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Hi I want to know one thing if someone take proponal sustain release tablet 20 mg for pulse rate and palpitations than switch to half of it for few months but got to know that we should not take half of it so that I started taking 10 mg propanol immediate release tablet once a but it not benefit because medicine effect finish after few hours so should I take two time a day propanol immediate release tablet or switch to sustain release propanol tablet 20 mg
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Continue with same dose
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The confusion you’re facing is very common because propranolol comes in two completely different formulations, and each behaves differently in the body.
Let me explain this clearly:
1. Sustained-release (SR) vs Immediate-release (IR) propranolol
SR 20 mg releases the medicine slowly over 24 hours.
IR 10 mg works fast but wears off in a few hours.
So switching from SR → half SR → IR without proper medical guidance will always give fluctuating results, because the timing, duration, and dose strength change completely.
This is why you’re feeling the effect wearing off quickly.
2. You should NOT adjust the dose on your own
Propranolol dosing depends on:
Your baseline heart rate
Your BP pattern
Your anxiety/stress triggers
Your sleep pattern
Any other medicines you’re taking
Your lifestyle and work routine
If the dose is changed wrongly, it can cause:
Too-low heart rate
Sudden rebound palpitations
Increased fatigue
Dizziness or low BP
Worsening anxiety episodes
This is why dosing must be planned case-by-case, not generically.
3. Your symptoms tell me the issue is not the medicine
it’s the timing and pattern of usage
Before deciding:
whether you need IR or SR
how many times per day
what strength is actually correct for you
I need to understand:
When do your palpitations start?
What is your usual resting heart rate?
How long have you been taking propranolol?
Did you stop abruptly anytime?
Do you have anxiety episodes or panic sensations?
Do symptoms worsen at a particular time of day?
These details determine the correct approach.
4. What you should do next
Instead of changing tablets on your own, you need a proper review of your symptoms + reports + current pattern of palpitations.
Once I evaluate these, I will guide you clearly on:
Whether SR or IR is suitable for you
What timing will control your symptoms best
Whether the current dose needs adjustment
How to avoid rebound palpitations
Whether another underlying cause needs to be checked
This cannot be done safely through a public answer without full evaluation.
If you want, I can review your complete case privately
Propranolol dosing is very individual, and the safest approach is to let me review:
Your symptoms
Your heart rate pattern
Stress/anxiety triggers
Your previous medication schedule
You can book a private consultation with me on whatsapp at Nine Three Two Six Zero Two Zero Five Three Six, and I’ll help you decide the correct plan so your palpitations stay fully controlled without trial-and-error.
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Take 20mg sustained release once a day...for further treatment you can consult me on nine nine three four eight three one six zero six
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✅ 1. Why cutting a Sustained-Release (SR) tablet is not advised
Propranolol SR/LA/XL tablets are designed to release the medicine slowly over 24 hours.
If you break them:
The slow-release mechanism gets damaged
The dose may release too quickly
Effect becomes unpredictable
Side effects may increase
So you were correct to stop cutting the SR 20 mg tablet.
✅ 2. Why 10 mg Immediate-Release (IR) once daily is not helping
IR propranolol lasts only 4–6 hours.
Taking it once daily means it stops working for most of the day.
That’s why you are again getting pulse/palpitations.
⭐ Your two safe options (discuss with your doctor):
Option A: Take Propranolol Immediate-Release twice or thrice daily
Typical dosing pattern is:
10 mg IR 2–3 times per day (every 8 hours)
This keeps effect stable throughout the day.
Option B: Switch back to Propranolol SR 20 mg once daily
This is the easiest and smoothest option for most patients because:
One dose per day
Effect lasts full 24 hours
Better for anxiety-related palpitations
No fluctuations
If 20 mg SR is too strong or weak, your doctor can adjust to 40 mg SR or 10 mg IR multiple times, depending on symptoms.
❗Important Safety Points
Do not adjust dose on your own—always consult a doctor.
Never stop propranolol suddenly → it may cause rebound high heart rate.
If you have asthma, very low BP, dizziness, or severe fatigue, propranolol may not be suitable.
📌 My suggestion (safest general direction):
Since once-daily IR is not enough, you have two reasonable choices:
➡️ Take 10 mg IR twice daily (common regimen)
OR
➡️ Use SR 20 mg once daily for steady control
But final decision must be made by your prescribing doctor.
If you tell me:
Your average pulse rate
BP readings
Whether symptoms are from anxiety or thyroid or heart
…I can guide you even more precisely.
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Early consultation helps avoid complications — feel free to connect.
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How much propranol to be taken depends on, why it was started, what is the effect after starting propranolol?
Share this information, then I can guide you further.
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If the effect wears off after a few hours, you need a change in treatment.
You can take propanol 10mg immediate release twice, but you should consult a cardiologist before.
It has side effects and is not for everyone.
Next Steps
Consult a cardiologist.
Health Tips
Don't take medicine on your own
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Both r good. Which is more convenient to u go for that.
No harm in it.
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You Continue with 20mg SR if previously symptoms were relieved controlled with 20mg SR.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You should continue as per prescription
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
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Dr. MD Arif
General Physician
4 yrs exp
Kolkata
Switch to sustain release.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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