So, I am a 29 year old male. 5'7" 130lbs. I was put on propranolol to reduce the heart rate, as well to possible help with my anxiety and panic. This medication worked really well for me. It helped ease my mind, enough to where I felt more comfortable leaving the house and being productive. It completely got rid of my embarrassingly shaky hands. I was so happy. Then, I noticed my asthma was being severely effected. My Advair, an asthma medication, was seeming much less effective, and I was resorting to my inhaler more and more each day. My research showed that non selective beta blockers hinder patient with asthma. So I told my doctor about the wonderful help the medication gave me, but the terrible effect on my breathing. I told her that I wanted to try Metoprolol, and she said that would be a good idea since it is a selective bb, focusing on the heart. I have been on the Metoprolol for a couple of months now and it just isn't working near as good as the Propranolol. My hands are shaky, my anxiety is not being reduced, and I am always extremely tired and fatigued. Also waking up very disoriented, taking me over an hour to feel normal. That said, the Metoprolol has had no bad effects on my asthma. I am back to being wheezy free, and not ever needing my inhaler, which is great. But I miss the calming of the anxiety that the Propranolol was giving me, as well as the shaky hands being completely cured from the medication. Is there a happy medium? Basically, I want Propranolol, but without the bad effects on my asthma from it. I miss my hands being steady, and my anxiety being much reduced. The Metoprolol just does nothing for me.