Why Is Propranolol So Hard to Find? [Explained for 2026]

Updated:

February 15, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Struggling to find Propranolol at your pharmacy? Learn why Propranolol is hard to find in 2026, what's causing the shortage, and what you can do right now.

If Your Pharmacy Says Propranolol Is Out of Stock, You're Not Alone

You went to pick up your Propranolol prescription, and your pharmacist told you it's on back order. Or maybe they said they don't have your dose in stock, and they're not sure when it will be available again. If this sounds familiar, you're far from the only one dealing with this problem.

Propranolol has been a go-to medication for decades, treating everything from high blood pressure and migraines to essential tremor and performance anxiety. But in recent months, many patients across the United States have reported difficulty filling their prescriptions — particularly for certain formulations like the oral solution.

In this article, we'll explain what Propranolol is, why it has become harder to find, and what steps you can take to get your medication filled.

What Is Propranolol?

Propranolol is a non-selective beta-blocker — one of the oldest and most widely used medications in its class. It was first approved by the FDA in 1967 and is available as a generic drug. All brand-name versions, including Inderal, Inderal LA, and InnoPran XL, have been discontinued, though generic versions remain widely manufactured.

Propranolol works by blocking beta-1 and beta-2 adrenergic receptors in the body. This slows the heart rate, reduces blood pressure, and calms the physical symptoms of anxiety — like a racing heart, trembling, and sweating.

Doctors prescribe Propranolol for a wide range of conditions, including:

  • High blood pressure (hypertension)
  • Angina (chest pain)
  • Irregular heart rhythms (atrial fibrillation)
  • Migraine prevention
  • Essential tremor
  • Performance anxiety (off-label)
  • Infantile hemangioma (as Hemangeol)

It comes in several forms: immediate-release tablets (10 mg to 80 mg), extended-release capsules (60 mg to 160 mg), oral solution, and injectable form for hospital use.

Why Is Propranolol Hard to Find in 2026?

There are several reasons why you might be having trouble finding Propranolol at your pharmacy right now.

1. Oral Solution and Injectable Shortages

As of 2025, the American Society of Health-System Pharmacists (ASHP) listed Propranolol oral solution (20 mg/5 mL and 40 mg/5 mL) as being in shortage. Hikma, a major manufacturer, has placed the oral solution on allocation — meaning pharmacies can only order limited quantities. The injectable form (1 mg/mL) is also on back order with no estimated release date.

While tablets and extended-release capsules have not been formally listed in shortage, the ripple effects of the liquid shortage can increase demand for tablets, making certain strengths temporarily harder to find at individual pharmacies.

2. Supply Chain Disruptions

Like many generic medications, Propranolol relies on a global supply chain for active pharmaceutical ingredients (APIs). Disruptions at manufacturing facilities, shipping delays, and quality control issues can all contribute to periodic shortages. When one manufacturer has a production issue, pharmacies that rely on that supplier may run out.

3. Increased Demand

Propranolol has seen growing demand in recent years, particularly for off-label use in treating performance anxiety and general anxiety symptoms. Telehealth platforms have made it easier than ever to get a prescription, which has contributed to higher overall demand for the drug — especially for the lower-dose tablets (10 mg and 20 mg) commonly used for anxiety.

4. Limited Manufacturer Incentive

Because Propranolol is an inexpensive generic drug — often costing as little as $4 to $10 with a discount coupon — profit margins for manufacturers are slim. This can reduce the incentive to ramp up production quickly when supply issues arise, since the financial return is relatively low compared to more expensive branded drugs.

What You Can Do If You Can't Find Propranolol

If you're struggling to fill your Propranolol prescription, here are some practical steps:

Use Medfinder to Check Pharmacy Stock

Medfinder helps you search for medications in stock at pharmacies near you in real time. Instead of calling pharmacy after pharmacy, you can check availability online and find the closest location that has your specific formulation and dose.

Try Independent and Compounding Pharmacies

Large chain pharmacies often run out first because they serve more customers. Independent pharmacies may have different wholesale suppliers and could have stock when the big chains don't. Compounding pharmacies can also prepare custom formulations of Propranolol, which is especially helpful if the oral solution is unavailable.

Ask Your Doctor About Formulation Substitutions

If you normally take the oral solution and it's unavailable, your doctor may be able to switch you to an equivalent dose in tablet form (which is more widely available). Similarly, switching between immediate-release tablets and extended-release capsules might be an option depending on your condition.

Consider Therapeutic Alternatives

If Propranolol is simply unavailable in any form, your doctor may recommend a different beta-blocker. Alternatives to Propranolol include Metoprolol, Atenolol, and Nadolol, which work in similar ways and may be easier to find.

Don't Stop Taking Propranolol Abruptly

This is critical: never stop taking Propranolol suddenly without talking to your doctor. Abruptly stopping can cause rebound effects, including a dangerous spike in heart rate and blood pressure, worsening angina, and in rare cases, heart attack. If you're running low and can't get a refill, contact your doctor right away so they can help you taper safely or find an alternative.

Final Thoughts

Propranolol is a safe, effective, and affordable medication that millions of Americans depend on every day. When supply issues make it hard to find, it can be stressful — but you have options. Start by checking Propranolol availability near you using Medfinder, talk to your pharmacist and doctor about alternatives, and never stop your medication without medical guidance.

For more information about Propranolol, visit our guides on what Propranolol is and how it's used and how to save money on Propranolol.

Is there a Propranolol shortage in 2026?

As of early 2026, the Propranolol oral solution is listed on the ASHP drug shortage list, and the injectable form is on back order. Tablets and extended-release capsules are generally available but may be harder to find at some pharmacies due to increased demand.

Why can't my pharmacy get Propranolol?

Your pharmacy may be unable to get Propranolol due to manufacturer allocation limits, supply chain disruptions, or local demand exceeding supply. Try checking other pharmacies near you using Medfinder or asking about different formulations.

Can I switch from Propranolol oral solution to tablets?

In many cases, yes. Your doctor can calculate an equivalent dose in tablet form. However, this depends on your specific medical condition and why the liquid form was prescribed (for example, difficulty swallowing or precise pediatric dosing). Always consult your doctor before switching.

What happens if I suddenly stop taking Propranolol?

Stopping Propranolol abruptly can cause rebound effects including rapid heart rate, increased blood pressure, worsening chest pain, and in severe cases, heart attack. Always taper off Propranolol gradually under your doctor's supervision over 1 to 2 weeks.

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