Manufacturer: AstraZeneca / Generic manufacturers
Active ingredient: Propranolol Hydrochloride
| Package | Price | Per pill |
|---|---|---|
| 60 pills | $43.32 | $0.72 |
| 90 pills | $54.84 | $0.61 |
| 120 pills | $66.37 | $0.55 |
| 180 pills | $89.41 | $0.50 |
| 270 pills | $123.98 | $0.46 |
| 360 pills | $158.55 | $0.44 |
| Package | Price | Per pill |
|---|---|---|
| 60 pills | $32.92 | $0.55 |
| 90 pills | $41.87 | $0.47 |
| 120 pills | $50.82 | $0.42 |
| 180 pills | $68.73 | $0.38 |
| 270 pills | $95.59 | $0.35 |
| 360 pills | $122.45 | $0.34 |
| Package | Price | Per pill |
|---|---|---|
| 90 pills | $34.44 | $0.38 |
| 180 pills | $55.10 | $0.31 |
| 360 pills | $96.43 | $0.27 |
Follow your physician’s instructions carefully. Do not adjust your dose without consulting a doctor.
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Propranolol: Prescription Hypertension Treatment Online in the US
Medical Profile of Propranolol
Propranolol is a regulated prescription drug in the United States that may be prescribed for managing hypertension in certain patient populations. As a non-selective beta-adrenergic blocker, it is used in cases where blood pressure reduction involves controlling heart rate and limiting sympathetic nervous system stimulation.
Since propranolol influences cardiovascular function and other body systems, improper use can carry clinical risks, which is why it is available only with a prescription in the US. Appropriate therapy requires professional evaluation, individualized dosing, and continued medical supervision.
Understanding Propranolol and Its Mechanism in Hypertension
Propranolol is a non-selective beta-adrenergic blocker, meaning it blocks both beta-1 receptors in the heart and beta-2 receptors in peripheral tissues. In patients with high blood pressure, this action reduces heart rate, myocardial contractility, and overall sympathetic tone, which can contribute to lowering blood pressure.
In current U.S. practice, propranolol is not typically a first-line medication for uncomplicated hypertension. However, it remains clinically relevant when hypertension occurs alongside conditions where beta-blockade is appropriate. The drug is available in immediate-release and extended-release oral formulations, allowing clinicians to individualize therapy.
Buying Propranolol Online in the United States: Legal Access and Safety
Propranolol can be obtained online in the US only with a valid prescription. Federal and state regulations require evaluation by a licensed healthcare provider before the medication is dispensed, whether through a local pharmacy or an online service.
Purchasing propranolol without a prescription is unsafe and unlawful. Without medical assessment, patients may use incorrect doses or take the medication despite contraindications or interacting drugs. Legitimate US-based online pharmacies always require prescription verification and operate under regulatory standards designed to protect patient safety.
Propranolol Price Range in the US Market
The cost of propranolol varies depending on formulation, strength, quantity, and pharmacy pricing model. Generic propranolol is widely available and commonly prescribed.
Typical pricing ranges include:
- Immediate-release generic propranolol: approximately $10–$30 per month
- Extended-release propranolol: approximately $25–$70 per month
Prices may be lower with insurance or pharmacy discount programs and higher for extended-release formulations. Brand-name products are rarely required, as generic propranolol provides equivalent clinical efficacy.
Propranolol Dosage and Strengths for High Blood Pressure
Dose is individualized based on blood pressure response, heart rate, comorbidities, and tolerability.
| Dosing parameter | Immediate-release propranolol | Extended-release propranolol |
| Available strengths | 10 mg, 20 mg, 40 mg, 80 mg | 60 mg, 80 mg, 120 mg, 160 mg |
| Typical starting dose | 20 mg twice daily | 60–80 mg once daily |
| Common titration pattern | Increases of 20–40 mg | Increases of 80 mg |
| Typical daily dose range | 80–240 mg per day | 80–160 mg once daily |
| Maximum commonly used dose | Up to 320 mg per day | 160 mg once daily |
| Dosing frequency | 2–3 times daily | Once daily |
Lower starting doses, such as 20 mg, are commonly used when initiating therapy. Total daily doses are achieved using combinations of available tablet strengths rather than single high-dose tablets.
How Propranolol Compares With Other Blood Pressure Medications
When propranolol is used for hypertension, it is considered alongside other commonly prescribed drug classes.
- Cardioselective beta-blockers, which primarily affect heart-specific beta receptors
- Alpha/beta blockers, which combine beta-blockade with additional vasodilation
- ACE inhibitors and ARBs, often used as first-line blood pressure therapies
- Calcium channel blockers, which lower blood pressure through vascular relaxation
- Thiazide-type diuretics, commonly used for long-term blood pressure control
Propranolol is generally selected when blood pressure management overlaps with a need for heart-rate control or sympathetic nervous system modulation, rather than as a default first-line option.
Safety Considerations and Prescription Requirements
Propranolol may cause side effects such as fatigue, dizziness, and reduced heart rate. More serious risks can occur in patients with certain cardiac conduction disorders, respiratory conditions, or when the medication is misused.
Because safe use requires careful patient selection, dose adjustment, and monitoring, propranolol remains prescription-only in the United States. Medical supervision is essential to ensure effective blood pressure control while minimizing risk.
Frequently Asked Questions (FAQs) about Propranolol
What is propranolol used for?
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Kari Quickenden, Pharm.D., RPh.