Anxious ahead of a big job interview? Worried about giving a speech? First date nerves?
The solution, some digital start-ups suggest, is a beta blocker, a type of medication that can slow heart rate and lower blood pressure — masking some of the physical symptoms of anxiety.
Typically a trip to the doctor’s office would be necessary to get a prescription, but a number of companies are now connecting patients with doctors for quick virtual visits and shipping the medication to people’s homes.
“No more ‘Shaky and Sweaty,’” one online ad promised. “Easy fast 15 minute intake.”
That worries Dr. Yvette I. Sheline, a professor of psychiatry at the University of Pennsylvania Perelman School of Medicine.
although beta blockers are generally considered safe, experts say they can carry unpleasant side effects and should be used with caution.
Yes beta blockers (especially propranolol) are frequently prescribed for anxiety-related tremors. And then 10 years later use of beta blockers is linked with 2x more Parkinson’s disease. Might be a reverse causality though (as some of these tremors might be unrelated to anxiety but the first early signs of PD).
I’ve used propranolol for shakes. Works well for me. I have a familial tremor and the slightest bit of adrenaline makes me vibrate. Not a very good thing for an actor.
I’ve been using propranolol before public speaking at work for about 15 years. It’s a lifesaver and career saver. Have terrible public speaking anxiety.
I’ve had a concussion for 4 weeks, and after I showed improvement, it just became worse again (slightly nauseous with mild headache)
My doc said we can discuss low dose Propranolol, so I came here looking for potential upsides or downsides…
My only real concern with a lingering concussion is how it might potentially harm my long term brain health (apoe3/4)
Does anyone feel Propranolol might help prevent something… or due to this link with Parkinson’s you mention, perhaps it’s nothing I should use unless I’m only concerned with short term symptom relief… and I don’t actually care about anything short term.
I took my first dose of atenolol today, 25mg. I didn’t get a lot of sleep last night as I was up late but I feel particularly tired. I’m going to try it for a week and if this fatigue remains I’ll ditch daily use and keep what I have on hand maybe for situational events. I think I’ll lower the dose to 12.5mg.