Stopping Inderal LA (propranolol) suddenly after seven years can cause rebound effects, including increased anxiety and muscle tremors that might affect your speech. Please contact your doctor right away to have this evaluated safely. They can help manage these withdrawal symptoms and explore alternative, gentler treatments for your hand tremors.

It is completely understandable to feel concerned when dealing with a fast heart rate and chest tightness. Inderal (propranolol) is often prescribed at a low dose, like 10 mg three times a day, to help manage these physical symptoms of anxiety by slowing your heart rate. However, because you are also experiencing dizziness, it is very important to consult your doctor before starting this medication. Propranolol can lower your blood pressure, which might make dizziness worse. Your doctor can safely evaluate your symptoms and ensure this is the safest treatment plan for you.

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.

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.

You should not stop taking your daily beta-blocker (propranolol) without consulting your doctor. Stopping this medication suddenly can cause a rapid heart rate or blood pressure changes. Your doctor will advise how long you need to remain on it. Your antihistamine (cetirizine) is typically taken as needed for allergies or congestion, and can usually be stopped once your nasal symptoms resolve. Since you currently have a headache and nasal congestion, please consult your healthcare provider. They can evaluate if these symptoms are from a common cold, sinus issue, or allergy flare-up, and safely adjust your medications.

Paxidep (paroxetine), Inderal (propranolol), and Amitop (amitriptyline) are generally considered safe during breastfeeding, as very little passes into breast milk. However, Cabforte (cabergoline) can significantly reduce your milk supply and is not recommended if you wish to continue nursing. Etilaam (etizolam) can cause drowsiness in your baby, so it requires extreme caution and close monitoring. Please discuss these medications with your doctor to find the safest, most comfortable plan for you and your little one.