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hair and nails are recovering from propranolol. one of my ring fingernails was peaked at almost 45 degrees along the length of the nail, all sorts of splintering and clubbing and weird shit going on. i used to be one of those long nails people who just grew them naturally so this was a HUGE indicator of something being really really wrong. the buckling, peaking and folding in the nailbeds seems to be REALLY straightened out, and my hair has a line of demarcation about 2-3inches away from my scalp where follicles clearly woke back up about half a year ago, so the tmeline adds up. i believe the dermatitis on the hands is going to be the hardest one to fix, but it's better i thnk.
IF YOU ARE ON BETA BLOCKERS: pay attention to your hair, skin and nails. beta blockers can cause telogen effluvium due to a weird way the molecules shrink and expand while metabolizing into your tissues, it causes balding, eczema, psoriasis, rashes, itchiness, nail breakage and dformation, and on and on. this usually happens months or years after you started the beta blockers, it is not easy to spot! it builds up slowly over time. continue takng your beta blockers if they are helping you! IF you notice hair loss or skin problems, it might be the beta blockers though! just be aware they have the potential to cause those problems. not everyone gets those problems! if you get balding or skin problems on beta blockers, the problems will reverse once you go off beta blockers (wean slowly, do not ever cold turkey a beta blocker). doctors know about this, its been in the literature forever, they just dont consider it very important.
another day, another sticker or so it seems. this one is available in my shop (link in bio) for £2!
Current treatment = tranquillizer

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guys is propranolol supposed to make you really anxious but also really sleepy and really tired and also make it hard to see a little
i did message my doctor but guhhhhh
please propranolol, stop making my hands so cold pleaseeeeeeeee
I have a female pt who is taking labetalol 100 mg bid. She used to take either HCTZ or chlorthalidone, but switched to labetalol when she was trying to become pregnant. She ended up not getting pregnant and then continued to take the labetalol since then. So I want to switch her to HCTZ. Beta blockers should not be abruptly discontinued because that can cause rebound HTN. So I will decrease her labetalol to 100 mg daily x1 week while at the same time taking HCTZ 12.5 mg a week. I never learned any specific way to taper off a beta blocker, but a quick search does say to decrease the dose by 25 to 50% 1 week at a time, so I think this is a good taper regimen.