Clinical CPD - Primary Care Additional Roles

Propanalol in anxiety

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The presentation on propranolol in anxiety treatment highlights safer prescribing practices and the need for increased awareness of its risks. While propranolol is commonly used for situational anxiety (e.g., performance anxiety), it is not a first-line treatment for generalized anxiety disorder (GAD), where psychological therapies (CBT) and medications like SSRIs or SNRIs are preferred. Concerns include the high risk of overdose and limited evidence supporting its effectiveness in anxiety management. Prescribers are advised to limit prescriptions to a maximum two-week supply, conduct regular reviews, educate patients on overdose risks, and cautiously discontinue propranolol if necessary. The session emphasizes staff education, adherence to NICE guidelines, and potential audit work to ensure safer medication use.

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Contributed by: Clinical CPD - Primary Care Additional Roles
Authored by: Lancashire & South Cumbria Primary Care Training Hub
Licence: More information on licences
Last updated: 07 July 2025
First contributed: 07 July 2025
Audience access level: General user

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