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✅ 1. Why you are not getting relief with 10 mg IR Propranolol immediate-release (IR) 10 mg is a very low dose. Its effect lasts only 4–6 hours, so heart rate control may be incomplete. You were earlier on SR 20 mg, which provides 24-hour steady control, so you naturally felt better on that. ✅ 2. Switching back to SR 20 mg For most adults, Propranolol SR 20 mg once daily is a safe and commonly used low dose for controlling: Tachycardia due to anxiety/stress Mild palpitations Slightly elevated pulse So yes, switching back is generally okay — BUT only if your doctor has not restricted the dose for blood pressure or any other reason. ⚠️ Important Safety Points Before switching back: Check BP → If systolic < 100 mmHg, avoid taking SR. Check pulse → If pulse < 55 bpm, avoid. Avoid if you have asthma, COPD, severe heart block, acute heart failure. Take SR once daily at same time. 📌 Suggested regimen (common clinical practice) Propranolol SR 20 mg once daily → Provides smooth 24-hour control of heart rate Avoid combining SR + IR unless doctor advises.

Yes, you can switch back to Propranolol SR 20 mg if 10 mg immediate-release is not controlling your pulse, but do this only after informing your doctor, as the dosing and duration of action are different.

Why was propranolol prescribed. Share your history, symtomatology and investigations for proper opinion

Yes  you can

I would not recommend switching dose.

Good question. Propranolol is a non-selective beta blocker. So, if you're taking it for heart rate control, it's not the best drug for rate control; other drugs are better. But if you're taking it for anxiety or migraine, you can decrease the dose depending on symptoms.

Kindly do not switch doses on your own. proper history needed as to why you are taking this?

Need more history, why were you taking propranolol. If it's for heart related problem need to be monitored. If you're taking for migraine prophylaxis SR can be fine, but heart rate need to be monitored.

Review with cardiologist for the dosage change

Yes

You can switch over 20mg sustain release

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

Yes

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Medication differs from patient to patient. To avoid giving the wrong treatment, I’ll need your symptoms, duration, and any past history. You can message or consult me directly so I can guide you safely.

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You can switch to a sustained release tablet, however the beta blockers are not to be discontinued abruptly

Lot of doctors  answered  u in very  detailed. Off course  u can start  20 mg no any problem.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Good day to you sir I understand your concern and it's good to know that you are mindful of the dosage of drug consumption as over dosage can lead to fatal effects or even death. I shall try to the best of my abilities to consult you Propranolol is a first generation Beta blocker which has a wide variety of uses for example migraine prophylaxis, performance anxiety, thyroid storm, akathisia, essential tremors and many more However after reading your query I am unable to find any corresponding complaints or symptoms which can indicate/justify this drug's use Therefore I advise you to consult one to one with  your family physician or any physician you are comfortable with who can perform the required workup (history, investigations) to reach the root cause of the issue followed by an appropriate treatment plan If you feel I can be of better service to you Feel free to book a one to one consultation via practo app Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor One time consultation fee = Rs 200 Follow up consultation= Rs 100 Hope this advice provides you the much needed insight Wishing you a speedy recovery

To answer this I’d like to know 1) Why are you taking this in first place, what made you to fo to the doctor 2) what had doctor prescribed you exactly for how many days

Why are you taking medicine at 28 for pulse rate. In the absence of history it’s not possible to reply to question. You can either consult your treating cardiologist or take online consultation

Need few more details Kindly consult

No

Please consult

Yes.. Better to consult first

No

Why are you using that medication currently?..need proper history... kindly consult for further information

Need more details Contact on 932801007seven

Please share details as to why propranolol was started and since how long? What has been your pulse rate, before and after taking propranolol? Dose depends on that.

Avoid fried and spicy food Water intake mor3 Do connect and consult

You can take sustained release no problem

Yes plz

Review with Cardiologist for change of dosage

Propanolol works on cardiac channels which inhibits it and slows down the heart rate, but nowadays stress is prevalent which is the reason most young patients I see have tachycardia(heartbeats more than 100) so, can you tell me who prescribed it and why