Propranolol

Propranolol is a medication used to prevent migraine attacks. It belongs to a group of medications called beta blockers. It is believed to work by stabilizing effects on the nervous and vascular systems. Generally, this medication is known to block the effects of adrenaline, which may lessen the likelihood of a migraine starting.

Be sure to discuss your medical history, current medications, and any concerns with your provider so they can determine whether propranolol is right for you.

Tell your provider if you have asthma, COPD, severe lung disease, any heart conditions, diabetes, thyroid issues, liver or kidney disease, Raynaud’s phenomenon, or depression. Let your provider know if you are pregnant, plan to become pregnant, or are breastfeeding.

The most common side effects of propranolol are fatigue, slow heart rate, dizziness, and cold hands and feet. More serious side effects include breathing problems, worsening heart failure, allergic reaction, and irregular heart rate. If you experience severe side effects, please seek immediate in-person medical care.

It's important to tell your provider if you are taking any other medications, over-the-counter drugs, supplements, or if you have any allergies. If you start using any new medications while taking metoclopramide, let your provider know. Check with your provider before stopping or starting any of your current medicines.

Let your provider know if you are taking any heart or blood pressure medications, Monoamine Oxidase Inhibitors (MAOIs), or migraine triptans.

It is important to take propranolol consistently as prescribed by your provider. Your provider may recommend a titration schedule, meaning you may gradually increase your dose over time.