From the Research
For a 17-year-old experiencing public speaking anxiety, propranolol can be prescribed at a dose of 40 mg taken 30-60 minutes before the anxiety-provoking event, as indicated by the most recent study 1. This dose is based on the study that investigated the use of propranolol in reducing public speaking anxiety, which found that 40 mg of propranolol was used in the treatment group 1. Typically, starting with a lower dose and adjusting based on response and side effects is a common approach, but the study 1 specifically used 40 mg. It is essential to note that this medication should only be used occasionally for specific anxiety-provoking situations, not daily. Before taking propranolol, the young adult should consult with a healthcare provider as this medication requires a prescription and proper medical evaluation. Propranolol works by blocking beta-adrenergic receptors, reducing physical symptoms of anxiety like rapid heartbeat, trembling, and sweating. Potential side effects include fatigue, dizziness, and lowered blood pressure. This medication is contraindicated in individuals with certain conditions including asthma, certain heart conditions, and diabetes. While propranolol can help manage the physical symptoms of anxiety, it should ideally be used alongside non-pharmacological approaches such as cognitive behavioral therapy and public speaking practice, as suggested by studies 2, 3, 4, 5. Some key points to consider when using propranolol for public speaking anxiety include:
- The importance of proper medical evaluation before starting the medication
- The need for occasional use only, rather than daily
- The potential for side effects and contraindications
- The benefits of combining propranolol with non-pharmacological approaches for optimal results.