Question Regarding Timing of Multiple Propranolol Doses

in our latest question and answer, the pharmacist discusses propranolol dosing.

Question

I was prescribed propranolol 10 mg and I'm supposed to take it twice a day. I want to know, should I take the doses 5 or 6 hours apart?

Asked by Sana On May 16, 2025

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published May 16, 2025
Last updated Jun 06, 2025

Answer

Thanks for your question!

Propranolol, a beta-blocker, is absorbed and metabolized fairly quickly. After taking an immediate-release tablet, peak blood levels usually occur within 1 to 4 hours, and the drug’s effects typically last about 4 to 6 hours, depending on the dose and individual factors. That’s why for some conditions, propranolol is prescribed up to four times a day (every 6 hours), though twice-daily dosing is also common for certain uses.

How Far Apart to Separate Doses?

Without knowing what you’re taking it for (such as anxiety, blood pressure, migraines, etc.), it’s hard to say exactly what your doctor intended.

Regardless, propranolol is a short-acting medication, so when it's taken twice daily, most providers aim to evenly space the doses, typically about 12 hours apart, like 8 AM and 8 PM. That helps maintain consistent coverage throughout the day.

However, propranolol can be taken every 6 to 8 hours in certain cases, so taking it 6 hours apart, as you stated in your question, is definitely within the usual range for some conditions. It's often prescribed this way when more frequent dosing is needed. If your doctor told you to take it twice daily, they likely intended for you to spread the doses out across the day, not take them too close together (but, again, I'm not sure what you are treating).

I do want to mention as well that propranolol comes in a long-acting form, and my comments above are only relevant to the immediate-release formulation.

Final Words

I’d recommend checking with your doctor or pharmacist to make sure how to take the propranolol. The best schedule can depend on why you’re taking it and how your body responds.

I hope this helps!

References

  • Propranolol Prescribing Information, AccessFDA

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