Help Your Heart Find Its Normal Rhythm
Slow down your heart rate and say goodbye to palpitations with propranolol, an FDA-approved beta-blocker designed to improve symptoms of dysautonomia, POTS, Long COVID, and ME/CFS.
Only pay if your prescription is approved
How It Works
(Step by Step)
1
Fill Out a Safety Assessment
Your condition is unique, so we make sure the treatment is safe for you. We look at your diagnoses, current medications, allergies, vitals (for relevant medications), and symptoms to identify potential contraindications and treatment interactions. Safety is always the first concern.
2
Clinician Review
An expert clinician in complex illnesses like Long COVID, ME/CFS, MCAS, and POTS will review your assessment. If approved, they will prescribe your treatment and build a safe dosage plan, often starting low and tapering up gradually only as tolerated. Pay zero fees if you're not approved.
3
Talk to a Clinician About Your Medication
Once your prescription is approved, you'll have the option to schedule a Medication Consultation with a RTHM clinician. Use this visit to ask questions related to your prescription, discuss side effects, dosing, or any medication-related concerns.
4
Pick Up Your Prescription
Pick up and pay for your prescription at your local pharmacy or, if applicable, the mail-order compounding pharmacy will ship it to you. You can often begin treatment within 1 business day for medications that are not compounded or filled at mail order pharmacies.
Pricing Example
RTHM Safety Assessment
Only charged if approved
$59
Pharmacy Cost
90-day supply + shipping
$11
Total for 90 days
With RTHM discount
$70
RTHM Safety
Assessment Fee
Paid every 90 days
(only charged if prescription is approved)
$59
Pharmacy
Cost
90-day supply + shipping, paid to the pharmacy
$11
Estimated total
for 90 days
With RTHM discount
$70
Key Benefits
Reduce dizziness fatigue and brain fog
Propranolol helps stabilize and reduce your heart rate, alleviating symptoms like dizziness, fatigue, and cognitive impairment caused by orthostatic intolerance.
Reduce tachycardia
Low-dose propranolol significantly reduces heart palpitations and shakiness in patients with POTS, allowing you to feel calmer and more in control.
Improve exercise tolerance:
Propranolol improves exercise tolerance by allowing better heart rate control. Studies show it correlates with improved VO2 max, helping you expand your energy envelope.
Is Propranolol right for me?
What Does the Research Say?
What People Are Saying About
What People Are Saying About Propranolol
u/krobie77
reddit.com
I’ve been on propranolol for about two+ weeks now, and the difference is insane to me. I can stand and walk around and barely feel a thing. I cooked three meals in a single weekend when I hadn’t been able to cook in over a year. I’m able to take the dog out without getting lightheaded and short of breath. I just interviewed for three jobs (I haven’t worked in over a year)! I finally got my driver’s permit (a huge feat).
u/tiredmonarch
reddit.com
saw my cardiologist the other day and i was prescribed propranolol for POTS and yesterday was the first day i took it and as i was standing up my heart rate was only 85-95 … usually it’s anywhere between 110-140 while standing. i’m amazed
u/sgsduke
reddit.com
Propranolol helped me so much. I almost entirely stopped fainting and I can walk around stores etc much more easily, without a cane for dizziness and fatigue that I used to use most of the time. I started out on 10mg twice a day, then 20mg twice a day, now 60mg extended release in the morning.No noticeable side effects for me, which was a pleasant surprise.
Safety Is Our
Top Priority
All treatments, including Propranolol, are carefully reviewed by RTHM clinicians and pharmacists.
We use dosing protocols designed to minimize side effects and ensure safe use
Comprehensive treatment guides are vetted by our expert clinical team. As you navigate your health journey, we're here to provide safe and effective care.
Stuart Malcolm, MD
Provider and Medical Director, RTHM Clinic
Sarah Almilli
PharmD, APh., IA, Clinical Pharmacist
Ilene S. Ruhoy
MD, PhD, Neurologist
Jennifer Curtin, MD
Chief Medical Officer and Cofounder, RTHM