Prescribing Beta-blockers
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Original post by tbm
Why dont you just get some Rescue Remedy or something???
Because they don't work?
Original post by Jamie
Some can say whatever they like
Beta-blockers should not be given to someone for a sporting event, or an interview.
A doctor will not prescribe them for this purpose.
Beta-blockers should not be given to someone for a sporting event, or an interview.
A doctor will not prescribe them for this purpose.
Doctors do give them for this purpose.
Original post by Entangled
Too many pluralise 'palpitation.'
Anyway, with that little bit of housekeeping out of the way, sounds like sugar pills would do the trick. Placebo-driven capsulated happiness, everybody wins.
Anyway, with that little bit of housekeeping out of the way, sounds like sugar pills would do the trick. Placebo-driven capsulated happiness, everybody wins.
Although a 'sugar pill' would not antagonise the beta adrenoreceptor.
Original post by Sean3000
Although a 'sugar pill' would not antagonise the beta adrenoreceptor.
Original post by GodspeedGehenna
Because they don't work?
Well regardless, prescribing beta blockers just for an interview seems pretty extreme to me!
I would suggest you try it without them OP. How are you going to cope if you cant even manage an interview without pills?
Original post by Sean3000
Doctors do give them for this purpose.
Seriously dude, we get that you want to do medicine, but you don't have a clue what you are talking about.
Doctors do not give out propanolol willy nilly.
Certainly not for an interview
If you have seen it done then that person has displayed poor judgement and aught to be challenged on their behaviour.
(edited 13 years ago)
Original post by Renal
It wouldn't need to.
I get the point you're making, but I do think we have strayed off topic somewhat. Whether it's down to the placebo affect or not, GP's DO prescribe propanalol for performance anxiety, I've seen it with my own eyes. Whether it's right or wrong isnt really for me to say!
I'm not gonna go sifting through RCT's on propanalol but it's been around for a while and (as you will know) it has a place in the treatment of autonomic overdrive in other conditions too (graves disease).
Original post by Jamie
Seriously dude, we get that you want to do medicine, but you don't have a clue what you are talking about.
Doctors do not give out propanolol willy nilly.
Certainly not for an interview
If you have seen it done then that person has displayed poor judgement and aught to be challenged on their behaviour.
Doctors do not give out propanolol willy nilly.
Certainly not for an interview
If you have seen it done then that person has displayed poor judgement and aught to be challenged on their behaviour.
lol.
Page 95 of the BNF-59 March 2010.....
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
Original post by Sean3000
Page 95 of the BNF-59 March 2010.....
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
Seriously give it up.
I know full well propranolol can be used to reduce the external sequela of anxiety. Its hardly ground breaking pharmacology.
It is not however given for one off episodes like interviews, sporting events or dates.
(edited 13 years ago)
Original post by Sean3000
Page 95 of the BNF-59 March 2010.....
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
There are quite a few doctors giving their opinion in this thread sonny...
Original post by Sean3000
Page 95 of the BNF-59 March 2010.....
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
"beta blockers have been used to alleviate some symptoms of anxiety; probably patients with palpitation, tremor and tachycardia respond best"
Propranalol specifically "Anxiety with symptoms such as palpitation, sweating, tremor, 40mg once daily, increased to 40mg 3 times daily if necessary".
Wouldn't be very impressive if you keeled over running for your bus on the way to the interview, would it...
Seriously, if you can't get through the stress of a medicine interview (I'm assuming that's what it's for) then good luck for the course and the rest of your life 
And like what's already been said, I can't imagine that it's common, accepted practice for beta-blockers to be prescribed for one-off events like interviews.
And like what's already been said, I can't imagine that it's common, accepted practice for beta-blockers to be prescribed for one-off events like interviews.Original post by Jamie
Seriously give it up.
I know full well propranolol can be used to reduce the external sequela of anxiety. Its hardly ground breaking pharmacology.
It is not however given for one off episodes like interviews, sporting events or dates.
I know full well propranolol can be used to reduce the external sequela of anxiety. Its hardly ground breaking pharmacology.
It is not however given for one off episodes like interviews, sporting events or dates.
I never suggested they be given for one off events.
Original post by digitalis
There are quite a few doctors giving their opinion in this thread sonny...
And there are quite a few doctors prescribing propranalol for social phobia. I am not saying it's good or bad practice, I'm merely saying it's done.
Original post by digitalis
Wouldn't be very impressive if you keeled over running for your bus on the way to the interview, would it...
Take it up with the BNF.
The purpose of anxiety is to ensure optimal performance; trying something as important as an admissions interview without it would be bizzare. Interviews are tough - we've all been there, been nervous and had a hard time, but have survived them. Medical school is highly pressured and I'm reliably informed that working as a doctor is too. If you can't cope with the stress of interviews then medicine probably won't be right for you.
Don't think taking beta-blockers would be much use anyway. Bear in mind too the side effects which are not insignificant, especially with propranalol which has poor cardioselectivity (i.e. B1-adr R affinity: other B-adr R affinities), but even atenolol and bisoprolol have significant effects on cardiac physiology which would be largely undesired. I doubt a doctor would prescribe you them, but I'm not sure why you want them anyway.
Don't think taking beta-blockers would be much use anyway. Bear in mind too the side effects which are not insignificant, especially with propranalol which has poor cardioselectivity (i.e. B1-adr R affinity: other B-adr R affinities), but even atenolol and bisoprolol have significant effects on cardiac physiology which would be largely undesired. I doubt a doctor would prescribe you them, but I'm not sure why you want them anyway.
Original post by Sean3000
I never suggested they be given for one off events.
Sean you are being a bit silly.
I said
"Beta-blockers should not be given to someone for a sporting event, or an interview.
A doctor will not prescribe them for this purpose."
To which you replied
"Doctors do give them for this purpose. "
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