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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by t2green01 on July 31, 2006, at 0:44:10
I have anxiety disorder that is severe. Does anybody have a suggestion for a beta blocker?
I take inderal la 60mg but it doesnt seem to make through the day without wearing off. Any suggestions that I could bring up to my Doc.
Mark
Posted by idolamine on July 31, 2006, at 12:17:49
In reply to Beta Blocker Question, posted by t2green01 on July 31, 2006, at 0:44:10
maybe titrating down the beta blocker so you don't have a rebound blood pressure increase, that always happens to me if I take a lot of inderal. I'll get really pissed off.
> I have anxiety disorder that is severe. Does anybody have a suggestion for a beta blocker?
>
>
> I take inderal la 60mg but it doesnt seem to make through the day without wearing off. Any suggestions that I could bring up to my Doc.
>
>
> Mark
Posted by ed_uk on July 31, 2006, at 13:35:03
In reply to Beta Blocker Question, posted by t2green01 on July 31, 2006, at 0:44:10
Hi
>I take inderal la 60mg but it doesnt seem to make through the day without wearing off. Any suggestions that I could bring up to my Doc.
Possibilities......
1. Switch to Inderal LA 120mg
2. Try taking Inderal LA 60mg twice daily (might be expensive)
3. Switch to generic propranolol (not controlled release) and take a small dose several times a day eg. 20mg three times a day - this would probably be very inexpensive
Ed
Posted by SandyWeb on August 1, 2006, at 12:55:53
In reply to Beta Blocker Question, posted by t2green01 on July 31, 2006, at 0:44:10
Hi Mark,
I've been taking Inderal LA 80mg twice daily for about 2 years now. Very inexpensive. I take one when I first begin my day, and the other when I go to bed. It helps to keep my blood pressure and pulse at an even tone, and prevents my heart from being flooded with adrenaline when I get anxious. It works wonders because I would find myself in a panic attack when I could feel my heart beating in my head, chest, back, fingertips....you get it! Lol. Now that doesn't happen. But you have to understand that the beta blockers will only work on the PHYSICAL symptoms of anxiety. You should also advocate to your doc that you want a benzo as well (which works on the PSYCHOLOGICAL symptoms of anxiety).
The beta blockers don't get me out the door and into the world.....only the benzos do that. BUT...the beta blockers help me to be more relaxed at home, knowing that everything is beating and performing at a steady state and I can relax. I haven't had an outright panic attack since I can't remember when!
Good luck with your doctor. Just remember that the Inderal LA works best if taken every 12 hours (that's why I take it when I get up and when I go down for the night *smile*). And a benzo is DEFINATELY required for someone with severe anxiety in order to provide that person with a quality of life that is acceptable to you.
Let us know how it goes!
Hugs,
Sandy
Posted by sdb on August 3, 2006, at 18:37:30
In reply to Re: Beta Blocker Question » t2green01, posted by SandyWeb on August 1, 2006, at 12:55:53
another option could be nadolol (corgard). There are less sideeffects, it is not metabolized by the liver and it lasts for 24 hours. Nadolol is not very effective to lower bloodpressure but it is effective to block adrenaline. It is an unselective betablocker tested and prescribed for longterm use. Nadolol is much less cardiodepressant than propranolol, thus less risk if you're having heart insufficiency. IMO propranolol should not be too easy prescribed by psychiatrists before checking the patients heart condition. There are positive studies for performance anxiety for nadolol. Ask your doc.
sdb
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