What Drugs Should Not Be Taken With Propranolol?

by | Last updated on January 24, 2024

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What drugs should not be taken with propranolol? A person should not take propranolol with other

beta-blockers, ACE inhibitors, calcium channel blockers, and alpha-blockers

, as the combined effect can lower the heart rate to an unsafe level and could trigger a heart attack.

How good is propranolol for anxiety?

Propranolol

can work very quickly to help relieve situational anxiety symptoms

. It can help to reduce peripheral symptoms such as sweating, tension and tachycardia in as little as half an hour and on some occasions, 20 minutes.

Can I take ibuprofen with propranolol?


People taking propranolol should also avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen

. These drugs may reduce the effects of propranolol.

Should I take propranolol in the morning or at night?

Your very first dose of propranolol may make you feel dizzy, so

take it at bedtime. After that, if you do not feel dizzy, you can take it in the morning

. The main side effects of propranolol are feeling dizzy or tired, cold hands or feet, difficulties sleeping and nightmares.

Can you take caffeine with propranolol?

Propranolol Interactions with Caffeine


Caffeine-containing food items and beverages when taken along with propranolol may decrease the effectiveness of the drug

. It is better to avoid tea or coffee while taking propranolol.

Descriptions. Propranolol is used alone or together with other medicines

to treat high blood pressure (hypertension)

. High blood pressure adds to the workload of the heart and arteries.

Bradycardia with associated hypotension and shock (systolic BP < 80 mm Hg, heart rate

< 60 bpm

) defines severe beta-blocker toxicity.


No interactions were found between propranolol and Vitamin D3

. However, this does not necessarily mean no interactions exist.

There are some conditions in which beta blockers are not recommended. This includes

uncontrolled heart failure, hypotension (low blood pressure), certain problems with the rhythm of your heart, or bradycardia (a very slow heart beat)

.

It may take

30 to 60 minutes

for the physical effects of propranolol, such as reduced shaking or a slower heart rate, to become noticeable. If you’re prescribed propranolol for performance anxiety, your healthcare provider may suggest a specific time to take your medication before specific events.


Using propranolol together with multivitamin with minerals may decrease the effects of propranolol

. Separate the administration times of propranolol and multivitamin with minerals by at least 2 hours.

Blood pressure medications/beta blockers: If you’re taking these medications, talk to your health care provider about the ideal time of day to take them, though as a general rule of thumb,

evening is best

. “Providers may specify to take these in the evening because of side effects that can occur,” Verduzco said.

Stopping propranolol suddenly can cause serious side effects that might include

sweating, shaking, and an irregular heartbeat or chest pain

. Go to your doctor if you want to stop, or if you are having these effects. You might feel sleepy or dizzy in the first few days after taking propranolol.

Beta-blockers are medications used in the treatment of hypertension and heart disease. Coffee and other beverages or foods that are high in caffeine, such as soda, high-energy drinks, tea, and dark chocolate, reduce the efficacy of beta-blockers by counteracting their antiadrenergic effect.


People who take beta blockers can still exercise regularly

and see the cardiovascular benefits of working out. Those who aim for a target heart rate should keep in mind that their new target heart rate may be different while on a beta blocker.

The most likely explanation for the increase in deaths and stroke among those taking beta blockers was that

these patients could go into shock if their blood pressure were too low

, a not uncommon complication of surgery, Devereaux said.

  1. Seek counseling. …
  2. Take medications. …
  3. Use deep breathing. …
  4. Recognize that you’re having a panic attack. …
  5. Close your eyes. …
  6. Practice mindfulness. …
  7. Find a focus object. …
  8. Use muscle relaxation techniques.

Adults—At first,

80 milligrams (mg) once a day

. Your doctor may increase your dose as needed. The dose is usually not more than 320 mg per day. Children—Use and dose must be determined by your doctor.

If you want to stop taking propranolol, you should

ask your doctor for help

. Stopping this medicine quickly, or reducing the dose too much at once, may cause withdrawal symptoms that are dangerous to your heart.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.