Neither propranolol nor atenolol is a first-line treatment for Generalized Anxiety Disorder (GAD). Both are beta-blockers primarily used to manage physical symptoms of anxiety, such as rapid heartbeat and trembling, not the underlying psychological causes. However, they can provide short-term relief for performance anxiety or situational anxiety.
For GAD, research suggests that selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are more effective in addressing the core symptoms of the disorder. These medications target the neurochemical imbalances contributing to anxiety, leading to more sustained improvement.
- Propranolol: Studies show it can effectively reduce physical symptoms during specific anxiety-provoking events. It’s often used for social anxiety disorder or performance anxiety. However, it does not address the underlying psychological aspects of GAD. Atenolol: Similar to propranolol, atenolol is more beneficial for managing the physical manifestations of anxiety rather than addressing the underlying cause. Its use in GAD is limited due to this.
Consider these points when comparing the two for anxiety:
Symptom relief: Both provide relief from physical anxiety symptoms, but the duration and intensity may vary. Propranolol’s effects may be slightly faster-acting. Side effects: Both can cause side effects like dizziness, fatigue, and nausea. Individual responses can differ significantly. Long-term treatment: Neither is recommended for long-term management of GAD. Long-term use of beta-blockers might present risks, especially if used inappropriately. Doctor consultation: Always consult a healthcare professional for diagnosis and treatment. They will assess individual needs and determine if a beta-blocker is appropriate, or if another medication is more suitable for GAD management.
In summary, while both propranolol and atenolol can help manage physical anxiety symptoms, they are not suitable as primary treatment for GAD. Discuss treatment options with a physician to create a personalized plan for addressing the psychological and physical aspects of your anxiety.


