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Can I take propanolol with low BP?

15 replies

Hannahbt582 · 24/02/2025 09:10

As it says in the title, is it safe to take propanolol with low BP? I have performance related anxiety and I have a big presentation to give soon. I've been prescribed propanolol to take an hour before the presentation but my bp is currently around 100/55 so I'm worried the propanolol will lower it further. My hr is around 75bpm.

Has anyone with low blood pressure taken propanolol for anxiety without any adverse effects?

OP posts:
Sevenamcoffee · 24/02/2025 09:13

When you say ‘soon’ OP, do you have time to ask your GP about it?

Hannahbt582 · 24/02/2025 09:15

@Sevenamcoffee unfortunately not. My presentation is on Thursday and the next available appointment is in 2 weeks! I can't even get a phone appointment

OP posts:
Queenshandbag · 24/02/2025 09:18

I’ve got high blood pressure and take a different beta blocker (bisoprolol) and that lowers my blood pressure a lot. I would have thought it would lower your blood pressure. Have you ever taken beta blockers before? What about a private gp appointment to ask their advice?

Hannahbt582 · 24/02/2025 09:31

I've taken propanolol quite a few times before but my bp was always more normal at around 115/65, but recently its been lower which is why I'm not sure whether or not to take it. I'd be taking 20mg, so not a big dose.
Can't really afford a private appointment at the moment...

OP posts:
ShrubRose · 24/02/2025 13:46

I'm not a doc, but I don't think propranolol lowers your blood pressure that much. I know people who take propranolol + a blood pressure pill. If you're worried could you split the pill in half and only take 10 mg?

Cloudberry24 · 24/02/2025 13:51

I have low BP and take 40 mg slow release propanolol.

Fraggeek · 24/02/2025 13:53

Hi OP

I have always had naturally low BP. I am on Propranolol up to 20mg 3x a day. Personally it has never affected me in anyway other than intended. My BP usually sits at 100 systolic and I was just told not to take it again and to book an appt with my GP if I had any dizziness, weakness or blurry eye sight.

I've been on it several years now.

jellyfishperiwinkle · 24/02/2025 13:54

DD2 had to take it for a bit and has low to normal BP like me and it was fine but seemed to make her slightly drowsy to start with.

I would try it the day before to see how it makes you feel.

AnnaQuayInTheUk · 24/02/2025 14:02

Why don't you ask a pharmacist? They will hopefully be able to advise you

Greenwallpinkwall · 24/02/2025 14:07

If you speak to a pharmacist they should be able to advise you. I’m a nurse and could give you my thoughts but I don’t think it’s appropriate to take medical advise from strangers on the internet!

Alohamora7 · 24/02/2025 14:08

I have low blood pressure and take it daily - surely it wouldn’t have been prescribed to you if it was unsafe?

Hannahbt582 · 25/02/2025 09:23

Thank you all, I will definitely try to speak to a pharmacist today.

@Cloudberry24 @Alohamora7 @Fraggeek can I ask how low your bp is?

OP posts:
Fraggeek · 25/02/2025 09:29

Hannahbt582 · 25/02/2025 09:23

Thank you all, I will definitely try to speak to a pharmacist today.

@Cloudberry24 @Alohamora7 @Fraggeek can I ask how low your bp is?

Mines never anymore than 110/80 on average unless I'm unwell.

Cloudberry24 · 25/02/2025 09:32

Hannahbt582 · 25/02/2025 09:23

Thank you all, I will definitely try to speak to a pharmacist today.

@Cloudberry24 @Alohamora7 @Fraggeek can I ask how low your bp is?

I don’t have a home monitor, but every time I’ve been in hospital overnight the nurses have told me I won’t be allowed home with such low BP (I was) and the two over-50s checks showed low BP - it’s my ‘normal’ but definitely considered low. I’ve taken propanolol on and off for 35 years for anxiety such as before exams or public speaking.

Danny46811 · 12/06/2025 10:57

I know this post is old but I'm in a similar position to Op. I have a few big events coming up where I need to speak in front of 100 people. When this happens, my voice trembles, I shake, go red etc, a complete disaster! Nothing has worked, not even CBT. I've heard about propanolol and I am keen to take it but my BP sits at 100/62 and I worried that taking this might make me feel faint.
Has anyone used thus drug with a similar BP to mine? Just waiting to get an appointment with the GP to discuss further. Thanks

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