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Inderal(propranolol) is in a group of preparations called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Inderal(propranolol) is applied to treat tremors, angina (pain in the chest), hypertensia (high blood pressure), cardiac rhythm disorders, and other cardiac or circulatory conditions. It is also applied to treat or prevent cardiac attack, and to reduce the severity and frequency of migraine headaches.
Inderal(propranolol) may also be applied for purposes other than those mentioned in this preparation guide.
What should I talk over with my doctor prior to accepting inderal (propranolol)?
Prior to accepting Inderal(propranolol), inform your doctor in case you have:
asthma, bronchitis, emphysema;
diabetes;
low blood pressure;
a cardiac problem such as cardiac block, sick sinus syndrome, slow cardiac rate, or congestive cardiac failure;
depression;
liver or kidney disease;
a thyroid disorder;
myasthenia gravis;
pheochromocytoma; or
disturbances with circulation (such as Raynaud's syndrome).
In case you have any of these conditions, you may not be able to accept Inderal(propranolol), or you may need a dosage correction or special tests during treatment.
FDA pregnancy category C. This preparation may be harmful to fetus. Inform your doctor in case you are pregnant or plan to become pregnant during treatment.
Inderal(propranolol) can pass into breast milk and may harm a nursing infant. Do not accept this preparation without informing your doctor in case you are breast-feeding an infant.
How should I accept Inderal(propranolol)?
Accept Inderal(propranolol) exactly as it was prescribed for you. Do not accept the preparation in larger amounts or for longer than recommended by your doctor.
Accept this preparation with a full glass of water.
Accept Inderal(propranolol) at the same time every day.
Do not crush, chew, break, or open an extended-release capsule. Swallow the tablet whole. It is specially made to release preparation slowly in the body. Breaking or opening the tablet would cause too much of the preparation to be released at one time.
To be convinced you get the correct dose, measure the liquid with a marked measuring spoon or preparation cup, not with a regular table spoon. In case you do not have a dose-measuring device, ask your pharmacist for one.
Do not skip doses or stop accepting Inderal(propranolol) without first talking to your doctor. Stopping suddenly may make your condition worse.
To be convinced this preparation is helping your condition, your blood pressure must be checked regularly. It is important that you not miss any scheduled visits to your doctor.
In case you need to have any type of surgical intervention, inform the surgeon that you are using Inderal(propranolol). You may need to briefly stop using Inderal(propranolol) prior to having surgical intervention.
Inderal(propranolol) is only component of a complete course of treatment for hypertensia that may also include diet, exercise, and weight control. Follow your diet, preparation, and exercise routines very closely in case you are being treated for hypertensia.
Hypertensia often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this preparation as directed, even in case you feel well. You may need to take blood pressure preparation for the rest of your life.
Store Inderal(propranolol) at room temperature away from moisture and heat.
What will be if I miss a dose?
For regular (short-acting) Inderal(propranolol): Accept the missed dose as soon as you recollect. In case your next dose is less than 4 hours away, skip the missed dose and accept the preparation at the next regularly scheduled time.
For extended-release propranolol (Inderal LA, InnoPran XL and others): Accept the missed dose as soon as you recollect. In case your next dose is less than 8 hours away, skip the missed dose and accept the preparation at the next regularly scheduled time.
Do not accept extra preparation to make up the missed dose.
What will be if I overdose?
Seek emergency medical attention in case you think you have applied too much of this preparation.
Symptoms of an propranolol overdose may include uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, or seizure (convulsions).
What should I avoid while accepting inderal (propranolol)?
Inderal(propranolol) can be the reason of by-effects that may weaken your thinking or reactions. Be cautious in case you drive or do anything that demands you to be awake and alert.
Avoid drinking alcohol, which could raise drowsiness and dizziness while you are accepting propranolol.
What are the possible by-effects of Inderal(propranolol)?
Get emergency medical aid in case you have any of these symptoms of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once in case you have any of these serious by-effects:
slow or uneven heartbeats;
feeling dizziness, fainting;
feeling short of breath, even with mild exertion;
swelling of your ankles or feet;
nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
depression; or
cold feeling in your hands and feet.
Other less serious by-effects are more likely to arise, such as:
reduced sex drive, impotence, or difficulty having an orgasm;
sleep disturbances (insomnia);
tired feeling; or
anxiety, nervousness.
By-effects other than those mentioned here may also arise. Talk to your doctor about any by-effect that seems unusual or that is especially bothersome.
What drug(s) may interact with inderal (propranolol)?
antiinflammatory drugs (NSAIDs, such as ibuprofen)
atropine
barbiturate medicines for inducing sleep or treating seizures (convulsions)
cimetidine
cocaine
ergotamine
hawthorn
levodopa
medicines for colds and breathing difficulties
medicines for diabetes
medicines for high blood pressure
medicines for mental depression
medicines for mental problems and psychotic disturbances
medicines to control heart rhythm
rifampin
theophylline
tubocurarine
water pills
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
