Hi doctor, Is it safe to take both Adderall and Propranolol? I have ADHD and I am taking Adderall. I have been asked to speak about my career, but I get paralyzing stage fear every time I speak in front of a crowd. A psychiatrist prescribed me Propranolol, but this does not seem like a safe combination. It is a kind of like how beta blockers are avoided when people have used cocaine. I spent a year after college as a research assistant in an emergency department. Please help.
Hi. We are here to help you. The fear and uncomfortable feel of standing and speaking in front of crowd is due to anxiety only, which can be an independent entity or can be associated with ADHD (attention deficit hyperactivity disorder) itself. Propranolol is going to reduce anxiety, but yes it should be avoided if you have been using cocaine or have any respiratory issue associated. In my opinion the best drug for you would be SSRI (selective serotonin reuptake inhibitor) like Paroxetine which will not interact with Adderall (Amphetamine) or even with your cocaine issue. Revert back with the answers to a cardiologist online -->