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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by bart on May 9, 2006, at 22:37:55
what dosages are good to take before public speaking and things of that nature.
the 120 mg. capsules I have now might as well be sugar pill. do I need to just double up on it when the occassion arises???
Posted by ed_uk on May 10, 2006, at 9:11:41
In reply to Inderal and social phobia, posted by bart on May 9, 2006, at 22:37:55
Inderal is only useful for tremor, chest discomfort and a racing heart due to anxiety. It doesn't relieve the other symptoms. If you have a controlled release form of Inderal you will need to take it *several hours* before the event.
Ed
Posted by sdb on May 10, 2006, at 10:45:28
In reply to Re: Inderal and social phobia » bart, posted by ed_uk on May 10, 2006, at 9:11:41
Propranolol will easily penetrate the extremely fine regulated blood-brain barrier acting on central beta-receptors. You will feel sedated maybe not perfect for a performance. During longterm propranolol will cause beta-receptor upregulation (careful taper down). Propranolol has negativ effects on the lipid metabolism in spite of that there seem to be no signs of more intima/media thickness (width of the wall of a blood vessel). Propranolol is very cardiodepressant, thus not a good property if you're doing sport. If you have a heart insufficiency I really cannot recommend this drug (!). For longterm use I cannot recommend propranolol, for a single transient performances yes but with probably some negative impact on the result. I dont know this personally, perhaps somebody else here knows that (?)
There are better options taking a betablocker longterm.
If you have asthma and other thing better ask your doctor.
~sdb
Posted by jakeman on May 10, 2006, at 20:35:05
In reply to Inderal and social phobia, posted by bart on May 9, 2006, at 22:37:55
> what dosages are good to take before public speaking and things of that nature.
> the 120 mg. capsules I have now might as well be sugar pill. do I need to just double up on it when the occassion arises???I have big problems with performance anxiety. I take it as needed, like before big meetings or presentations. It has definitely has helped.
warm regards, Jake
Posted by sdb on May 10, 2006, at 23:32:53
In reply to Re: Inderal and social phobia » bart, posted by jakeman on May 10, 2006, at 20:35:05
if it's performance anxiety propranolol can help you, if its perhaps not a very complicated speech about "superstring" theory or something like that.
~sdb
Posted by Declan on May 11, 2006, at 2:50:01
In reply to Re: Inderal and social phobia » bart, posted by ed_uk on May 10, 2006, at 9:11:41
So if your heart rate goes up to, maybe 140pm, Inderal (or something better) will really help with that? Does it minimise the fear of being obviously publically frightened (fear of fear itself)?
Declan
Posted by ed_uk on May 11, 2006, at 14:38:35
In reply to Re: Inderal and social phobia, posted by Declan on May 11, 2006, at 2:50:01
Hi Deccie
I tried Inderal for performance anxiety, it didn't help my anxiety at all. It does make me very fatigued though, and causes dry uncomfortable eyes.
Ed
Posted by Cairo on May 13, 2006, at 10:15:44
In reply to Re: Inderal and social phobia » Declan, posted by ed_uk on May 11, 2006, at 14:38:35
I felt that adding 10mg of propranolol to Klonopin augmented the anti-anxiety effect a bit. I felt calmer. Don't forget that controlling physical symptoms of anxiety can prevent wind up of the fear response. Physical symptoms definitely play into my anxiety.
Cairo
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