Propranolol

Situational anxiety (presentations, interviews, exams), essential tremor, migraine prevention, and the physical symptoms of generalised anxiety.

Propranolol blocks beta-adrenergic receptors, preventing adrenaline from driving up heart rate, blood pressure and tremor. It stops the 'fight or flight' physical response without sedation or cognitive impairment. Your hands stop shaking, your heart slows down, your voice steadies.

Adults with physical anxiety symptoms, performance anxiety, essential tremor or migraine. Not suitable if you have asthma (can trigger bronchospasm), very slow heart rate, or uncontrolled heart failure. Use cautiously in diabetes.

Order online and we review your request. A prescriber checks your consultation form for clinical appropriateness and contacts you if anything else is needed. Once approved, your medication is dispensed and delivered to your door.

Tracked: Tracked delivery, arrives tomorrow - Free

When it arrives: Every order is sent tracked. Where this page says in post today, it goes out today. Where it says in post tomorrow, it goes out the next working day. On the rare occasions a medicine is unavailable, we will contact you to talk about timing and alternatives.

We dispense clinically equivalent generic medications where available. Prices shown are for the generic version. If you prefer the branded version, let us know in your order form and we will confirm any price difference.

Propranolol from £20.99 per pack.

Common: fatigue, cold hands and feet, dizziness, bradycardia (slow heart rate), nausea, diarrhoea. Uncommon: sleep disturbances, nightmares (especially propranolol). Rare: bronchospasm, worsening of psoriasis, sexual dysfunction.

Do not use in uncontrolled heart failure, severe bradycardia, sick sinus syndrome, 2nd/3rd degree heart block, severe hypotension, untreated phaeochromocytoma. Use with extreme caution in asthma (beta-blockers can trigger bronchospasm).

Risk of severe bradycardia or heart block with verapamil or diltiazem. Insulin and oral hypoglycaemics: may mask symptoms of hypoglycaemia. Clonidine: do not stop beta-blocker suddenly if also taking clonidine.

Use only if the benefit outweighs the risk. May cause low blood sugar, low heart rate, and low blood pressure in the newborn. Labetalol is generally preferred for hypertension in pregnancy. Present in breast milk - monitor infant for bradycardia.

For situational anxiety: take 10--40mg about 30--60 minutes before the event. For ongoing use: take regularly as directed. Can cause cold hands and feet, tiredness and sleep disturbance. Don't stop suddenly after regular use. Not addictive.