Prescribing Propanolol for anxiety/insomnia with stimulants?

I have a teenage patient with a history of ADHD that I'm seeing who was prescribed low dose of Propanolol (20 mg) and Adderall XR 20 mg by his previous provider. He says he is only taking the Propanolol as needed for sleep but I worry about him getting unopposed Beta Blockade blockade if he takes the Adderall and Propanolol together. I know he is on a low dose of Propanolol but I wish to avoid any type of blood pressure fluctuations if possible especially with him taking it as needed. I... Prescribing Propanolol for anxiety/insomnia with stimulants?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums