Propranolol
ME/CFS · Long COVID · POTS · PEM · Shortness of Breath · Headaches · Chest Pain · Palpitations · Sleep · Dizziness · Orthostatic Intolerance
Pricing example
- $59
RTHM Safety Assessment Fee
Paid to RTHM. Every 90 days, only if approved.
- $11
Pharmacy cost
90-day supply + shipping
Expect higher medication cost during titration period
- $70
Estimated total for 90 days
With RTHM discount
Key benefits
Reduce dizziness fatigue and brain fog
Propranolol helps stabilize and reduce your heart rate, alleviating symptoms like dizziness, fatigue, and cognitive impairment caused by orthostatic intolerance.
Reduce tachycardia
Low-dose propranolol significantly reduces heart palpitations and shakiness in patients with POTS, allowing you to feel calmer and more in control.
Improve exercise tolerance
Propranolol improves exercise tolerance by allowing better heart rate control. Studies show it correlates with improved VO2 max, helping you expand your energy envelope.
Is Propranolol right for me?
Propranolol can help manage:
- Tachycardia (fast heart rate)
- Heart palpitations
- Dizziness and lightheadedness
- Exercise intolerance
- Orthostatic intolerance
- Fatigue
- Brain fog
- Chest discomfort
Patients experiencing these symptoms due to Long COVID, ME/CFS, POTS, or dysautonomia may benefit from propranolol.
What Does the Research Say?
Propranolol significantly reduced heart rate and improved symptoms of orthostatic intolerance, helping patients stabilize while upright.
"Propranolol decreases tachycardia and improves symptoms in the Postural Tachycardia Syndrome (POTS): Less is More" PMID: 19687359
Research & evidence
Propranolol Improves Orthostatic Intolerance in POTS Patients
Propranolol significantly reduced heart rate and improved symptoms of orthostatic intolerance, helping patients stabilize while upright.
Propranolol decreases tachycardia and improves symptoms in the Postural Tachycardia Syndrome (POTS): Less is More. PMID: 19687359
View StudyEnhanced exercise tolerance and VO2 max in POTS patients using propranolol
A clinical study in 11 patients found propranolol improved exercise tolerance and VO2 max in POTS patients by controlling heart rate during physical activity.
Low-dose propranolol and exercise capacity in postural tachycardia syndrome. PMID: 23616163
View StudyPOTS Patients Taking Propranolol Showed Improvements in Quality of Life and Depression Symptoms
A clinical study showed orthostatic intolerance (OI) symptoms of POTS patients significantly decreased after 1 month of treatments with propranolol, with continued symptom improvement through month 3. The study also showed improvements in quality of life and depression symptoms.
Efficacy of Propranolol, Bisoprolol, and Pyridostigmine for Postural Tachycardia Syndrome: a Randomized Clinical Trial
View Study
What people say
“I've been on propranolol for about two+ weeks now, and the difference is insane to me. I can stand and walk around and barely feel a thing. I cooked three meals in a single weekend when I hadn't been able to cook in over a year. I'm able to take the dog out without getting lightheaded and short of b…”
u/krobie77 · reddit.com
“saw my cardiologist the other day and i was prescribed propranolol for POTS and yesterday was the first day i took it and as i was standing up my heart rate was only 85-95 … usually it's anywhere between 110-140 while standing. i'm amazed”
u/tiredmonarch · reddit.com
“Propranolol helped me so much. I almost entirely stopped fainting and I can walk around stores etc much more easily, without a cane for dizziness and fatigue that I used to use most of the time. I started out on 10mg twice a day, then 20mg twice a day, now 60mg extended release in the morning.No not…”
u/sgsduke · reddit.com
“Propranolol helped me more than anything else for <Long COVID>. Its obliterated my POTS symptoms. However, if i miss a dose its incredibly noticeable”
u/Key_Chart_8624 · reddit.com
“79% of patients reported at least some improvement while taking propranolol for POTS.”
Anonymous · stuffthatworks.health