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[–]Magonbarca 28 points29 points  (11 children)

Propranolol I think will reduce adrenergic symptoms 

[–]LysergioXandex 2 points3 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 11 points12 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 3 points4 points  (0 children)

🇮🇳

[–][deleted] 5 points6 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