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)
Source: Student Doctor Network - September 11, 2019 Category: Universities & Medical Training Authors: shahseh22 Tags: Psychiatry Source Type: forums

As needed medication for Panic Attacks, besides Benzo's and Vistaril?
Hi, I have a patient who is only interested in a Benzo, however, due to his extensive history of substance use, I am trying to avoid anything addicting. He's already on an SSRI but I want something that will be helpful for when he is having the panic attacks. Vistaril was of no benefit in him. I mentioned taking Buspar regularly but he does not want to take anything on a regular basis. I even talked about low dose Propanolol (has asthma). I was wondering if there is anything else you guys... As needed medication for Panic Attacks, besides Benzo's and Vistaril? (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2018 Category: Universities & Medical Training Authors: shahseh22 Source Type: forums