Hello, I am taking 40 mg of geodon twice a
I would recommend as follows:
Welcome and thank you for asking on Ask a Doctor service!
I passed carefully through your question and would explain there is no interaction between Geodon, Lovox and propranolol.
So, it is OK to take them concomitantly.
The only possible interaction is between Geodon and Luvox, which may increase each other plasma levels and cause possible QT interval prolongation on the ECG.
That is why it is necessary follow up with resting ECG every 6 months.
Regarding propranolol, it is OK to take 5mg in case of tachycardia every now and then. If it is not taken regularly, it does not cause rebound tachycardia or any other withdrawal symptoms.
Besides this is such a low dose of propranolol, that it's effects and adverse effects are insignificant.
You should also know that propranolol can help against anxiety, so it can help also against tachycardia during a panic attack.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!