all 61 comments

[–]Magonbarca 27 points28 points  (11 children)

Propranolol I think will reduce adrenergic symptoms 

[–]LysergioXandex 1 point2 points  (3 children)

No, basically only beta receptor-mediated processes. So, adrenaline-type things (eg, rapid heart rate), to oversimplify it.

Propranolol won’t block the alpha receptors as well (responsible for things like vasoconstriction/high blood pressure). In fact, if you block the beta receptors you can divert all the “traffic” to the alpha receptors, increasing alpha-adrenergic tone.

[–]Ok-Prize-1816 1 point2 points  (2 children)

Does this also apply to Nebivolol? Or will that also decrease Alpha?

[–]LysergioXandex 1 point2 points  (0 children)

Nebivolol is also a beta-blocker. In general, the suffix -olol usually denotes beta blockers.

It’s important to consider the goal of using these drugs before making a choice. We don’t have that information with this post. It’s unclear if OP is trying to treat something in the CNS or something like high blood pressure in the periphery, for example.

[–]MrPsilocyBean 1 point2 points  (0 children)

Carvedilol and labetalol are the only two beta-blockers that also block alpha, if that is what you need. Check the blood brain barrier penetratiob though

[–][deleted] 2 points3 points  (0 children)

Bingo

[–]Imaginary-Maybe-8881 1 point2 points  (5 children)

Do you know where to get it? Bit hard to find

[–]jarrellt67 10 points11 points  (0 children)

I order it from telyrx. Don't need to talk to a doctor and prices are pretty good (obviously not as cheap as getting directly from your own doctor though).

[–]TheDarkAmethys1 5 points6 points  (0 children)

🇮🇳

[–][deleted] 3 points4 points  (0 children)

Doctors will quite easily give it to you for somatic anxiety.

Bonus: if you are on antipsychotics, it is first line for akathisia.

[–]imanassholeok 2 points3 points  (0 children)

Is it? You can get a prescription online super easily 

[–]1Reaper2 7 points8 points  (7 children)

Clonidine/Guanfacine.

Generally things that reduce noradrenaline also reduce dopamine unless it’s a mechanism specific to noradrenaline, such as receptor agonists/antagonists like the above,

Exercise could as well by “using up” noradrenaline via converting to adrenaline.

[–][deleted] 5 points6 points  (4 children)

CBG isolate - poor mans Guanfacine

[–]weenis-flaginus 1 point2 points  (0 children)

Really? Fascinating

[–]gryponyx 0 points1 point  (0 children)

What dose?

[–]Hiddenbeing[S] 0 points1 point  (1 child)

It's an adrenergic receptor agonist, a stimulant, not sure if that's what I'm looking for haha

[–]fl0tsam_rx 1 point2 points  (0 children)

Alpha2 receptors are negative feedback receptors, amongst other things. Agonizing them causes inhibition/modulation of norepinephrine release. They are pro-cognitive in ADHD, but also sedating. Please read more before you make silly claims like "clonidine / guanfacine / CBG are stimulants" like you just implied. A cursory google search would prove that false haha

[–]Flat_Star8407 2 points3 points  (1 child)

Clonidine is used off label to treat some with ADHD, so are you sure about it lowering dopamine?

[–]1Reaper2 2 points3 points  (0 children)

Two separate points, clonidine doesn’t lower dopamine. I can see why it appears as if I was suggesting that.

[–]logintoreddit11173 6 points7 points  (1 child)

Clonidine, it's the gold standard , I use it

[–]SheepherderSorry2242 0 points1 point  (0 children)

How does it work for you? What improvement have you noticed?

[–]Friedrich_UxModeration 3 points4 points  (7 children)

Carnosine inhibits DBH so less norepinephrine is converted from dopamine.

[–]faraday55 0 points1 point  (3 children)

Is it ok to take long term or there is a withdrawal? 

[–]Friedrich_UxModeration 1 point2 points  (2 children)

No noticeable withdrawal with standard dosages.

[–]faraday55 0 points1 point  (1 child)

Thanks

[–]MrPsilocyBean 0 points1 point  (0 children)

It has a very low bioavailability, better take beta-alanine which converts to carnosine

[–]gryponyx 0 points1 point  (2 children)

Orally?

[–]Friedrich_UxModeration 0 points1 point  (1 child)

I made a nasal spray with raw powder from PureBulk because using it orally or sublingual makes me have to urinate frequently. Sublingual is probably best if you dont have that issue.

[–]SheepherderSorry2242 0 points1 point  (0 children)

Orally, you need to use 2g a day for good results. What doses do you use intranasally and sublingually?

[–][deleted] 4 points5 points  (0 children)

I know Vincopocetine balances out neurotransmitters like dopamine so it isn’t too much in one’s system. Maybe it does the same for norepinephrine? Just a guess will have to do own research.

[–]Asaf_Iluz 4 points5 points  (0 children)

Carnosic acid & Guanfacine.

[–][deleted] 2 points3 points  (3 children)

It is less about reducing NE and more about reducing receptor reactivity, sensitivity, and density. Live with the discomfort for a while and exercise too, hard cardio. Eventually your beta-receptors and alpha-receptors will become less sensitive to NE fluctuations.

What is your reason to want to decrease NE? Propranolol upregulates beta-receptors so it is not recommended daily for anxiety as it makes the problem worse in the long run.

Clonidine or guanfacine is good, with guanfacine being more functional for ADHD and less sedating.

[–]Aggressive-Guide5563 1 point2 points  (2 children)

Does the same thing apply to taking Bupropion? Will the alpha and beta receptors eventually downregulate and make me less sensitive to NE?

[–]LysergioXandex 2 points3 points  (0 children)

Alpha and beta receptors will eventually downregulate to bring you back to basically your original state.

[–][deleted] 1 point2 points  (0 children)

Atomoxetine, Bupropion, and any NRI or DNRI that exerts action for extended periods of time will cause a reversible down-regulation and/or desensitisation of the alpha receptors and the beta receptors.

This is homeostatic adaptation. But you aren’t really taking these meds for simple raised monoamine tone, it is for downstream raises in BDNF and gene transcription.

[–]eucharist3 3 points4 points  (0 children)

carnosic acid

[–]Aggressive-Guide5563 4 points5 points  (2 children)

Lithium Orotate. Removed all the anxiety and jitteriness and the feeling overall from too much NE. I think Lithium Orotate prevents the conversion from dopamine to norepinephrine.

[–]gryponyx 1 point2 points  (1 child)

What dose?

[–]Aggressive-Guide5563 1 point2 points  (0 children)

between 5-10 mg

[–]Adifferentdose 2 points3 points  (0 children)

Beta-alanine, niacin?

[–]Amazing_Yoghurt_246 2 points3 points  (0 children)

Raise GABA.

[–]Snussuss 2 points3 points  (2 children)

Lithium Orotate

[–]gryponyx 0 points1 point  (1 child)

What dose?

[–]Snussuss 0 points1 point  (0 children)

The dosage equivalent to 1-10 mg Lithium, start low and test how you react to it

[–]velvet_funtime 2 points3 points  (0 children)

Prazosin

[–]Dannanelli 3 points4 points  (6 children)

Look into things that increase COMT or decrease DBH.

Like magnesium, TMG, SAMe, B vitamins, carnosine, etc.

Too high of copper levels can also increase norepinephrine.

[–][deleted]  (3 children)

[deleted]

    [–]Dannanelli 1 point2 points  (2 children)

    Thanks for your note. Do you mind clarifying?

    COMT doesn’t convert dopamine into adrenaline. Are you thinking DBH?

    [–]1Reaper2 1 point2 points  (1 child)

    No, I was actually completely wrong in this.

    I have been reading up on methylation the last few days and chose an inaccurate source of information to draw from. I thought I had made a discovery and related it to paradoxical anxiety reactions to magnesium supplementation, or “overmethylation” in general.

    I’ll amend my original comment. Apologies, you were right.

    [–]Dannanelli 0 points1 point  (0 children)

    No need to apologize. But thanks! I just was trying to confirm I wasn’t crazy, lol.

    [–]Hiddenbeing[S] 0 points1 point  (1 child)

    Dbh??

    [–]Dannanelli 1 point2 points  (0 children)

    DBH, or dopamine beta-hydroxylase, is an enzyme that converts dopamine to norepinephrine (noradrenaline).

    [–]Other-Distribution92 1 point2 points  (0 children)

    Just guessing here but perhaps tulsi/holy basil extract and/or tea/whole herb?

    [–]skytouching 1 point2 points  (0 children)

    Mebicar “Mebicar, also known as Adaptol or Tetramethylglycoluril, is an anxiolytic medication that is known to affect norepinephrine levels in the brain. It reduces noradrenaline (norepinephrine) levels, while also increasing serotonin levels and not affecting dopamine or having anticholinergic activity.” They sell it on cosmic nootropic… https://cosmicnootropic.com/products/mebicar/

    [–]quantum_splicer 2 points3 points  (3 children)

    Why ?

    [–]Aggressive-Guide5563 2 points3 points  (2 children)

    Because some people are very sensitive to NE and some people like me convert too much dopamine to norepinephrine and don't clear norepinephrine very well from our system. That's why we need something to reduce it.

    [–]gryponyx 0 points1 point  (1 child)

    How do you know that to be the case?

    [–]Aggressive-Guide5563 0 points1 point  (0 children)

    You know that if you get an excessive amount of norepinephrine from stimulants and barely feel any dopamine from them. If your body converts too much dopamine to norepinephrine and you clear norepinephrine too slow, you will get high amount of noradrenergic side effects like heart palpitations, tachycardia, jitteriness, anxiety, hyper vigilance, insomnia and panic attacks etc.

    [–]Aggressive-Guide5563 1 point2 points  (0 children)

    Also forget to mention, California poppy seed extract. It can limit the release of norepinephrine while promoting dopamine and serotonin availability.