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Is it safe to take both Adderall and Propranolol?

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Is it safe to take both Adderall and Propranolol?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 16, 2018
Reviewed AtJune 1, 2023

Patient's Query

Hi doctor,

Is it safe to take both Adderall and Propranolol? I have ADHD and I am taking Adderall. I have been asked to speak about my career, but I get paralyzing stage fear every time I speak in front of a crowd. A psychiatrist prescribed me Propranolol, but this does not seem like a safe combination. It is a kind of like how beta blockers are avoided when people have used cocaine. I spent a year after college as a research assistant in an emergency department. Please help.

Hi,

Welcome to icliniq.com.

We are here to help you. The fear and uncomfortable feel of standing and speaking in front of crowd is due to anxiety only, which can be an independent entity or can be associated with ADHD (attention deficit hyperactivity disorder) itself. Propranolol is going to reduce anxiety, but yes it should be avoided if you have been using cocaine or have any respiratory issue associated. In my opinion the best drug for you would be SSRI (selective serotonin reuptake inhibitor) like Paroxetine which will not interact with Adderall (Amphetamine) or even with your cocaine issue. To help you better provide me more details. Since when are you facing this issue? How often do you use cocaine? How is your sleep? Do you feel problem while doing other works also or just in front of people? Do you feel palpitations during that time? Are you getting any effect with Propranolol? Revert with these details for a better help.

Patient's Query

Hi doctor,

I have never had cocaine in my life. Just, I was trying to explain that my reason for concern was based on job experience. My question is only is it safe to take both Adderall and Propranolol?

Hi,

Welcome back to icliniq.com.

Yes, both drugs can be taken together. They do not have any significant interaction. Propranolol should be avoided in people with lung or heart disease as you must have seen during your emergency posting. The people who take cocaine are at high risk of developing anginal pains and that can get aggravated by the use of Propranolol. As far as your particular question is concerned, yes, you can take both of them together if you do not have any pre-existing asthma or lug disease.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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