Propranolol

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Propranolol

Classed as a beta-blocker, used in the treatment of situational anxiety and to help prevent migraines. It works by slowing down your heart rate and relaxing blood vessels to decrease blood pressure.

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What is Propranolol (Beta Blocker)?

Propranolol, also known by the branded version Bedranol SR, is a beta-blocker used to treat a range of different medical conditions. It works by stopping messages received to your heart from nerves by blocking beta-adrenergic receptors where the heart receives these messages. This results in your heart beating slower also with less force. This helps to prevent fast heart rhythms (arrhythmias) and reduces the pressure of blood within your blood vessels. If you have angina, propranolol can help reduce chest pain due to your heart using less energy.

Propranolol is available through UK Meds for situational anxiety and to help prevent migraines.

Propranolol is a nonselective beta-adrenergic receptor blocker (beta-blocker) that is widely used for the therapy of hypertension, cardiac arrhythmias, angina pectoris and hyperthyroidism. Propranolol has yet to be convincingly associated with clinically apparent liver injury and is often used in patients with liver disease and cirrhosis.

Propranolol is a synthetic, nonselective beta-adrenergic receptor blocker with antianginal, antiarrhythmic, antihypertensive properties. Propranolol competitively antagonizes beta-adrenergic receptors, thereby causing negative chronotropic and inotropic effects leading to a reduction in cardiac output.

Propranolol 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.

Propranolol 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.

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. It is a beta-blocker. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Propranolol is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the severity and frequency of migraine headaches.

Hemangeol (propranolol oral liquid 4.28 milligrams) is given to infants who are at least 5 weeks old to treat a genetic condition called infantile hemangiomas. Hemangiomas are caused by blood vessels grouping together in an abnormal way. These blood vessels form benign (non-cancerous) growths that can develop into ulcers or red marks on the skin. Hemangiomas can also cause more serious complications inside the body (in the liver, brain, or digestive system).

Propranolol may also be used for purposes not listed in this guide.

Propranolol, sold under the brand name Inderal among others, is a medication of the beta blocker type. It is used to treat high blood pressure, a number of types of irregular heart rate, thyrotoxicosis, capillary hemangiomas, performance anxiety, and essential tremors. It is used to prevent migraine headaches, and to prevent further heart problems in those with angina or previous heart attacks. It can be taken by mouth or by injection into a vein.[1] The formulation that is taken by mouth comes in short-acting and long-acting versions. Propranolol appears in the blood after 30 minutes and has a maximum effect between 60 and 90 minutes when taken by mouth.

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).

Take propranolol exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

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Adults may take propranolol with or without food, but take it the same way each time. Take propranolol at the same time each day. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.

Hemangeol must be given to an infant during or just after a feeding. Doses should be spaced at least 9 hours apart. Make sure your child gets fed regularly while taking this medicine. Tell your doctor when the child has any changes in weight. Hemangeol doses are based on weight in children, and any changes may affect your child's dose.

Call your doctor if a child taking Hemangeol is sick with vomiting, or has any loss of appetite.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not shake Hemangeol liquid. Your blood pressure will need to be checked often. If you need surgery, tell the surgeon ahead of time that you are using propranolol. You may need to stop using the medicine for a short time. Do not skip doses or stop using propranolol suddenly. Stopping suddenly may make your condition worse. Follow your doctor's instructions about tapering your dose.

This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using propranolol.

If you are being treated for high blood pressure, keep using propranolol even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

Propranolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze. Throw away any unused Hemangeol 2 months after you first opened the bottle.

Before taking propranolol

It is not suitable for everyone, especially individuals with heart conditions, and it is important you consult your doctor if any of the following applies to you:

  • If you have a slow/irregular heartbeat.
  • If you are planning on becoming pregnant, pregnant or are breast-feeding
  • If you have any kind of breathing disorder or asthma.
  • If you have psoriasis (skin condition)
  • If you are taking any other medication as this may cause interactions, including herbal and complementary medicines.
  • Check your tablets are a circular, film-coated and pink.

You can find more information regarding precautions in the patient information leaflet.

How do I take propranolol?

You should always take this medication as directed by your doctor. Start by reading the patient information leaflet included by the manufacturer inside the packaging. This will give you all the information you need and the potential side-effects you may encounter.

  • Take your dose with a glass of water before meals.
  • Do not stop taking unless advised otherwise by your doctor.
  • Do not crush
  • If you have taken a higher dose than prescribed, you should contact your doctor immediately. An overdose can result in symptoms such as confusion, body spasms, sickness, dizziness, so it is imperative you seek medical help.
  • If you forget to take your dose, you should take it as soon as you remember to, if it is almost time for your next dose, then you should miss the dose.
  • You may experience side-effects if you suddenly stop taking the medication such as shaking, sweating, irregular heart beat and more. As treatment can potentially be long-term, you should reduce your dose over time to reduce the chances of serious withdrawal symptoms. You should discuss this with your doctor.

Avoid alcohol whilst taking as alcohol will also affect the blood pressure, consult your doctor if you feel this will be an issue during treatment.

Should you buy any other medication, you should check with a pharmacist before taking both as there may be potential interactions and side-effects. This includes some cough, cold and flu remedies).

Side effects and precautions

Taking propranolol can result in side-effects, which is the case with most medications. Not everybody gets them but it’s important to be aware before continuing with treatment. The side effects may improve over time as your body will adjust to the medicine. If side-effects persist and are invasive, speak with your doctor.

Common side effects include:

  • Irregular/slow heartbeat
  • Nightmares
  • Tiredness – do not drive or operate machines if this occurs.

If any of the following symptoms occur, stop taking propranolol immediately and contact your doctor:

  • Signs of allergic reaction (difficulty breathing, itching, swollen lips, throat, face or tongue)
  • Indications of an intolerance (light-headedness, fainting, blurred vision or dizziness)