Inderal 10 mg tablets

Propranolol Hydrochloride 10 mg Film-Coated Tablets

What is propranolol and what is it used for?

Propranolol can be used in:

• High blood pressure (hypertension)

• Angina (chest pain)

• Some irregular heartbeats (arrhythmias)

• Protecting the heart after a myocardial infarction (heart attack)

• Migraine

• Essential tremor (involuntary, rhythmic shaking)

• Some thyroid diseases

• Hypertrophic cardiomyopathy (enlarged heart muscle)

• Pheochromocytoma (high blood pressure usually due to a tumor near the kidney)

• Bleeding in the esophagus caused by high blood pressure in the liver.

• You have untreated/uncontrolled heart failure.

• You have serious heart defects that can be treated with a pacemaker.

• You have problems with heart conduction or rhythm.

• You have a very slow or very irregular heart rate.

• You have increased blood acidity (metabolic acidosis)

• You suffer from asthma, wheezing, or other breathing difficulties.

• You have untreated pheochromocytoma (high blood pressure due to a tumor near the kidney)

• Suffering from severe circulatory problems

• You experience a tight, painful sensation in your chest at rest (Prinzmetal's angina)

• You have very low blood pressure.

• I had diabetes.

• You have thyrotoxicosis. Propranolol may mask the symptoms of thyrotoxicosis.

• You have kidney or liver problems (including cirrhosis).

• You have heart problems.

• Suffer from muscle weakness (myasthenia gravis)

• You have conditions such as chronic obstructive pulmonary disease and bronchospasm.

• Channel blockers with negative inotropic effects such as verapamil and diltiazem are used.

And diarrhea.

Other medications and propranolol

• Lidocaine (local anesthetic)

• Disopyramide, quinidine, amiodarone, propafenone, and glycosides (for heart problems)

• Adrenaline (cardiac stimulant)

• Ibuprofen and indomethacin (for pain and inflammation)

• Ergotamine, dihydroergotamine, or rizatriptan (for migraines)

• Chlorpromazine and thioridazine (to treat some psychiatric disorders)

• Cimetidine (for stomach problems).

• Rifampicin (to treat tuberculosis).

• Theophylline (for asthma)

• Warfarin (for blood thinning) and hydralazine (for high blood pressure)

• Fingolimod (for the treatment of multiple sclerosis)

• Fluvoxamine and barbiturates (to treat anxiety and insomnia)

• Angina (chest pain) and tremor: Initially 40 mg two to three times daily, which may be increased by 40 mg daily at weekly intervals.

• Heart protection after a heart attack: Initially 40 mg four times a day, and after a few days change to 80 mg twice a day.

• Irregular heartbeat: 10-40 mg three or four times daily.

• Pheochromocytoma: Preoperatively: 60 mg daily. Non-surgical treatment dose: 30 mg daily.

• Liver disease due to high blood pressure: Initially 40 mg twice daily, increasing to 80 mg twice daily.

• For migraines, the dose for children under 12 years is 20 mg two or three times a day and the adult dose for children 12 years or older.

• In case of irregular heartbeat, the dose is adjusted by the doctor according to the child’s age or weight.

• Do not use this medicine after the expiry date shown on the package.

• This medicinal product does not require any special storage conditions.

Do not take propranolol if:

• You are allergic to propranolol hydrochloride or any of the other ingredients of this medicine.

Warnings and precautions

Talk to your doctor or pharmacist before taking propranolol if:

• You are allergic to things like insect stings.

Possible side effects of propranolol

The following symptoms may occur: cold fingers and toes, slow heartbeat, numbness and cramping in the fingers followed by warmth and pain (Raynaud's syndrome), disturbed sleep/nightmares, fatigue, shortness of breath, nausea, vomiting, and diarrhea.

Tell your doctor if you are taking any of the following medications:

• Nifedipine, nisoldipine, nicardipine, isradipine, lacidipine

How to take propranolol

Adults

• High blood pressure: Initially 40 mg two or three times daily, which can be increased by 80 mg per day at weekly intervals.

children

Propranolol can also be used to treat children with migraines and irregular heartbeats:

The elderly

• Elderly people should start with the lowest dose. The optimal dose is determined individually by your doctor.

How to store propranolol

• Keep this medicine out of the sight and reach of children.