Can propranolol be taken long-term?
Propranolol can be taken long-term, but must be used under a doctor's supervision.
Propranolol is a β-adrenergic receptor blocker primarily used to treat hypertension, exertional angina, arrhythmias, and thyroid storm. It serves as a secondary preventive medication to reduce mortality after myocardial infarction and effectively alleviates symptoms such as angina, palpitations, and syncope caused by hypertrophic cardiomyopathy. It can also control tachycardia associated with pheochromocytoma and hyperthyroidism.
Propranolol may cause sinus bradycardia, asthma exacerbation, worsening of COPD, hypoglycemia, elevated blood lipids, rashes, and hypotension. Patients with coronary heart disease who have low blood pressure should not take propranolol. Additionally, those with bradycardia or asthma should avoid it. Due to its blood pressure-lowering and antiarrhythmic effects, propranolol is suitable only for coronary heart disease patients who also have hypertension or tachycardia.
Propranolol must be taken under medical guidance; self-medication should be avoided to prevent adverse outcomes. If any discomfort occurs during treatment, the drug should be discontinued immediately.