Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Propranolol  ka side effect  nahi hai. Tinnitus ka diagnosis ent specialist kartey hain. Aap Nexito20 one at night after dinner for two weeks add Kar sakti Hai.

Propranolol does cause tinnitus, though it is rare. Since how long you are having anxiety and tremors? What is your usual pulse rate, without propranolol? Do you have mild hypertension?

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It increases tinnitus

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Dear Patient,  Thank you for sharing your concerns. I understand that you are dealing with tinnitus, anxiety, and tremors**, which are significantly impacting your daily life, including your ability to work and socialize.  *Regarding Propranolol and Tinnitus: Propranolol is a beta-blocker commonly prescribed for anxiety and tremors. While it is rare, some patients report a temporary worsening of tinnitus due to its effects on blood flow or stress response. However, this is not universal, and many patients tolerate it well.  Alternative Options for Anxiety/Tremors:**  If propranolol exacerbates your tinnitus, we can consider alternatives like:  - Clonazepam** (short-term, for severe anxiety/tremors)  - SSRIs/SNRIs** (e.g., Escitalopram, Sertraline) for long-term anxiety management  - Non-pharmacological therapies** (CBT, relaxation techniques)  Next Steps:**  1. Monitor Symptoms:Note if tinnitus worsens after taking propranolol.  2. Comprehensive Evaluation: Tinnitus can be linked to anxiety, ear health, or other factors. A detailed assessment is needed.  3. Personalized Plan:We can adjust medications or explore therapies tailored to your needs.  Urgent Recommendation:**  Your symptoms—severe anxiety, tremors, and tinnitus—require a thorough evaluation. Self-adjusting medications may not address the root cause.  **Please schedule a consultation with me for a detailed discussion and personalized treatment plan. You can reach me on WhatsApp at **"Eight Zero Zero Nine Eight Two One Three Three Two"** for further assistance. 

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Do connect and consult

Need few more details Kindly consult

Not at all.

Need further history Please connect

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management