Generic Drug Guide · Brand & Manufacturer Information

Alprazolam Propranolol HCl Tablet - Uses, Side Effects & Dosage

An Alprazolam Propranolol HCl tablet is a prescription fixed-dose combination of Alprazolam (0.25 mg) and Propranolol Hydrochloride (20 mg). It is used to treat anxiety disorders with prominent physical symptoms-such as palpitations, trembling, and rapid heartbeat. Propranolol also has an established role in migraine prevention. This page explains the generic alprazolam propranolol HCl tablet in detail and also provides authentic manufacturer information for MIGABET-PLUS, the WHO-GMP brand produced by Dellwich Lifescience LLP.

Generic Guide + Brand Info
Prescription Only (Schedule H1)
Pan-India Manufacturer Supply
Composition & Specifications

What Is an Alprazolam Propranolol HCl Tablet?

An Alprazolam Propranolol HCl tablet combines a benzodiazepine with a beta-blocker in a single dose. The standard composition is Alprazolam 0.25 mg and Propranolol Hydrochloride 20 mg. Because it contains alprazolam, it is a Schedule H1, prescription-only medicine in India.

Benzodiazepine + Beta-Blocker Combination

Alprazolam 0.25 mg + Propranolol HCl 20 mg

This Alprazolam Propranolol HCl tablet is designed to address both the mental and physical dimensions of anxiety. Alprazolam reduces excessive worry and fear, while Propranolol controls the adrenaline-driven somatic symptoms that accompany panic and stress.

Alprazolam 0.25 mg - Central anxiolytic (GABA_A enhancer) Propranolol HCl 20 mg - Peripheral beta-adrenergic blockerUsed for anxiety with physical symptoms & panic attacks Available as MIGABET-PLUS (Blessme brand)Manufactured under WHO-GMP & Schedule M
Generic Name
Alprazolam and Propranolol Hydrochloride Tablets
Active Ingredients
Alprazolam IP 0.25 mg + Propranolol Hydrochloride IP 20 mg
Drug Class
Benzodiazepine + Beta-Blocker Fixed-Dose Combination
Dosage Form
Oral Solid Compressed Tablet
Common Strengths
Alprazolam 0.25 mg / Propranolol HCl 20 mg
Primary Indications
Anxiety with somatic symptoms, panic attacks (prescriber-directed use in stress-related migraine)
Regulatory Category
Schedule H1 (Prescription Only) · Contains a psychotropic substance
Official Brand (India)
MIGABET-PLUS · Blessme Division, Dellwich Lifescience LLP
Manufacturing Standard
WHO-GMP & ISO 9001:2015 Certified
Storage
Below 25°C, dry place, protected from light and moisture
Country of Origin
India
Clinical Reference

Alprazolam Propranolol HCl Tablet:
Uses, Mechanism, Side Effects & Safety

A reference overview of the generic Alprazolam Propranolol HCl tablet combination, including how it works, what it treats, common adverse effects, and critical safety warnings. This information is for educational purposes and does not replace medical advice.

Primary Uses of Alprazolam Propranolol HCl Tablets

The combination is prescribed for anxiety disorders and related somatic symptoms. Key uses include:

  • Generalized Anxiety Disorder (GAD): Reduces persistent worry and the physical tension that accompanies it.
  • Panic Attacks with Cardiac Symptoms: Controls sudden surges of fear accompanied by palpitations, chest tightness, and trembling.
  • Situational & Performance Anxiety: May be considered by the prescriber for stage fright, public speaking anxiety, and tremor during high-pressure events.
  • Migraine Prophylaxis:Propranolol has an established role in migraine prevention. Evidence for adding Alprazolam is limited, so use for stress-related migraine depends on the prescriber's judgement.
  • Essential Tremor with Anxiety: Suppresses adrenaline-aggravated hand shaking.

How the Alprazolam Propranolol HCl Combination Works

Alprazolam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger that suppresses abnormal and excessive activity of nerve cells in the brain. This produces a calming effect on psychic anxiety.

Propranolol HCl is a beta-blocker. It blocks the action of certain chemical messengers on the heart and blood vessels, reducing heart rate, blood pressure, and strain on the heart. In anxiety, it counteracts adrenaline effects that cause rapid heartbeat, trembling, and elevated blood pressure.

Together, the two medicines in the Alprazolam Propranolol HCl tablet provide dual relief: Alprazolam calms the mind, while Propranolol stabilizes the body's physical stress response.

Common Side Effects of Alprazolam Propranolol HCl Tablets

Most side effects are mild and tend to diminish as the body adjusts. However, patients should report persistent or bothersome symptoms to their doctor. Commonly reported effects include:

  • Central nervous system: Drowsiness, confusion, memory impairment, nightmares, tiredness, uncoordinated body movements.
  • Cardiovascular: Slow heart rate, cold extremities, and in some cases dizziness or lightheadedness due to reduced blood pressure.
  • Other: Dry mouth, nausea, vomiting, constipation, and fatigue have also been reported.

Serious side effects are rare but require immediate medical attention. These include extreme drowsiness, difficulty breathing, irregular heartbeat, fainting, or signs of a severe allergic reaction such as rash or swelling.

Dosage & Administration

  • Standard Strength: Alprazolam 0.25 mg + Propranolol HCl 20 mg per tablet.
  • Frequency: As prescribed by the physician, typically once or twice daily.
  • Administration: Swallow whole with water. Do not chew or crush.
  • Timing: Take at the times your doctor specifies, including for situational anxiety.
  • Never self-adjust: Do not change the dose or stop the medicine without medical guidance.

Who Should Avoid This Tablet?

  • Asthma or breathing problems: Propranolol can cause bronchospasm.
  • Very low heart rate or heart block: The beta-blocker effect can worsen bradycardia.
  • Severe heart failure or cardiogenic shock: Contraindicated due to cardiovascular risk.
  • Glaucoma: May worsen the condition.
  • Myasthenia gravis: Propranolol can exacerbate muscle weakness.
  • Diabetes: Propranolol can mask warning signs of low blood sugar.
  • Pregnancy & breastfeeding: Use only if the doctor determines it is essential.

Critical Safety Warning - Prescription Only (Schedule H1)

Alprazolam Propranolol HCl tablets contain Alprazolam, a benzodiazepine with a risk of dependence and withdrawal. Do not consume alcohol during therapy. Do not use with opioid medicines unless your doctor specifically advises it, as the combination can cause profound sedation and breathing depression. Do not drive or operate machinery until you know how the medicine affects you. Never stop treatment abruptly-taper under medical supervision to avoid rebound anxiety, insomnia, and cardiovascular effects. This medicine must be dispensed only against a valid prescription.

Medical Review & Sources

Published by Dellwich Lifescience LLP. Last updated .

Manufacturing & Quality

Quality Standards Behind MIGABET-PLUS

The generic Alprazolam Propranolol HCl tablet is manufactured by multiple companies. MIGABET-PLUS, produced by Dellwich Lifescience LLP, follows WHO-GMP and Schedule M protocols to ensure consistent quality and stability.

01 / DUAL-ACTION FORMULATION

Central + Peripheral Relief

In the Alprazolam Propranolol HCl tablet, Alprazolam targets GABA_A receptors in the brain to reduce psychic anxiety, while Propranolol blocks beta-adrenergic receptors to control palpitations, tremors, and tachycardia.

02 / STABILITY-FOCUSED PACKAGING

Moisture-Resistant Blister Strips

Each tablet is sealed in high-barrier blister packaging to protect the active pharmaceutical ingredients from humidity and light degradation during transport and storage.

03 / ANALYTICAL VERIFICATION

Batch COA & Dissolution Testing

Every batch of Alprazolam Propranolol HCl tablets is tested for assay, uniformity of content, and dissolution profile in accordance with Indian Pharmacopoeia standards.

04 / SCHEDULE M COMPLIANCE

WHO-GMP Manufacturing

Produced in WHO-GMP certified facilities following Schedule M requirements, with online quality checks during compression and packaging.

Regulatory Status

Prescription Requirements & Controlled Substance Classification

In India, the Alprazolam Propranolol HCl tablet is regulated as a Schedule H1 drug. It cannot be purchased over the counter.

Schedule H1 - Valid Prescription Mandatory

Alprazolam is a psychotropic substance and Schedule H1 drug; sale requires a valid prescription and is recorded by the pharmacy. Dispensing without a prescription is illegal. The combination is intended for supervised, short-term use. Long-term use requires periodic reassessment by the prescribing physician.

Drug Interactions to Be Aware Of

Alprazolam and Propranolol can interact with other medicines. Inform your doctor if you are taking:

  • Opioids - risk of profound sedation, respiratory depression and death.
  • Other CNS depressants (sedatives, antihistamines) - additive drowsiness.
  • Blood pressure medicines - additive hypotension and bradycardia.
  • Alcohol - dangerous sedation and cardiovascular depression.
  • Certain antidepressants and antifungals - may alter drug metabolism.

Monitoring & Follow-Up

  • Regular blood pressure and heart rate monitoring is advised.
  • Watch for signs of dependence, especially with prolonged Alprazolam use.
  • Report new or worsening symptoms such as persistent dizziness, fainting, or mood changes.
  • Do not share this medicine with anyone else, even if they have similar symptoms.
Official Brand
Dellwich Lifescience LLP
MIGABET-PLUSAlprazolam 0.25 mg + Propranolol HCl 20 mg · Blessme Division
Manufacturer Information

MIGABET-PLUS: The WHO-GMP Alprazolam Propranolol HCl Tablet from Dellwich Lifescience

MIGABET-PLUS is the registered brand of the generic Alprazolam Propranolol HCl tablet manufactured by Dellwich Lifescience LLP, Ahmedabad. It contains Alprazolam IP 0.25 mg and Propranolol Hydrochloride IP 20 mg, the same active ingredients and strengths described throughout this guide.

Dellwich Lifescience LLP is a WHO-GMP and ISO 9001:2015 certified pharmaceutical manufacturer based in Science City, Ahmedabad, Gujarat. The company specializes in neurology and psychiatry formulations through its Blessme division and supplies MIGABET-PLUS to hospitals, distributors, and PCD franchise partners across India.

B2B & Distribution

MIGABET-PLUS Supply &
Partnership Opportunities

Dellwich Lifescience LLP provides commercial access to MIGABET-PLUS for distributors, hospitals, and contract manufacturing clients.

PCD Franchise for MIGABET-PLUS

District-level monopoly marketing rights for MIGABET-PLUS (Alprazolam Propranolol HCl tablet) with visual aids, promotional support, and a defined territory.

Third-Party Manufacturing

Contract manufacturing of Alprazolam Propranolol HCl tablets for other marketing companies, with flexible batch sizes and regulatory dossier support from Ahmedabad.

Hospital & Institutional Supply

Bulk supply agreements for hospitals, psychiatric clinics, and institutional tenders with pan-India logistics and GST-compliant invoicing.

Brand Advantages

Why Choose MIGABET-PLUS Among Alprazolam Propranolol HCl Tablets?

Several brands of the Alprazolam Propranolol HCl tablet are available in India. MIGABET-PLUS differentiates itself through manufacturing rigor, packaging quality, and direct manufacturer accessibility.

WHO-GMP Certified Manufacturing

Produced in accredited facilities using IP-grade active ingredients, with batch-level certificates of analysis.

High-Barrier Blister Packaging

Moisture-resistant blister strips protect tablet integrity during transport and storage in Indian climatic conditions.

Direct Factory Supply

Pan-India dispatch from Ahmedabad with GST invoicing and verified batch documentation.

PCD Franchise Support

Monopoly territory rights for distributors, supported by promotional visual aids and product literature.

Regulatory Dossiers

COA, stability data, and MSDS available for institutional procurement and tender submissions.

Direct Manufacturer Contact

Speak directly with Dellwich Lifescience for pricing, batch availability, and partnership discussions.

Patient & Prescriber FAQs

Alprazolam Propranolol HCl Tablet - Frequently Asked Questions

Answers to common questions about uses, side effects, dosage, safety, and brands of the Alprazolam Propranolol HCl tablet.

What is an Alprazolam Propranolol HCl tablet used for?

An Alprazolam Propranolol HCl tablet is primarily used to treat anxiety disorders, including generalized anxiety and panic attacks. Alprazolam calms the brain by enhancing GABA, while Propranolol reduces the physical symptoms of anxiety such as rapid heartbeat, trembling, and high blood pressure by blocking adrenaline. Propranolol has an established role in migraine prevention; whether the combination is suitable for stress-related migraine is a decision for the prescribing doctor.

What are the common side effects of Alprazolam Propranolol HCl tablets?

Common side effects include confusion, drowsiness, memory impairment, slow heart rate, tiredness, uncoordinated body movements, nightmares, and cold extremities. Most effects are mild and temporary, but persistent or severe symptoms should be reported to a doctor.

How does the Alprazolam Propranolol HCl combination work?

Alprazolam is a benzodiazepine that increases the action of GABA, suppressing abnormal nerve cell activity in the brain. Propranolol is a beta blocker that blocks chemical messengers acting on the heart and blood vessels, reducing heart rate, blood pressure, and cardiac strain. Together, they address both the psychological and physical symptoms of anxiety.

Who should not take an Alprazolam Propranolol HCl tablet?

The tablet is contraindicated in people allergic to either component, those with asthma or breathing problems, a very low heart rate, severe heart failure, cardiogenic shock, glaucoma, or muscle disorders like myasthenia gravis.

What is the dosage of Alprazolam Propranolol HCl tablets?

Dosage is determined by the prescribing physician. A typical strength is Alprazolam 0.25 mg with Propranolol HCl 20 mg. It is usually taken as directed, often once or twice daily. The tablet should be swallowed whole with water and never chewed or crushed.

Can I stop taking Alprazolam Propranolol HCl tablets abruptly?

No. Abrupt discontinuation can cause rebound anxiety, insomnia, and withdrawal symptoms from Alprazolam, as well as rebound tachycardia and blood pressure spikes from Propranolol. A gradual tapering schedule under medical supervision is essential.

Is it safe to drink alcohol with an Alprazolam Propranolol HCl tablet?

No. Alcohol interacts dangerously with both components. It enhances the sedative effect of Alprazolam and the blood-pressure-lowering effect of Propranolol, causing excessive drowsiness, dizziness, and risk of fainting.

Which brands of Alprazolam Propranolol HCl tablets are available in India?

Several brands are available, including MIGABET-PLUS manufactured by Dellwich Lifescience LLP under the Blessme division. MIGABET-PLUS contains Alprazolam IP 0.25 mg and Propranolol Hydrochloride IP 20 mg in a WHO-GMP certified formulation.

Can elderly patients take Alprazolam Propranolol HCl tablets?

Elderly patients should use the combination with caution because they may be more sensitive to side effects such as dizziness, confusion, and low blood pressure. Close medical monitoring is recommended.

How long can an Alprazolam Propranolol HCl tablet be used?

It is generally prescribed for short-term management of anxiety symptoms. Prolonged use increases the risk of dependence and side effects. Regular follow-up with the doctor is necessary to adjust or safely stop treatment.

Can pregnant or breastfeeding women take Alprazolam Propranolol HCl tablets?

This combination is generally avoided during pregnancy and breastfeeding unless the doctor determines the benefit outweighs the risk. Both Alprazolam and Propranolol can pass into breast milk and may affect the baby. Medical advice is essential.

Is MIGABET-PLUS the same as an Alprazolam Propranolol HCl tablet?

Yes. MIGABET-PLUS is a brand of the Alprazolam Propranolol HCl tablet manufactured by Dellwich Lifescience LLP. It contains Alprazolam IP 0.25 mg and Propranolol Hydrochloride IP 20 mg, the same active ingredients found in other branded versions of this combination.

Manufacturer Enquiry

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Contact Dellwich Lifescience LLP for trade pricing, PCD franchise allocation, third-party manufacturing, or institutional supply of MIGABET-PLUS.

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Enquire About MIGABET-PLUS

Get wholesale pricing, PCD franchise monopoly rights, and technical documentation for Propranolol 20 mg + Alprazolam 0.25 mg Tablets.

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