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He pill works like magic, people who’ve used it say, to quell their anxiety around public speaking. For decades, doctors have written off-label prescriptions for the heart drug propranolol to help anxious musicians, poker players, and tech executives calm their racing hearts and still their trembling hands before a big performance. Now, a San Francisco startup called Kick is planning to bring the beta blocker to a mass market — a plan that’s giving some psychiatrists and psychologists anxiety of a different kind. Kick wants to become a telemedicine platform that makes it easy for nearly anyone who needs a confidence boost — before a first date, perhaps, or a big work presentation — to get a prescription for propranolol. They just need to pass a screening by filling out an online form and interacting in some way with a physician — the current idea is a video call. advertisement As for the medication itself, Kick has reformulated the traditional pill into a minty lozenge, like an Altoid, that dissolves in your mouth, releasing 10 milligrams of the cardiac drug. The company wants to make it available in different colors and flavors, like watermelon. Propranolol is a typical beta-blocker which is used for the treatment of the cardiovascular diseases in the clinical practice. The pharmacological action of this drug is not selective, and therefore Propranolol affects the entire cardiovascular system in general blocking beta-blockers which take part in the vital processes of the heart and the blood circulation system. The therapeutic effect of Propranolol has a wide spectrum action. During the use of this drug there is a lowering of the arterial pressure, bronchi tonus is increased, power and frequency of the cardiac contraction is reduced during tachycardia. Propranolol reduces the contraction capacity of myocard, and value of the cardiac output, and also improves the saturation of myocard with oxygen. Another positive effect of Propranolol may be regarded an ability of the drug to reduce the bleeding during labors and postoperative period, increase the uterus involution (as an additional product to the main medical drugs). Also, Propranolol favors the reduction of the intraocular pressure during glaucoma.

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