Propranolol

Propranolol is a medication of the beta blockers group of drugs. It is used to treat many conditions like high blood pressure, thyrotoxicosis, performance anxiety, essential tremors, capillary angiomas, and atrial fibrillation. It helps reduce the heart's workload, thus helping it beat more regularly.

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I get anxious when my heart rate becomes fast. Is an echocardiogram sufficient to diagnose my heart rate?

Query: Hello doctor, I am a 37-year-old female and have been experiencing episodes of fast heart rate for the past four weeks. It happens suddenly, and my heart rate goes up to 165 beats per minute. I have consulted my doctor twice, but he thinks it is anxiety and gave me the tablet Propranolol 80 mg and a...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Please stay positive as everything will be alright. An electrocardiogram (ECG) and a Holter monitor test are better than an echocardiogram to diagnose dangerous heart arrhythmias. I suggest you undergo a 24 hour Holter monitor test to know about your arrhythmias. You...  Read Full »

What treatment can be had for severe head to toe muscle twitches?

Query: Hello doctor,I have had muscle twitches from head to toe for 12 months. About four weeks ago, my left thumb started twitching involuntarily, and it would not stop even during sleep. This morning, I felt my right thumb start to pain. My blood tests are clear, and so are my MRI of the brain and spine....  Read Full »


Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to icliniq.com. Do you feel any kind of weakness or thinning of the limbs? Do you see the twitching or only feel it? Do you feel any tingling sensations in the limbs? Is there any family history of a similar illness? Are there any thyroid function tests done? Do you have any cramps?...  Read Full »

Can Zoloft and Propranolol be taken together?

Query: Hello doctor, I took Zoloft and Inderal and noticed some interaction. I would like that to be explained to me. Is it safe to take both Propranolol oral and Sertraline oral at the same time? Will Propranolol oral increase the level or effect of Sertraline by altering drug metabolism?  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Zoloft (Sertraline) and Inderal (Propranolol) are metabolized through same pathway in the liver. Zoloft reduces the metabolism of Inderal resulting in higher levels of Inderal in the body. What that means for you is that the dose of Inderal should be reduced...  Read Full »

I have a low resting heart rate. Is it due to taking Propranolol?

Query: Hi doctor, I have been prescribed Norditropin at 0.5 mg every three times a week. My problem is that I have a low resting heart rate, 38-55 when resting, and I noticed the side effects list includes a slow heartbeat. I asked my doctor about this, and he said it was not a problem. Could you give me a...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, it appears that your low heart rate could be because of Propranolol that you are taking for anxiety, as mentioned by you, and not due to Norditropin per say. However, It could be caused by an enhanced effect of ...  Read Full »

How to treat chronic headaches and panic attacks after stopping smoking?

Query: Hello doctor, I have been suffering from headaches for the past 80 days. I smoked four cigarettes every night and two every day early in the morning for 30 days, and then I stopped it with nicotine gum. From the past 160 days, I am suffering from insomnia. Five days after I quit smoking, I started ...  Read Full »


Dr. Ramchandra Lamba

Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Bupropion can worsen the headache. As of now, you can increase the dose of Amitriptyline, Propranolol, and Flunarizine after consulting your treating doctor. Meanwhile, you can use Naproxen or Sumatriptan fo...  Read Full »

My sex drive was low, and my erection is not hard enough for intercourse. What do I do?

Query: Hello doctor, My height is 5 feet, and my weight is 110 kg. I am married with five children, the oldest is 18 years old, and the youngest is 7 years old. Most of my life suffered from panic disorder, anxiety, and stress. Last year was stressful as my sex drive was low, and I had a weak erection. ...  Read Full »


Dr. Thiyagarajan. T

Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. Your symptoms can be due to low testosterone. Based on your reports (attachments removed to protect the patient's identity), you have low total testosterone. Other possible causes are anxiety, Propranolol inta...  Read Full »

Why do I have dryness in my eyes after laser surgery in the eyes?

Query: Hello doctor, I am a 36 year old male. 17 years ago, I began experiencing high levels of anxiety and depression. I was put on Zoloft. After about five years, I was moved to Lexapro as Zoloft was not working. After being on Lexapro for five years, I was moved to Pristiq. After 5 years on Pristiq, ...  Read Full »


Dr. Ramchandra Lamba

Answer: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. It is true that SSRIs (selective serotonin reuptake inhibitor) make the person emotionally blunt when on a long term use. In your case, SSRI (Zoloft and Lexapro) and Pristiq (Desvenlafaxine) are ineffective ...  Read Full »

What is the cause for having fluttering in my chest with shortness of breath?

Query: Hi doctor, I am a 24 year old male weighing 221 lbs. I felt a fluttering in my chest yesterday for the first time, which only lasted for five seconds and I felt short of breath. I got an ECG, x-ray, CBC and HbA1c done today. I am worried about my ECG being abnormal. I am scared that there could be s...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Do not worry because the probability of any serious illness at this age is low. However, these are probably an arrhythmia like atrial fibrillation or PVC (premature ventricular contraction), which are not a serious condition. These can cause all your symptoms and ...  Read Full »

Should I be concerned about my bizarre episode of palpitations?

Query: Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so yo...  Read Full »

After a viral infection, I have tiredness, faint feeling, and weakness. Kindly advise.

Query: Hi doctor, Three weeks ago, I was admitted to hospital with a viral infection and stayed in the hospital for two nights. During viral infection, I woke up early in the morning shaking uncontrollably and my heart rate was 152, so the ambulance took me to the hospital. I was told that I have a viral...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Two points are very important here. They are abnormal heart rhythm and tiredness. Which type of abnormal heart rhythm are they trying to treat with Propranolol? It seems like you have supraventricular tachycardia and the type depends upon the EKG and EP study. Did...  Read Full »

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