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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Anxiety, Palpitations. On Inderal 20mg. Now BP Almost Normal. Reduce Dosage To 10mg?

iwas hvng anxiety palpitations gastric trouble I'm 34 yr mother of three kids...was stressed due to my moms illness and my bp got hi wth palpitstions 140/100..doc gave me 40 mg inderal....I'm on that since three months but now I only take 20 mg but my bp is 90/60 morning after 10mg inderal n night 100/66 after 10mg......can I take only 10mg once.....my blood tests are clear but low iron level..... can I take only 10mg once aday or can I wean off easily....
Tue, 11 Jun 2013
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General & Family Physician,  's  Response
Hello,

Thanks for posting on HCM,

Normally dosage of inderal (propanolol) could start from 10mg and climbing. If BP is controlled with this dosage, then you can continue taking that.
My other suggestion is that, you need to see your doctor who can reevaluate you. You might have just developed a transient hypertension which does not make you necessarily hypertensive. The hypertension if due to stress, could have become normal on its own. I usually place my patients on propanol for a few weeks ( average of 10 days) if BP moderate to severe, induced by stress and associated to palpitations. Then I stop the treatment then do monitor my patient for any further BP changes without any medications.
Being on 10mg and having it under control is fine, being without any medication at all and still having it under control is better ( you will just have to monitor from time to time and have good lifestyle changes).

Hope this helps and wish you the best
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Having Anxiety, Palpitations. On Inderal 20mg. Now BP Almost Normal. Reduce Dosage To 10mg?

Hello, Thanks for posting on HCM, Normally dosage of inderal (propanolol) could start from 10mg and climbing. If BP is controlled with this dosage, then you can continue taking that. My other suggestion is that, you need to see your doctor who can reevaluate you. You might have just developed a transient hypertension which does not make you necessarily hypertensive. The hypertension if due to stress, could have become normal on its own. I usually place my patients on propanol for a few weeks ( average of 10 days) if BP moderate to severe, induced by stress and associated to palpitations. Then I stop the treatment then do monitor my patient for any further BP changes without any medications. Being on 10mg and having it under control is fine, being without any medication at all and still having it under control is better ( you will just have to monitor from time to time and have good lifestyle changes). Hope this helps and wish you the best