Gee, that's a LOT of propranolol. I know because I was prescribed 3 X 40 years ago it was hard to do for very long.
I recommend you try some other beta-blockers that last all day with a single doseage. Maybe it's propranolol's highs and lows (it has a VERY short half life) that requires so much to stop your PVC's. I have a friend who says that sotalol is doing a very nice job controlling his atrial flutter without lowering his BP too much. Atenolol, maybe 50 mg., might be worth a try and it's a LOT cheaper than sotalol; it's priced more like propranolol.
BP of 90/60 is kind of an extreme side effect. You must feel like a limp dishrag when it goes that low. It's unfortunate that this class of drugs will all sap your strength, it's just the way they operate, but some are worse than others. Experiment.
Unfortunately if you find that the other beta-blockers have to be used in dosages that make you exhausted to avoid the PVC, then you just have to choose a balance you can live with or else go for ablation.
Last edited by Lenin; 08-25-2005 at 04:23 AM.