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Propranolol (generic Inderal)


Propranolol (generic Inderal) is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Off-label uses include: controlling anxiety conditions (e.g. "stage fright", performance anxiety, panic disorder) and overactive thyroid (hyperthyroidism).

This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart.

Quantity/Dose Price Medical Services Fee Shipping Total
60  10mg Tablet$ 25.01$ 39.95$ 4.99$ 69.95
90  10mg Tablet$ 30.01$ 39.95$ 4.99$ 74.95
120  10mg Tablet$ 35.01$ 39.95$ 4.99$ 79.95
60  20mg Tablet$ 25.01$ 39.95$ 4.99$ 69.95
90  20mg Tablet$ 30.01$ 39.95$ 4.99$ 74.95
120  20mg Tablet$ 35.01$ 39.95$ 4.99$ 79.95

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IMPORTANT NOTE: This information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other health care provider. It should not be construed to indicate that the use of the medication(s) shown are safe, appropriate, or effective for you. The information shown is general and does not cover all directions, possible drug integrations, or precautions. Information on this site cannot be used for self-treatment and/or self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care provider. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site nor will we be held responsible for consequences of self-treatment. Consult your health care provider before using any drug.

Propranolol / Generic Inderal

Alternate Names:
Inderal, Inderal LA, Avlocardyl, Deralin, Dociton, Inderalici, InnoPran XL, Sumial, Anaprilinum, Bedranol SR, Ciplar, Ciplar LA

Uses:
Propranolol (generic Inderal) is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise.

This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

This medication has also been used to control anxiety conditions (e.g. "stage fright", performance anxiety, panic disorder) and overactive thyroid (hyperthyroidism).

How to Use:
Take this medication by mouth, usually 2 to 4 times daily or as directed by your doctor. Take this medication before meals (and at bedtime if taking 4 times daily). Measure the liquid medication with a medication-measuring spoon or device. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition and response to treatment.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. It is important to continue taking this medication even if you feel well.

This medication is used to help prevent chest pain or migraines. It should not be used to treat chest pain or migraines when they occur. Use other medications (e.g., nitroglycerin tablets placed under the tongue for chest pain, sumatriptan for migraines) to relieve sudden attacks as directed by your doctor. Consult your doctor or pharmacist for details.

If you also take certain drugs to lower your cholesterol (bile acid-binding resins such as cholestyramine or colestipol), take propranolol at least 1 hour before or at least 4 hours after these medications.

For the treatment of high blood pressure, it may take 1 to 2 weeks before you get the full benefit of this drug.

Tell your doctor if your condition worsens (e.g., your routine blood pressure readings increase, your chest pain or migraines occur more often).

Side Effects:
Dizziness, lightheadedness, or tiredness may occur as your body adjusts to the medication. Nausea/vomiting, stomach pain, vision changes, trouble sleeping, and unusual dreams may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

This drug may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:
  • shortness of breath
  • blue fingers/toes
  • swelling ankles/feet
  • mental/mood changes (e.g., depression)
  • numbness/tingling of arms/legs
  • very slow heartbeat
  • fainting
  • decreased sexual ability
  • unexplained/sudden weight gain
  • increased thirst/urination
Tell your doctor immediately if any of these rare but very serious side effects occur:
  • easy bruising/bleeding
  • signs of infection (e.g., fever, persistent sore throat)
  • aching/swollen joints
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:
  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions:
Before taking propranolol, tell your doctor or pharmacist if you are allergic to it; or if you have had a serious reaction to other beta blockers (e.g., metoprolol); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of:
  • breathing problems (e.g., asthma, bronchitis, emphysema)
  • heart failure
  • certain types of heart rhythm problems (sinus bradycardia, Wolff-Parkinson-White syndrome, second or third-degree atrioventricular block)
  • overactive thyroid (hyperthyroidism)
  • kidney disease
  • liver disease
  • blood circulation problems (e.g., Raynaud's disease)
  • a certain type of tumor (pheochromocytoma)
  • mental/mood disorders (e.g., depression)
  • certain muscle/nerve disease (myasthenia gravis)
  • severe allergic reactions
Before having surgery, tell your doctor or dentist that you are taking this medication.

If you have diabetes, this product may prevent the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of a low blood sugar level, such as dizziness and sweating, are unaffected by this drug. This product also may make it harder to control your blood sugar levels. Check your blood sugar levels regularly as directed by your doctor. Tell your doctor immediately if you have symptoms of high blood sugar such as increased thirst, hunger, and urination. Your anti-diabetic medication or diet may need to be adjusted.

This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Liquid forms of this medication may contain alcohol. Caution is advised if you have alcohol dependence or liver disease. Ask your doctor or pharmacist about using this product safely.

During pregnancy, this medication should be used only when clearly needed. Infants exposed to this medication during pregnancy may have low birth weight, low blood sugar, or slow breathing/heartbeat. Discuss the risks and benefits with your doctor.

This drug passes into breast milk. Consult your doctor before breast-feeding.

Medical Interactions:
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include:
  • alpha blockers (e.g. prazosin)
  • aluminum hydroxide
  • anticholinergics (e.g., atropine, scopolamine)
  • calcium channel blockers (e.g., diltiazem, verapamil)
  • chlorpromazine
  • diazepam
  • other drugs to treat high blood pressure (e.g., clonidine, hydralazine, methyldopa, reserpine)
  • epinephrine
  • fingolimod
  • haloperidol
  • other heart medications (e.g., amiodarone, digoxin, disopyramide, propafenone, quinidine)
  • mefloquine
  • rizatriptan
  • theophylline
  • thioridazine
  • thyroid
  • hormones (e.g., levothyroxine)
  • warfarin
Other interacting drugs affecting liver enzymes that remove propranolol from your body are:
  • cimetidine
  • St. John's wort
  • certain SSRI antidepressants including fluoxetine/paroxetine/fluvoxamine
  • HIV protease inhibitors including ritonavir
  • rifamycins including rifabutin
  • certain anti-seizure medicines including carbamazepine
Check the labels on all your medicines (such as cough-and-cold products, diet aids, or NSAIDs such as ibuprofen, naproxen) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist for more details.

This medication may interfere with certain laboratory tests (including glaucoma screening test, cardiovascular stress testing using arbutamine), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Overdose Information:
Contact 1-800-222-1222 (the American Association of Poison Control Centers) or your local poison control center, or call 911. Overdose symptoms may include:
  • very slow or uneven heartbeats
  • severe dizziness
  • weakness
  • fainting
Missed Dose:
For regular (short-acting) propranolol: Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 4 hours away.

For extended-release propranolol (Inderal LA, InnoPran XL and others): Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 8 hours away.

Do not take extra medicine to make up the missed dose.

Storage:
Store propranolol tablets between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom.

Notes:
Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.
Have your blood pressure and pulse (heart rate) checked regularly while taking this medication

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