A person wearing a dark green shirt pouring white pills from an orange prescription bottle into their open hand.

Hemangeol (propranolol): Online prescriptions for anxiety

Propranolol is a beta-blocker often prescribed for high blood pressure, but also used to ease physical anxiety symptoms like a racing heart, sweating, and shaking. Licensed psychiatric providers at Talkspace can evaluate your symptoms over video and provide an online propranolol prescription if appropriate, filled locally or through Amazon Pharmacy.

An initial evaluation by a Talkspace psychiatric provider is required before medication is prescribed. If appropriate, medication will be prescribed for home delivery or for pickup at your local pharmacy. Medication prices are not included in the evaluation price. Talkspace psychiatric providers are unable to prescribe controlled substances and stimulants.

HIPAA and SSL logos
Amazon Pharmacy logo

Have your medications delivered to your door - fast and free - with Amazon Pharmacy

Most insured members have a $0 copay

Choose your insurer to learn more:

Cigna logo
Aetna logo
Optum logo
Anthem insurance logo
TRICARE Insurance Logo
Medicare logo

And more...

Here’s how it works

Schedule a video assessment

Answer a few questions online, then meet virtually with a psychiatric provider within a week. Appointments covered by insurance are available for members 18 and older.

Get a diagnosis and prescription

During the appointment, your Talkspace provider will listen to and evaluate your symptoms and, if appropriate, prescribe medication. Build a plan together that feels right.

Begin treatment

Your prescription will be sent to your pharmacy, and you'll have follow-up appointments with the same psychiatric provider. 

Get started

Is Propranolol (Hemangeol) right for you?

Close-up of three medicine pills in white, blue, and orange resting on a light blue background.

What is propranolol used for?

Propranolol (also known by brand names Hemangeol, Inderal LA, InnoPran XL) can be prescribed to treat physical anxiety symptoms like sweating, shaking, a fast pulse, dizziness, nausea, and increased heart rate. It’s usually prescribed as a short-term treatment for performance anxiety or social anxiety, rather than a long-term treatment. Some conditions propranolol treats include:

  • Physical anxiety symptoms
  • Performance anxiety
  • Social anxiety disorder

Who shouldn't take propranolol?

Propranolol isn't recommended for people who:

  • Have cardiogenic shock
  • Have a significantly slow heart rate or greater-than-first-degree heart block
  • Have decompensated heart failure
  • Have asthma or another bronchospastic condition
  • Have low blood pressure or blood sugar problems (use with caution and physician guidance)

What are the side effects of propranolol?

Medication may be prescribed when clinically appropriate based on an evaluation by a licensed healthcare provider. It’s important to take propranolol exactly as prescribed by your clinician. Common side effects of propranolol can include dizziness, fatigue, diarrhea, constipation, and others listed on your medication information. You may experience side effects when you first begin taking propranolol that lessen or dissipate once you’ve been taking it for several weeks or months. Treatment results may vary by individual.

Seek immediate medical attention if you experience difficulty breathing, facial swelling, skin irritation, irregular heartbeat, weight gain, or a feeling of faintness.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers have specialization in 150+ conditions, treatment approaches, and mental health needs.

Meet the Talkspace licensed providers

Our network of therapists and psychiatric providers specialize in 150+ mental health conditions and treatment approaches. Get online therapy and medication management on one platform with ongoing care

Depression
Relationships
Anxiety & Stress
Parenting
LGBTQIA+
Chronic Illness
Eating Disorders
OCD
Anger Management
childhood abuse
Mood Disorders
trauma & Grief
Loneliness
Family Conflict
And more...
Get started
Licensed Talkspace provider Elizabeth Keohan, LCSW-C

Elizabeth Keohan, LCSW-C

Medications we prescribe online

Talkspace psychiatric providers diagnose and treat a wide variety of mental health conditions, including anxiety, depression, ADHD, and others. For some people, their treatment involves medication. Your provider can prescribe you medication if appropriate for your treatment.
Note: Talkspace does not prescribe controlled substances.

What real members are saying

"We were paired with a super helpful couples therapist and even in just a few short months, our marriage feels back on track. Highly recommend it, and the app just makes the service even easier to use on the go.”

Annecharbs, App store

“It has helped me find the best professional therapy and psychiatry to assist with my mental health issues. It works around my schedule and is very convenient.”

Marlena, Trustpilot

“My care team at Talkspace has been instrumental in my mental health journey. I have a therapist for weekly visits and a psychiatrist for medication management. They have both been incredible and have helped me so much in my journey.”

Tiffanie, Trustpilot

“I found a great therapist on Talkspace and she's noticed that I might be needing some help from a psychiatrist, so she placed a referral. I was able to see a psychiatric ARNP via video visit the next day! I'm definitely on my way to feeling better.

J Stewart, Trustpilot

“This is the best I've felt in decades, I was living my life on the edge all those years. I'm so thankful for Talkspace, my psychiatrist and my therapist. Life is finally coming together.”

Ebony, Trustpilot

Sketch of a medicine bottle, a cup, and a capsule pill.

See a provider today to get a new Propranolol (Hemangeol) prescription or refill

Get a prescription

Any questions?

Find trust-worthy answers on all things mental health at Talkspace.

Illustration of two hands holding soil with a flower growing in it

Can I get propranolol online?

Yes, you can get a prescription for propranolol online after a video consultation with a licensed psychiatry provider, if the provider decides that medication is an appropriate treatment for you. Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. You’ll be able to schedule a video appointment with your provider usually within two weeks, often sooner. At your video appointment your psychiatry provider will ask questions about your symptoms and health history, and you can share your questions about medication and anything else. If your provider writes you a prescription for propranolol they will send it to a local pharmacy of your choice and you will pick up and pay for the medication at the pharmacy. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure propranolol is working for you and address any mental health needs.

What is propranolol?

Propranolol (also known by brand names Inderal LA, Hemangeol, InnoPran XL) is a beta-blocker often prescribed to treat high blood pressure or other heart issues. It can also be prescribed to treat physical anxiety symptoms like sweating and shaking. It works by slowing down your heart rate and helping blood flow through the body.

Can I get propranolol over the counter?

No. propranolol is a prescription medication, so you cannot purchase it over-the-counter. You will need to have propranolol prescribed to you by a licensed provider who is able to prescribe medications, like a doctor or nurse practitioner. You can get a prescription for propranolol online through Talkspace after a video consultation with a licensed psychiatry provider, if the provider decides that propranolol is an appropriate treatment for you. 

What are the most common side effects of propranolol?

Common side effects of propranolol can include dizziness, fatigue, diarrhea, constipation, and others listed on your medication information. These side effects are generally mild and should not get worse. If they do, make sure to contact your doctor right away. Seek immediate medical attention if you experience difficulty breathing, facial swelling, skin irritation, irregular heartbeat, weight gain, or a feeling of faintness. It’s important to take propranolol exactly as prescribed by your healthcare provider. 

Can I get a new propranolol prescription or prescription refill from Talkspace?

Yes, you can get a propranolol prescription or refill from Talkspace, after a video consultation with one of our licensed psychiatry providers (assuming the provider determines that it is an appropriate treatment for you). Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. At your video appointment your psychiatry provider will ask questions about your symptoms and health history. If you are already taking propranolol and simply want to continue with a renewal of your prescription or refill, your Talkspace provider can continue your prescription if they determine it is medically appropriate. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure propranolol is working for you and address any mental health needs.

Is propranolol good for anxiety?

Propranolol works by relaxing blood vessels to reduce heart rate and blood pressure; the medicine helps alleviate physical symptoms related to anxiety and panic attacks.

Propranolol works best for anxiety symptoms that are primarily physical – it won’t help with mental anxiety symptoms. It is also more suited to short-term anxiety situations like performance-related or social anxiety. It likely won’t be prescribed for long-term anxiety like general anxiety disorder.

How quickly does propranolol work for anxiety?

Propranolol typically starts to work in a few hours for anxiety symptoms. However, there are two types of propranolol that release at different paces in the body. In the case of a propranolol prescription for anxiety, standard-release or immediate-acting propranolol releases the medication in your body quickly after the first dose, helping relieve anxiety symptoms like racing heart and trembling hands. How quickly it works may vary from person to person, but your psychiatric clinician can help you figure out when to take it in various scenarios.

Can I use my health insurance for online propranolol prescriptions and refills?

Talkspace is in-network with most major health insurance plans, which means that when you have a video appointment with a Talkspace psychiatric provider to receive a propranolol prescription or refill, Talkspace will bill your insurance plan directly for your online prescription appointment and you will only have to pay a copay (typically around $15, though many covered members pay $0). You will pay for the propranolol medication itself when you pick it up from a pharmacy of your choice, and you can have the pharmacy bill your insurance plan for the medication.

How much does propranolol cost?

The price you pay for propranolol will depend on whether or not you’re paying with insurance and what your insurance copay is. The prices of prescription medications sometimes vary a lot by pharmacy, so to get the best price for propranolol you might want to look at websites like GoodRx and CostPlusDrugs. You should also contact your insurance company to find out the most affordable way to get your prescription for propranolol. Some insurance companies charge less when you fill your prescriptions through their mail-order pharmacies.

How do you take propranolol?

Depending on your mental health condition and the treatment plan prescribed by your provider, propranolol is taken in different forms, dosages, and frequencies. Propranolol comes in immediate-acting pill form, liquid, or long-acting capsule. Make sure to swallow pills whole and avoid crushing or chewing them. If you’re using propranolol to manage anxiety symptoms, it’s most common to take the medication ahead of an anxiety-inducing event. Seek medical advice from your healthcare provider before starting any prescription medication to understand common side effects, correct dosage instructions, and potential drug interactions.

What are other related medications to Propranolol?

There are several different medications your psychiatrist may prescribe for anxiety.

Other medications for anxiety include:

  • Paxil
  • Escitalopram
  • Fluoxetine
  • Buspar (buspirone)
  • Zoloft (sertraline)
  • Lexapro (escitalopram)

What is propranolol used to treat?

Propranolol is a type of medication called a “beta blocker” that is most often prescribed to treat high blood pressure, but can also be prescribed to treat physical anxiety symptoms like sweating, shaking, dizziness, nausea, and increased heart rate. It works by slowing down your heart rate and helping blood flow through the body. Propranolol is usually prescribed as a short-term or occasional treatment for performance anxiety or social anxiety, rather than as an ongoing treatment. 

Disclaimer
Talk to your psychiatrist or healthcare professional about the possible risks and benefits associated with the above medications before starting treatment. It’s up to your psychiatric clinician’s professional judgment whether medication is prescribed. If you are in a life threatening situation – don’t use this site. Call +1 (800) 273-8255 or use these resources to get immediate help.