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I was experiencing severe palpitations every single day from the afternoon up until I'd fall asleep at night. In 2016 was able to get a hold of 30 days of old stock propranolol, and at 40mg Inderal LA, bp down and no shaking. I had high hopes for this new drug working better to lower BP but side effects are bad. They would distract me from work (I'm a medical assistant) and affect my relationship with my significant other. When I went in to fill my 2015 script I was told the generic I was taking was discontinued, and needed to buy the new generic propranolol at 10x's the price. I was given 40mg taken twice daily but started slow with only 20. I'll give Topral a longer chance It slowed down the heart rate a bit, but it also slowed down everything else! The palpitations were so severe that they would cause anxiety, which in turn would my my palpitations worse. I took approx 3 weeks to take effect, but it was so worth it. After 6 months of watching my weight go up (weekly! In the past 2 weeks, I've experienced my episodes only twice. ) no matter what I did and experiencing the other horrible side effects I listed, I finally gave up and weaned off of this drug. go by what drug companies tell them; you have to be your own advocate. Every time I reduce to 15mg or stop taking it, the tremor stops. Been on same thyroid since 2011, and prior to new generic propranolol, never got shaking from the thyroid meds. Going off this today and back to Topral 25mgs x2 per day. Don't take this if you don't want to gain weight quickly, lose hair, and feel tired all the time! In my 20s and 30s, 60mg propranolol ER made me dizzy, so I had to take low doses of the short acting version. On that dose I was light headed, dizzy, and fell down a few times. I have tried a myriad of BP meds and most have side effects I cannot (or will not) tolerate. Later, I also took it to reduce the intensity & cycle of panic attacks. So far this controls my BP with tolerable side effects. 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