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Beta-Blockers and Vivid Nightmares

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Created December 26, 2025

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Video Transcript

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If you’ve been having strange, vivid nightmares lately, you might want to

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check your blood pressure prescription. Certain heart medications, specifically beta-blockers, are known to disrupt

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sleep architecture. Drugs like propranolol are highly "lipid-soluble," which is just a fancy way of saying

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they can slip right into the brain and interfere with your REM sleep. This interference

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often presents as vivid dreams, hallucinations, or frequent awakenings throughout the night.

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Interestingly, switching to a more "selective" version of the drug—one that doesn't cross

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into the brain as easily—can often solve the problem without losing the heart-health benefits.

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Learn how to manage the hidden sleep costs of daily medications. Listen to the full podcast episode

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