Propranolol can be used for: Hypertension (high blood pressure) Angina (chest pain) Some arrhythmias (disorders of heart rhythm) Protection of the heart after a myocardial infarction (heart attack) Migraine Essential tremor (involuntary and rhythmic shaking) Certain thyroid conditions Hypertrophic cardiomyopathy (thickened heart muscle) Phaeochromocytoma (high blood pressure due to a tumour usually near the kidney) Bleeding in the oesophagus caused by high blood pressure in the liver. How to take Propranolol Adults: Hypertension (high blood pressure): Initially 40 mg two or three times daily, which may be increased by 80 mg per day at weekly intervals. Angina (chest pains) and tremor: Initially 40 mg two to three times daily, which may be increased by 40 mg per day at weekly intervals. Protection of the heart after a heart attack: Initially 40 mg four time a day and after a few days changes to 80mg twice a day Arrhythmias: 10 to 40 mg three or four times daily Phaeochromocytoma: Before an operation: 60 mg daily. Non-operable treatment dose: 30 mg daily Liver disease due to high blood pressure: Initially 40mg twice daily, increasing to 80mg twice daily