Lipophilic Non-Selective Beta-Adrenergic Somatic Autonomic Blocker • Rx

Propranolol Hydrochloride

Brand Reference: Inderal, Inderal LA

Medically Reviewed by Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
93.50%
Patient “Worth It”
41 verified logs
$5.60
Lowest Monthly Cash

Propranolol Hydrochloride Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Propranolol Hydrochloride RxNorm Concept ID 8787 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0490 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $27.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $5.60 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $8.00 / mo 41 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Propranolol Hydrochloride

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$5.60/mo
Wholesale Cash Price
View Wholesale Rx →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
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Virtual Psychiatric Medication Management (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 39.00
Consult / Starting Tier
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Propranolol Hydrochloride Clinical Pharmacology & DailyMed Monograph

RxCUI 8787 • NDC 00378-0181-01

Crosses the blood-brain barrier and antagonizes peripheral beta-1 and beta-2 adrenoceptors, abolishing epinephrine-driven somatic performance-anxiety tremor, vocal quaver, palpitations, and diaphoresis within 45 minutes without benzodiazepine cognitive sedation.

Across 41 community cost disclosures for Propranolol Hydrochloride (Inderal / Inderal LA), cash buyers routing around $27.00 retail markups capture a 79% discount ($5.60/mo benchmark vs $0.0490 NADAC acquisition).

Following administration (10 mg PO 45 min pre-event PRN), Propranolol Hydrochloride achieves ~26% oral (extensive hepatic first-pass) bioavailability and 30–60 minutes situational autonomic control onset, governed by a 3–6 hours IR terminal half-life through cyp2d6, cyp1a2, and cyp2c19 hydroxylation to 4-hydroxypropranolol.

Before initiating Propranolol Hydrochloride at 10 mg PO 45 min pre-event PRN, clinical safety checklists rule out reactive airway asthma or copd; raynaud phenomenon; sinus bradycardia < 50 bpm. Logged tolerability patterns center on cool extremities (11% of reports), mild tiredness (8% of reports).

Half-Life
3–6 hours IR
Bioavailability
~26% oral (extensive hepatic first-pass)
Metabolism & Clearance
CYP2D6, CYP1A2, and CYP2C19 hydroxylation to 4-hydroxypropranolol
Clinical Onset
30–60 minutes situational autonomic control

Standard Adult Titration & Dosages

10 mg PO 45 min pre-event PRN 20 mg PO PRN or BID 40 mg PO BID 60 mg ER daily

Absolute & Relative Contraindications

  • Reactive airway asthma or COPD
  • Raynaud phenomenon
  • Sinus bradycardia < 50 bpm

Logged Side-Effect Incidence (41 Reports)

Cool extremities 11%
Mild tiredness 8%

Propranolol Hydrochloride Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 41 verified cash-pay logs, Propranolol Hydrochloride achieves a 93.50% Worth-It rating with out-of-pocket spend averaging $8.00/mo versus $27.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 10 mg PO 45 min pre-event PRN • Paid: $4.93/mo via Cost Plus Drugs
Cool extremities

Switched to Cost Plus Drugs at 10 mg PO 45 min pre-event PRN for Propranolol Hydrochloride; monthly out-of-pocket dropped to $4.93 compared with $27.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 20 mg PO PRN or BID • Paid: $5.71/mo via Cash Clinic

Completed 10 weeks on Propranolol Hydrochloride (20 mg PO PRN or BID). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 40 mg PO BID • Paid: $6.50/mo via Cost Plus Drugs
Cool extremities

Consistent biomarker response on 40 mg PO BID Propranolol Hydrochloride sourced via Cost Plus Drugs ($6.50/mo cash pay without insurance prior authorization).