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Can we again switch to propanol sustain release tablet 20 mg if immediate release tablet 10 mg not giving relief for pulse rate firstly I am taking 20 mg propanol tablet after that I switch to immediate release tablet 10 mg
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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.
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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.
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Why was propranolol prescribed. Share your history, symtomatology and investigations for proper opinion
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Yes you can
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I would not recommend switching dose.
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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.
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You need to consult a Dr. for this. I can also suggest, but it depends on your history.
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Never decrease dose of medicine without consultation
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Kindly do not switch doses on your own. proper history needed as to why you are taking this?
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I would suggest you to take a proper consultation
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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.
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consult with me on practo.
Health Tips
do not take any additional medications based on hearsay, always consult with expert.
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Review with cardiologist for the dosage change
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Yes
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Yes
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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.
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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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Avoid fried and spicy food
Water intake mor3
Do connect and consult
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You can switch to a sustained release tablet, however the beta blockers are not to be discontinued abruptly
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Yes plz
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Lot of doctors answered u in very detailed.
Off course u can start 20 mg no any problem.
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Review with Cardiologist for change of dosage
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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
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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
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Hope this advice provides you the much needed insight
Wishing you a speedy recovery
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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
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Once you answer this then i will be in a better position to address your concern
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By any chance you experience- cold feet or hands, nausea, ghabrahat, feeling of faintness or light headedness
Consult to doctor right away
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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
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Yes.. Better to consult first
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Dr. Ram Brahma Reddy
General Physician
6 yrs exp
Hyderabad
No
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
You can switch over 20mg sustain release
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Why are you using that medication currently?..need proper history... kindly consult for further information
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Need more details
Contact on 932801007seven
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
You can take sustained release no problem
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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
Next Steps
Check nearby physicians to request an online consult for MBBS or MD for a better understanding of your concern
Health Tips
Practice deep breathing exercises and create a positive environment at home and work to relieve stress, which may help lower your heart rate.
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