Beta blocker and anxiety

Beta - blockers such as propranolol may sometimes be used in the management of the physical symptoms of anxiety.

Propranolol in anxiety (1,2,3):

• non - sedative. No dependence or abuse
  
  
• does not help psychological symptoms. High doses may lead to cardiac side effects
  
  
• recommended adult dosing in the UK is 40mg once daily, increased to 40mg three times daily if necessary
  • standard licensed doses (these may need to be individualised according to patient response and disease state - eg, hepatic or renal impairment).
  • unless specifically provided, doses for the elderly are the same as for adults
    
    
• licensed for anxiety with somatic symptoms

Consult the summary of product characteristics before prescribing propranolol.

Reference:

1. South West Yorkshire Partnership NHS Trust. Guidelines for the pharmacological treatment of anxiety (Accessed 8/7/2014)
2. MIMS. GPonline.com (Accessed 8/7/2014)
3. Heaton LJ et al. Propranolol and D-cycloserine as adjunctive medications in reducing dental fear in sedation practice. SAAD Dig. 2010 Jan;26:27-35.