Meet the Other Phone. Only the apps you allow.

Meet the Other Phone.
Only the apps you allow.

Buy now

Please or to access all these features

General health

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

cardio exercise on beta blockers

5 replies

damsondamsel · 14/01/2026 12:27

I take 160mg of Propranolol at the moment (two tablets twice daily) for migraine prevention. No heart issues.

I've started doing a 15min cardio workout everyday. I'm worried that my heart isn't benefitting from the exercise because my heart rate doesn't go up very much, even if I exercise before I take the pills.

In terms of energy levels, I feel fine after the work out and often feel like I could do a bit more. But I also feel slightly dizzy, as though my blood pressure has dropped, which obviously stops me.

Can anyone with knowledge/experience of this tell me whether cardio is still beneficial for me? Will it still strengthen my heart? Is there much point to it or am I just stressing my body out?

I will discuss with my doctor at my next appointment but would ideally like to keep working out until then.

OP posts:
SillySauageSenior · 14/01/2026 20:38

Can't help, but I'm following as I had the same conversation with my doctor just last week (after being prescribed propranolol for headaches too) - he couldn't really give me an answer.

It doesnt feel right that I'm taking tablets designed to slow my heart rate, but at the same time pushing myself to increase my heart rate... the heart will surely be under extra strain with the mixed signals?!

bumptybum · 14/01/2026 20:56

I know it’s a bit of a cop out but ask ai. It’s kind of hard to explain.

the long and the short of it, yes it’s still benefits. You probably will have to go slower or less intense.

SillySauageSenior · 15/01/2026 03:20

Thanks @bumptybumI forget AI exists for things like this 🤭

Short answer: propranolol plus intense cardio is a combo that needs caution, not bravado.

Here’s the clear, no-drama breakdown.

What propranolol does 🫀
Propranolol is a beta-blocker. It slows your heart rate and blunts adrenaline. That’s great for things like anxiety tremors, migraines, blood pressure, or certain heart rhythm issues. It basically tells your heart, “No sprinting, we’re power-walking emotionally.”

What happens during intense cardio
During hard cardio, your body expects your heart rate and blood pressure to rise so muscles get enough oxygen. Propranolol partially blocks that response.

Is it safe?
For many people, yes, but with important caveats.
It does not damage the heart in healthy users. In fact, beta-blockers often protect the heart. The risk isn’t injury, it’s performance limitation and symptom masking.
The main concerns 🚦
Lower max heart rate
You won’t hit typical training zones. Heart-rate-based workouts become unreliable.
Early fatigue
Legs may feel heavy, weak, or oddly tired.
Dizziness or lightheadedness
Especially with sudden intensity or dehydration.
Blunted warning signs

Propranolol can mask symptoms like palpitations or hypoglycemia, which matters if you train very hard or have diabetes.
Cold hands, shortness of breath
Common and annoying, not dangerous, but noticeable.

Does it hurt your heart?
No.
It does not weaken, scar, or “overwork” the heart. If anything, it reduces cardiac strain. The issue is that your exercise ceiling lowers, not that your heart takes damage.

When extra caution is needed ⚠️
Very high-intensity training (HIIT, competitive endurance, CrossFit-style workouts)
Asthma or reactive airway disease (propranolol can worsen breathing)
If it’s prescribed for a heart condition, not anxiety
Practical advice
Use perceived exertion, not heart-rate targets
Warm up longer, cool down properly
Stay hydrated

If you feel faint, stop. Heroics are overrated.

Rummikub · 15/01/2026 04:07

I have a heart issue and I was told by physio to use the Borg scale. In a scale of 1-10 you should stay in the middle section. (3-6)

https://www.royalberkshire.nhs.uk/media/uybknz4f/home-exercise-programme_jul24.pdf

WillWalkForSnacks · 15/01/2026 06:42

I can relate, spoke to my GP who suggested focussing on more NEAT day to day and strength training (caveating to judge this on feel rather than heart rate and to not have a big jump from one weight to the next when upping limits).

New posts on this thread. Refresh page