Propranolol
PERFORMANCE ANXIETY

Propranolol

Steady hands. Steady voice. No sedation.

Performance AnxietyPropranolol 20mg — tablets in a bottleMenWomenOff-label use
Starting at$87$87 per month
About

About Propranolol

Propranolol is a non-selective beta-blocker used off-label to treat performance anxiety by controlling the physical symptoms of stress, such as rapid heartbeat, shaking, sweating, and shortness of breath. Unlike anti-anxiety medications that act on mood or sedation, propranolol works peripherally, blocking the body's fight-or-flight response.

Snapshot

The essentials

Strength
20mg
Tablets in a bottle, quantity 90.
Dosing
As needed
Taken situationally rather than on a fixed daily schedule.
Profile
Non-sedating
Does not affect mental alertness or cause drowsiness.
Suggested retail
$87 / month
Per the medication reference document.
How it works

Your protocol, step by step

1

BETA-ADRENERGIC BLOCKADE

Propranolol blocks β1 and β2 adrenergic receptors, reducing the effects of adrenaline and lowering heart rate, blood pressure, and tremors.

2

BLUNTS PHYSICAL SYMPTOMS OF ANXIETY

Prevents symptoms like palpitations, blushing, shaking, and shortness of breath — breaking the feedback loop that amplifies anxiety.

3

CLARITY WITHOUT SEDATION

Because it doesn't affect mental alertness or cause drowsiness, propranolol is suited to situational performance anxiety where focus and composure are essential.

Benefits

What patients look for

Rapid relief of physical anxiety symptoms
Non-sedating and non-habit forming
Effective for public speaking, exams, presentations, auditions, and interviews
Can be taken as needed — no daily dosing required
Long history of safe use in both cardiac and non-cardiac settings
FAQ

Questions, answered

Reported effects include fatigue, lightheadedness, cold hands or feet, and a slowed heart rate. Propranolol is not appropriate for everyone — your clinician will review your cardiac and respiratory history before prescribing.
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