Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Alpanol 0.25 mg/20 mg Tablet is to be taken empty stomach. Take this medicine before food.
Alpanol 0.25 mg/20 mg Tablet is a combination of two medicines: Alprazolam and Propranolol. Alprazolam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in brain. Propranolol is a beta blocker which blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate, blood pressure, and strain on the heart.
Taking Propranolol with alcohol may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
WEIGH RISKS VS BENEFITS
Alpanol 0.25 mg/20 mg Tablet is unsafe to use during pregnancy. There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Alpanol 0.25 mg/20 mg Tablet is probably unsafe to use during lactation.
Limited human data suggest that the drug could represent a significant risk to the baby.
Do not drive unless you are feeling well. Alpanol 0.25 mg/20 mg Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Alpanol 0.25 mg/20 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Alpanol 0.25 mg/20 mg Tablet may not be needed in these patients. Please consult your doctor.
Alpanol 0.25 mg/20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Alpanol 0.25 mg/20 mg Tablet may be needed. Please consult your doctor. Regular monitoring of blood pressure is advisable for dose adjustment.