Taking Inderal (propranolol) will not typically affect your heart ultrasound (echocardiogram). However, because Inderal is a beta-blocker that lowers your heart rate, it can significantly affect your treadmill stress test by preventing your heart rate from reaching the necessary target. Please contact your doctor or the testing facility as soon as possible. They will guide you on whether you need to safely and temporarily pause taking your medication before the stress test. Do not stop taking your medication without their direct advice.

Inderal (propranolol) is excellent for controlling physical symptoms like shaking, but it may not fully address the emotional and psychological aspects of severe stress. Since your primary concern now is managing anxiety, consulting a psychiatrist is the best next step. Psychiatrists specialize in mental health and can offer targeted therapies or anxiety-specific medications. Please also keep your neurologist informed so both doctors can coordinate your care safely.

Both Inderal and propranolol are the same medication, so your doctor is adjusting your dose to find the right balance for you. As you transition to the 80 mg dose, it can help to limit caffeine, stay well-hydrated, and get plenty of rest, as fatigue can worsen shaking. I recommend keeping a daily log of when your tremors are most noticeable. Since some of your other medications, like Dicorate ER, can also cause tremors, sharing this log with your doctor will help them safely adjust your care.

Inderal (propranolol) is a beta-blocker that can cause dizziness by lowering your blood pressure and heart rate, especially when doses change. It is very important not to adjust your dose of propranolol on your own, as reducing it too quickly can cause your heart rate or blood pressure to jump, or make migraines worse. Since the dizziness is continuing even after lowering your dose back to Inderal 20 mg, please contact your doctor right away. They can safely check your blood pressure and help you gradually adjust or change your medication.

Your TSH of 16.48 suggests your thyroid levels are still not quite balanced, which can cause weakness and anxiety. I recommend consulting an endocrinologist to safely adjust your levothyroxine dose, especially considering your weight. Because you are underweight, a gastroenterologist referral could help rule out absorption issues. For diet, try nutrient-dense foods and always take your levothyroxine on an empty stomach, away from other supplements. Please consult your doctor.

Based on your symptoms of hand shaking that worsens with stress and activity, you may have a common condition called Essential Tremor. While I cannot prescribe medication online, the most frequently prescribed first-line treatments are beta-blockers (like Propranolol) or anti-seizure medications (like Primidone). These help reduce the shaking during tasks. Because these drugs affect heart rate and blood pressure, you must consult a doctor or neurologist for a proper diagnosis. They will evaluate your health and safely prescribe the right medication and dosage for you.