“I have anxiety and OCD. The doctor told me to take normal propranolol 40 mg twice a day, but I mistakenly took propranolol 40 mg sustained release twice in one day. What will happen now? What should I do? Will it cause heart failure?”
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Go to an emergency if you experience Severe breathlessness or difficulty breathing.Extreme dizziness or if you actually faint.A pulse below 50 beats per minute Chest pain or severe confusion.
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing this. I understand why this is causing anxiety, but let me reassure you clearly.
First and most important reassurance
ð This will NOT cause heart failure.
ð Taking propranolol 40 mg sustained release twice in one day is unlikely to cause any serious harm in a healthy person.
What actually happened
⢠Sustained release (SR) releases medicine slowly over time
⢠By taking it twice, you have taken a higher dose than intended, but still within a generally safe range
Possible symptoms you may feel
⢠Slight low heart rate
⢠Dizziness or lightheadedness
⢠Mild fatigue
⢠Cold hands or feet
ð Many people feel nothing at all
What you should do now
⢠Do not take any more propranolol today
⢠Rest and stay hydrated
⢠Avoid sudden standing (to prevent dizziness)
⢠Monitor:
â Heart rate
â Blood pressure (if possible)
When to seek medical help
⢠Heart rate < 50/min
⢠Severe dizziness or fainting
⢠Breathlessness
⢠Chest discomfort
What to do next dose
ð Resume your correct prescribed dose from next day
ð Do not double dose again
Important reassurance (very important for anxiety)
⢠This is a common medication mistake
⢠The dose you took is not dangerous
⢠It does not damage the heart
For personalised guidance and anxiety management support, you can reach out to me on WhatsApp at 85271646 seven seven.
You are safe. Just observe and rest.
Dr. Romain Rajan
General Physician
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
Not dangerous. No risk of heart failure.
Extra dose of Propranolol may cause mild low pulse, BP, dizziness.
Skip next dose, rest, hydrate. Restart normal dose tomorrow.
If fainting, very slow pulse, or breathing issue → seek care. Otherwise you’ll be fine.
No , it wont cause any severe problems
Might feel little tired due to slow heart rate and low BP
Next Steps
Switch to regular tablets instead of sustained release tablets
Health Tips
Always before buying medication check for expiry and proper dose/type of tablets that is given to you at Pharmacy
Consult doctor in follow up if same meds as prescribed not available (most of the times chemists give suggestions- be aware)
Follow ups are mostly free , so do seek advice from
A doctor
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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