Home/Drugs By Ailments / Clonazepam + Propranolol

Clonazepam + Propranolol

Uses of Clonazepam + Propranolol

  • Clonazepam + Propranolol is to manage anxiety disorders, particularly when they present with physical symptoms such as a rapid heartbeat, dizziness, shaking, and profuse sweating. This combination includes a benzodiazepine (Clonazepam) and a beta-blocker (Propranolol). 
  • In some cases, it may also be used off-label for seizure disorders and rarely for preventing migraines. Additionally, Clonazepam + Propranolol is effective in treating high blood pressure, panic disorders, fast heartbeat, and migraine symptoms.

Side effects of Clonazepam + Propranolol

  • Drowsiness

  • Dizziness

  • Memory problems

  • Slow heartbeat

  • Cold hands and feet

How Clonazepam + Propranolol works

  • Clonazepam is a type of benzodiazepine. It works by enhancing the activity of GABA (gamma aminobutyric acid), a substance in the brain that calms the excessive activity of the neurons, thereby helping to reduce anxiety.

  • Propranolol is a beta-blocker. It decreases the impact of adrenaline and noradrenaline on the heart, blood vessels, and other tissues. This leads to a slower heart rate, less forceful heart contractions, dilation of blood vessels, and reduced blood pressure which helps to manage anxiety-related physical symptoms.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Osama Ahmed
Dr. Osama Ahmed Dental/Medical Writer, Editor, Reviewer| 2 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Clonazepam + Propranolol can be taken orally (tablet).

Age and Dose Restrictions

  • The medicine is intended for use in adults and children who are over 16 years of age.

Contraindications

  • Clonazepam + Propranolol is contraindicated in individuals with cardiogenic shock, sinus bradycardia, heart block, bronchial asthma, and acute angle closure glaucoma.

Other Medications to Avoid

  • Clonazepam + Propranolol can interact with anti-anxiety medicines and sedatives (such as diazepam and alprazolam), antidepressants (like fluoxetine and venlafaxine), antipsychotics (including risperidone and olanzapine), anticonvulsants (such as carbamazepine and phenytoin), certain antibiotics and antifungals (like ketoconazole and erythromycin), calcium channel blockers (like amlodipine), heart medications (digoxin), anticoagulants (warfarin), insulin, oral diabetes medicines (like metformin), and thyroid medications (such as levothyroxine).

Overdose and Missed Dose

  • If you suspect an overdose of Clonazepam + Propranolol, seek medical attention immediately. Symptoms may include extreme drowsiness, confusion, muscle weakness, fainting, or coma.
  • If you miss a dose of this medication, take it as soon as you remember. If it is nearly time for your next dose, skip the missed dose. Do not double the dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • For drowsiness or dizziness, ensure you rest and sit or lie down until you feel better.
  • For dry mouth, try chewing sugar-free gum or sucking on sugar-free sweets.
  • For constipation, eat a well-balanced diet rich in fibre and drink plenty of water.

Use in Driving and Operating Machinery

  • Clonazepam + Propranolol may cause drowsiness and impair your ability to drive or operate machinery. Do not do these activities until you know how this medication affects you.

Use in Pregnancy and Lactation

  • The use of Clonazepam + Propranolol during pregnancy and breastfeeding is generally not recommended. It is recommended to speak with your doctor before using this medication if you are pregnant or breastfeeding.

Caution in Other Conditions

  • Caution is advised when using Clonazepam + Propranolol in patients with a history of drug abuse or addiction, as well as those with liver, kidney or lung disease, glaucoma, myasthenia gravis, diabetes, and thyroid disorders.

Special Dietary and Lifestyle Recommendations

  • A balanced diet with reduced intake of caffeine and alcohol can help manage symptoms of anxiety.
  • Regular physical activity is beneficial for overall health and can also help in managing anxiety symptoms.
  • Adequate rest and sleep are crucial for reducing anxiety. Try to maintain a regular sleep schedule.
  • Stress management techniques such as yoga, meditation or deep breathing exercises can also be beneficial in managing anxiety symptoms.

Frequently asked questions

No direct evidence suggests that Clonazepam + Propranolol causes weight gain. However, everybody reacts differently to medications, and minor weight fluctuations may occur. If you notice significant changes in your weight, contact your doctor.

No, Clonazepam + Propranolol is not a steroid. Clonazepam is a benzodiazepine used for managing panic disorders and certain types of seizures, while Propranolol is a beta-blocker used for managing high blood pressure and irregular heart rate.

The duration of treatment with Clonazepam + Propranolol depends on the severity of your symptoms and response to treatment. You should not stop the medication abruptly without consulting your doctor.

If you have diabetes, you should inform your doctor before starting Clonazepam + Propranolol, as it may affect blood sugar levels.

No evidence suggests that Clonazepam + Propranolol directly affects menstruation. However, if you notice any changes in your menstrual cycle while taking this medication, consult your doctor.

The composition of tablets can vary by manufacturer. If you follow a vegetarian or vegan diet, consult your doctor or pharmacist about suitable options.

It is crucial to inform your doctor about any supplements you are taking as they could interact with Clonazepam + Propranolol.

Terms & Conditions


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