Propranolol is a beta-blocker prescribed for a range of heart and blood vessel conditions. It lowers high blood pressure to help prevent strokes, heart attacks, and kidney problems, reduces chest pain caused by angina, and manages abnormal heart rhythms.

It’s also used to prevent migraines and control certain types of tremors. In some cases, doctors may prescribe it off-label as a treatment for anxiety, including performance anxiety, or to prevent secondary heart attacks.

Propranolol can interact with several medications and supplements, including:

• Antacids containing aluminum
• NSAIDs (like ibuprofen and aspirin)
• Blood pressure medications
• Medications for heart rhythm
• Warfarin
• SSRIs such as fluoxetine
• Anxiety medications, including benzodiazepines like alprazolam

Tell your healthcare provider about all prescription drugs, over-the-counter medications, and supplements you take.

As propranolol is prescription-only, you can obtain a prescription through a licensed healthcare provider, either in person or via a telehealth service like Sesame. Our providers can review your medical history, assess whether propranolol is appropriate, and send a prescription electronically to your local pharmacist. Your provider can also handle refills.

If you’re interested in propranolol specifically for anxiety or other mental health concerns, talk to a Sesame provider. Note that all prescriptions are at the discretion of your doctor.