Propranolol 20mg

Generic For: Inderal

Propranolol 20mg (brand name Inderal) is a prescription beta-blocker used to treat high blood pressure, prevent migraines, manage essential tremor, and address certain heart conditions. After a licensed provider reviews your prescription, your propranolol order ships directly from our licensed U.S. pharmacy.

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100-day supply · $0.25/tablet

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  1. Select your medication
  2. Licensed providers review & prescribe
  3. Our licensed U.S. pharmacists fill your prescription
  4. Delivered to you as soon as the next day

Price: $25.00

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Buy Propranolol 20mg (Inderal) Online

Propranolol is a beta-blocker used for high blood pressure, migraine prevention, and essential tremor.

Propranolol 20mg Quick Facts

Drug classBeta-adrenergic blocker (beta-blocker)
TreatsHigh blood pressure, migraine prevention, essential tremor, angina
FormTablet
Typical dosingTake by mouth as directed by physician.
Prescription requiredYes — prescription only

What Is Propranolol 20mg?

Propranolol is a non-selective beta-blocker that works by slowing the heart rate and reducing the force of the heart's contractions. This lowers blood pressure and reduces the heart's workload. Propranolol is FDA-approved for several conditions, including hypertension, angina, certain heart rhythm problems, migraine prevention, and essential tremor. It is available as a 20mg tablet under the brand name Inderal and as a generic.

What Does Propranolol 20mg Treat?

High blood pressure (hypertension)
Migraine prevention
Essential tremor
Angina pectoris (chest pain)
Atrial fibrillation (heart rate control)
Heart attack recovery (reducing cardiovascular mortality)
Pheochromocytoma (adjunct therapy)

Propranolol 20mg Dosage

Hypertension: 40 mg by mouth twice daily initially; usual maintenance 120–240 mg/day in divided doses.
Migraine prevention: 80 mg/day by mouth in divided doses initially; usual range 160–240 mg/day.
Essential tremor: 40 mg by mouth twice daily initially; usual maintenance 120 mg/day.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Propranolol 20mg Side Effects

Common side effects

  • Fatigue or tiredness
  • Dizziness or lightheadedness
  • Slow heart rate
  • Cold hands or feet
  • Nausea or upset stomach
  • Sleep disturbances or vivid dreams
  • Diarrhea or constipation

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Very slow or irregular heartbeat
  • Shortness of breath or wheezing
  • Swelling of the legs, ankles, or feet
  • Sudden weight gain (possible heart failure)
  • Severe dizziness or fainting
  • Signs of allergic reaction (rash, swelling, difficulty breathing)

Warnings & Interactions

Do not stop propranolol abruptly; taper under medical supervision to avoid rebound cardiac events
Contraindicated in asthma or bronchospastic disease
Contraindicated in severe bradycardia, heart block greater than first degree, and cardiogenic shock
Can mask signs of low blood sugar in patients with diabetes
Use caution with other blood pressure medications, calcium channel blockers, and antiarrhythmics
May worsen symptoms in patients with heart failure
Tell your provider about all medications, including over-the-counter drugs and supplements

Tell your prescriber about all medications, supplements, and health conditions before starting propranolol 20mg.

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Frequently Asked Questions

What is propranolol used for?

Propranolol is FDA-approved to treat high blood pressure, angina, certain heart rhythm disorders, and to prevent migraines and manage essential tremor. It is also used after a heart attack to reduce cardiovascular risk. Your provider will determine if it is appropriate for your condition.

Do I need a prescription for propranolol?

Yes, propranolol is a prescription-only medication in the United States. A licensed healthcare provider must evaluate your health history and issue a valid prescription before we can dispense it.

How does ordering and shipping work?

After you submit your prescription or complete a provider consultation, a licensed pharmacist reviews your order. Once approved, your medication ships in discreet packaging from our licensed U.S. pharmacy, typically within a few business days.

Is propranolol used for anxiety?

Some providers prescribe propranolol off-label to help with the physical symptoms of situational anxiety, such as a racing heart or trembling. This use is not FDA-approved, so discuss whether it is right for you with your healthcare provider.

How long does propranolol take to work?

Effects on heart rate and blood pressure can begin within one to two hours of a dose. For migraine prevention and blood pressure control, it may take several weeks of consistent use to see full benefit.

Can I stop taking propranolol suddenly?

No. Stopping propranolol abruptly can cause rebound effects, including worsening chest pain or, rarely, heart attack. Always taper the dose gradually under your provider's supervision.