, heart conditions, and blood pressure, in a short intake.
Next
A provider reviews
A US-licensed provider reviews your intake and decides whether propranolol is right for you.
3 to 5 days
The pharmacy ships
If approved, a US-licensed pharmacy fills your prescription and ships it discreetly in 3 to 5 days.
Ongoing
Adjust with follow-ups
Message your care team any time. Your provider can adjust your dose or timing based on how you respond.
What the research shows
Propranolol is a beta blocker long studied for the physical symptoms of situational performance anxiety, such as tremor and a racing heart. It is FDA approved for heart and blood pressure conditions and is used off-label here for performance anxiety.
Double-blind
In a double-blind trial in performing musicians, beta blockade with propranolol improved performance quality, as judged by expert music critics, compared with placebo.
Brantigan et al., Am J Med 1982
Physical only
In the same trial, propranolol reduced the physical signs of stage fright, such as tremor, without sedating the performers.
Brantigan et al., Am J Med 1982
Propranolol or Benzodiazepines
Two different ways to calm nerves
| Propranolol | Benzodiazepines | |
|---|---|---|
| What it targets | The physical symptoms, like a racing heart | The mental feeling of anxiety |
| Sedation | Non-sedating | Often sedating |
| Habit forming | Not habit forming | Can be habit forming |
| Effect on focus | Keeps your mind clear | Can slow thinking |
| When used | Before a specific event | Before a specific event or ongoing |
| Class | Beta blocker | Sedative |
What to expect
Taken about an hour before the moment. Most people feel the racing heart and shaking settle without feeling drugged or foggy.
- About 1 hour before
You take it
Take a tablet roughly an hour before your high-stakes event, as directed by your provider.
- Within the hour
It takes effect
As it takes hold, your heart rate and tremor begin to settle.
- A few hours
Your window
The calming effect on physical symptoms lasts through a typical event window of several hours.
- After a few uses
Dial in your dose
Your provider can adjust the dose or timing based on how you respond in real situations.
Safety and side effects
Reviewed by a licensed provider. Not for people with asthma or certain heart conditions, and it can mask the warning signs of low blood sugar in people on diabetes medication. Tell your provider about all conditions and medications.
Common
- Fatigue or tiredness
- Cold hands and feet
- Slower heart rate
- Lightheadedness or dizziness
Less common
- Nausea
- Vivid dreams or trouble sleeping
- Feeling faint when standing up
Seek care
- Trouble breathing or wheezing in people with asthma
- Very slow heartbeat, fainting, or worsening heart failure
Not for people with asthma or other reactive airway disease, or with certain heart conditions such as a very slow heart rate, heart block, or uncontrolled heart failure. Do not stop propranolol suddenly, since stopping abruptly can strain your heart. Tell your provider about all heart and lung conditions and all medicines. This is an off-label use for performance anxiety.
Frequently asked questions
Approval is never automatic.
An independent US-licensed clinician reviews every request. If they decide the treatment is not right for you, you get a full refund for the medication.
Prescriptions are filled by a US-licensed pharmacy and shipped free, in discreet packaging, on every plan.
LegitScript-certified · Cert 50087439
Compounded medications are prepared by a US-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. Products are dispensed only after a licensed provider determines they are appropriate. Information here is educational and is not a substitute for medical advice.