Why is Propranolol prescribed?
Propranolol, a type of medication known as a beta blocker, is used in the treatment of high blood pressure, angina pectoris (chest pain, usually caused by lack of oxygen to the heart due to clogged arteries), changes in heart rhythm, prevention of migraine headache, hereditary tremors, hypertrophic subaortic stenosis (a condition related to exertional angina), and tumors of the adrenal gland. It is also used to reduce the risk of death from recurring heart attack.
When used for the treatment of high blood pressure, it is effective alone or combined with other high blood pressure medications, particularly thiazide-type diuretics. Beta blockers decrease the force and rate of heart contractions, reducing the heart's demand for oxygen and lowering blood pressure.
Where can I order Propranolol from? Can I buy Propranolol at Canadian Prices?
Yes, if you are from the U.S. then you can buy Propranolol at Canadian prices. Currently we will only accept an order for Propranolol from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Propranolol and when you order Propranolol it will be delivered with express shipping.
Most important fact about Propranolol
If you have high blood pressure, you must take Propranolol regularly for it to be effective. Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Propranolol; and you must continue taking it even if you are feeling well. Propranolol does not cure high blood pressure; it merely keeps it under control.
How should you take Propranolol?
Propranolol works best when taken before meals. Take it exactly as prescribed, even if your symptoms have disappeared.Try not to miss any doses. If this medication is not taken regularly, your condition may worsen.--If you miss a dose...Take it as soon as you remember. If it is within 8 hours of your next scheduled dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.--Storage instructions...
Store at room temperature in a tightly closed, light-resistant container. Protect from freezing or excessive heat.
What side effects may occur with Propranolol
Propranolol Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Propranolol.
Propranolol Side effects may include:
Abdominal cramps, colitis, congestive heart failure, constipation, decreased sexual ability, depression, diarrhea, difficulty breathing, disorientation, dry eyes, fever with sore throat, hair loss, hallucinations, headache, light-headedness, low blood pressure, lupus erythematosus (a disease of the connective tissue), nausea, rash, reddish or purplish spots on the skin, short-term memory loss, slow heartbeat, tingling, prickling in hands, tiredness, trouble sleeping, upset stomach, visual changes, vivid dreams, vomiting, weakness, worsening of certain heartbeat irregularities
Possible food and drug interactions when taking Propranolol
If Propranolol is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Propranolol with the following:
Alcohol
Aluminum hydroxide gel (Amphojel)
Antipyrine (Auralgan)
Calcium-blocking blood pressure drugs such as Cardizem, Procardia, and Calan
Certain high blood pressure medications such as Diupres and Ser-Ap-Es
Chlorpromazine (Thorazine)
Cimetidine (Tagamet)
Epinephrine (EpiPen)
Haloperidol (Haldol)
Insulin
Lidocaine (Xylocaine)
Nonsteroidal anti-inflammatory drugs such as Motrin and Naprosyn
Oral diabetes drugs such as Micronase
Phenobarbitone
Phenytoin (Dilantin)
Rifampin (Rifadin)
Theophylline (Theo-Dur and others)
Thyroid medications such as Synthroid
Special information if you are pregnant or breastfeeding when taking Propranolol
The effects of Propranolol during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Propranolol appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with this medication is finished.
Recommended Propranolol dosage
ADULTS All dosages of Propranolol, for any problem, must be tailored to the individual. Your doctor will determine when and how often you should take this drug. If you are over 65, the doctor will probably start with a relatively low dosage. Remember to take it exactly as directed.
HypertensionThe usual starting dose is 40 milligrams 2 times a day. This dose may be in combination with a diuretic. Dosages are gradually increased to between 120 milligrams and 240 milligrams per day for maintenance. In some cases, a dose of 640 milligrams per day may be needed. Depending on the individual, maximum effect of this drug may not be reached for a few days or even several weeks. Some people may do better taking this medication 3 times a day.Angina PectorisThe usual daily dosage is 80 milligrams to 320 milligrams, divided into 2, 3, or 4 smaller doses. When your treatment is being discontinued, your doctor will reduce the dosage gradually over a period of several weeks.Irregular HeartbeatThe usual dose is 10 milligrams to 30 milligrams 3 or 4 times a day, before meals and at bedtime.Heart AttackThe usual daily dosage is 180 milligrams to 240 milligrams divided into smaller doses. The usual maximum dose is 240 milligrams, although your doctor may increase the dose when treating heart attack with angina or high blood pressure.MigraineThe usual starting dosage is 80 milligrams per day divided into smaller doses. Dosages can be increased gradually to between 160 milligrams and 240 milligrams per day. If this dose does not relieve your symptoms in 4 to 6 weeks, your doctor will slowly take you off the drug.TremorsThe usual starting dose is 40 milligrams, 2 times per day. Symptoms will usually be relieved with a dose of 120 milligrams per day; however, on occasion, dosages of 240 milligrams to 320 milligrams per day may be necessary.Hypertrophic Subaortic StenosisThe usual dose is 20 milligrams to 40 milligrams, 3 to 4 times a day, before meals and at bedtime.Before Adrenal Gland SurgeryThe usual dose is 60 milligrams a day divided into smaller doses for 3 days before surgery in combination with an alpha-blocker drug.Propranolol may also be taken by people with inoperable tumors in doses of 30 milligrams a day, divided into smaller doses.
CHILDREN Propranolol will be carefully individualized for use in children and is used only for high blood pressure. Doses in children are calculated by body weight, and range from 2 milligrams to 4 milligrams per 2.2 pounds daily, divided into 2 equal doses. The maximum dose is 16 milligrams per 2.2 pounds per day.
If treatment is stopped, this drug must be gradually reduced over a 7- to 14-day period.
Propranolol is also available in a sustained-release formulation, called Propranolol LA, for once-a-day dosing.
Propranolol Overdosage
No specific information on Propranolol overdosage is available; however, overdose symptoms with other beta blockers include:
Extremely slow heartbeat, irregular heartbeat, low blood pressure, severe congestive heart failure, seizures, wheezing
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.
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