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Propranolol belongs to a group of medicines called beta blockers. It’s used to treat heart problems, help with anxiety and prevent migraines.

If you have a heart problem, you can take propranolol to:

treat high blood pressure
treat conditions that cause an irregular heartbeat (arrhythmia), like atrial fibrillation
help prevent future heart disease, heart attacks and strokes
help prevent chest pain caused by angina

Key facts

Propranolol slows down your heart rate and makes it easier for your heart to pump blood around your body.

It’s usually prescribed for high blood pressure and other heart problems, but it can also help with the physical signs of anxiety, like sweating and shaking.

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. These side effects are usually mild and short-lived. RELATED PRODUCTS

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Get emergency medical help if you have signs of an allergic reaction to propranolol (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Call your doctor at once if you have:

slow or uneven heartbeats;

a light-headed feeling, like you might pass out;

wheezing or trouble breathing;

sudden weakness, vision problems, or loss of coordination (especially in a child with hemangioma that affects the face or head);

cold feeling in your hands and feet;

depression, confusion, hallucinations;

heart problems – swelling, rapid weight gain, feeling short of breath;

low blood sugar – headache, hunger, sweating, irritability, dizziness, fast heart rate, and feeling anxious or shaky; or

low blood sugar in a baby – pale skin, blue or purple skin, sweating, fussiness, crying, not wanting to eat, feeling cold, drowsiness, weak or shallow breathing (breathing may stop for short periods), seizure (convulsions), or loss of consciousness.

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How it works
Propranolol belongs to a class of drugs called beta blockers. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions. Propranolol is a non-selective beta receptor blocking agent. This means it works similarly on the heart, lungs, and other areas of the body. The way that this drug works to lower blood pressure is not clearly understood. It reduces the workload of the heart and blocks the release of a substance called renin from the kidneys. The beta-blocking properties help to control heart rhythm, delay the start of chest pain, prevent migraines, and reduce tremors. It isn’t fully understood how this drug works to treat these problems.