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- Jul 18, 2017
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Because beta blockers lower blood pressure and heart rate, they can be used to help manage symptoms of anxiety.
Ask your GP, or pharmacist. Low dose Bystolic (Nebivolol) helps with anxiety. Simply get a prescription for the lowest effective dose to control your BP....The anti-anxiety is just a bonus.
Beta blockers work by blocking the effects of norepinephrine, a stress hormone involved in the fight-or-flight response. This helps control the physical symptoms of anxiety such as rapid heart rate, a trembling voice, sweating, dizziness, and shaky hands.
**broken link removed**Beta adrenergic receptor antagonists and antiemetic
muscarinic receptor antagonists are useful for mental health
in primary care and family medicine settings, as they provide
favorable risk/benefit profiles, and especially so relative to
benzodiazepines. Beta blockers (e.g., propranolol) prescribed
off-label have been known for decades to provide some,
albeit limited, anxiolytic benefit for patients affected by
social anxiety disorder (social phobia), including performance
anxiety. Blockage of adrenaline’s binding to cardiovascular
beta adrenergic receptors inhibits tachycardia, reduces blood
pressure, and thus diminishes palpitations in acute anxiety
and panic. However, beta blockers are not effective against
the psychic (CNS) symptoms, such as anxiousness, fear, and
avoidance
Furthermore, the limited anxiolytic effects of beta blockers have been shown only for non-selective ones like Propanolol. There is 0 evidence for Nebivolol having the same effects, and given it's selectivity in heart tissue (at least at the dosages you use) the only thing one could notice is reduced tachycardia and palpitations in case of an anxiety episode.
I use Propanolol before important presentations, and it works great in keeping physical symptoms (heart rate, dry mouth, sweating) down. I also use 7.5 mg of Nebivolol and found that is does not have the same benefits other than keeping heart rate somewhat lower. Not to put to much weight into my personal anecdotal evidence though, like you are doing