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Regarding pulse rate
Dr please i have a concern in Feb - March I am taking propanal 20 mg sustained release tablet than after one month i started feeling normal i by myself started taking half of it now it's been six months of using it but get to know that we should not do half of propanal sustained release tablet so should I take normal propanal 10 mg tablet as in 10 mg propanal sustained release tablet not come
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First monitor Blood pressure and pulse rate for next 7 days
Start tab clonafit beta
Go for routine blood test LFT KFT CBC and ECG
Next Steps
Review after report
Health Tips
Start 15 minute walk and meditation yoga 15 minute
Healthy diet rich in fruit veggie
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Hello, I am Dr. Romain Rajan, General Physician.
Your case has been allotted to me.
I understand your concern. You are right Propranolol 20 mg Sustained Release (SR) tablets should not be split, because doing so alters the release mechanism and can cause fluctuation in effect. However, since you have been taking half the dose for several months without any problem, there is no immediate danger.
1. Advices
Do not continue breaking the sustained-release tablet.
You can safely shift to Propranolol 10 mg Immediate Release tablet instead, taken once or twice daily as per your earlier total dosage.
Always take the new tablet after meals and at the same time every day for steady effect.
2. What to Monitor
Any return of anxiety, tremors, or palpitations.
Light-headedness, excessive slowing of heart rate, or fatigue during dose change.
Sleep pattern and general mood.
3. Management
You may continue the 10 mg regular tablet for a few weeks and observe response.
If your symptoms remain well controlled, you can continue at this dose long-term under medical supervision.
Avoid abruptly stopping propranolol, as sudden withdrawal can cause rebound anxiety or palpitations.
4. When to Consult a Doctor Immediately
If you notice dizziness, slow pulse, or fainting.
If anxiety or panic symptoms recur strongly.
If you have asthma or breathing difficulty.
Every patientâs situation is unique. For accurate dose adjustment and to prevent recurrence of symptoms, itâs best to review your complete medical history and decide whether you should continue or taper the medicine further.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive:
⢠A personalized treatment plan
⢠Safe medicine adjustments (if required)
⢠Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Hello 👋
I completely understand your concerns—you’ve done the right thing by asking before continuing the medicine.
Here’s the clarification:
Propranolol 20 mg SR (sustained release) tablets are meant to release the drug slowly over 24 hours.
When you cut or break the tablet in half, the controlled-release mechanism is lost, leading to uneven drug absorption, which can cause fluctuations in pulse, dizziness, or rebound anxiety/palpitations.
What you should do:
Instead of halving the SR tablet, you can safely switch to Propranolol 10 mg immediate-release tablet twice daily, but this adjustment depends on your heart rate, BP, and reason for prescription (anxiety, palpitations, or tremor).
Do not stop suddenly, as abrupt withdrawal can cause rebound tachycardia or high BP.
It’s important to review your vitals and decide whether you even need to continue propranolol long-term.
Many patients feel normal after a few months and may no longer require it — but the taper should be guided properly.
You can share your current pulse rate, BP readings, and reason for taking the medicine with me. I’ll review and tell you exactly how to taper or continue safely.
For a direct chat and personalized plan, you can message me privately on WhatsApp — nine three two six zero two zero five three six.
I’ll guide you step-by-step so you don’t have to guess or risk side effects.
Dr. Shivam Mishra, MBBS
Internal Medicine | Cardiac & Anxiety Management Specialist
Ex-Registrar, Cooper BMC Hospital, Mumbai
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Firstly, need to know the reason for starting propranolol. You can surely take half a tablet but better to consult doctor before taking and give detail hostory of why it was started, any ECG or reports done before initiating treatment,etc.
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Its fine. But if you are taking for anxiety or other related issues. The illness isn't explained correctly.
Next Steps
please visit any physician to get yourself checked
Health Tips
now that you have stopped. Don't start yhe medication without further review from a doctor.
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First of all why were you taking propranolol 20mg initially?
Secondly if there were any signs or symptoms you felt after switching to 10mg propranolol?
And last of all , what are your current vitals such as pulse rate , blood pressure and any signs or symptoms you may be feeling at present?
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Hello,
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Take a glass of milk daily.
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Yes, you can take normal propranolol tablet.
But why did you start it in first place, what is your thyroid profile?
Share these details, then I can help you to get cured.
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