



Ranox 40 H Tablet
Propranolol (40mg)+ Hydrochlorothiazide (25mg)
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Ranox 40 H Tablet is a medicine used to treat hypertension (high blood pressure). It is a combination of two medicines that helps to control blood pressure when a single medication is not effective.
Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 25 Nov 2025 | 03:07 PM (IST)
Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 25 Nov 2025 | 03:07 PM (IST)
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General Information
Contains
Propranolol (40mg)+ Hydrochlorothiazide (25mg)
Marketer
Zeelab Pharmacy Pvt Ltd
Storage
Store below 25°C
The content is shown in English




Product introduction
Ranox 40 H Tablet should be taken on empty stomach preferably in the morning to avoid frequent urination at night. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.
Weakness and slow heart rate are some common side effects of this medicine. Consult your doctor If any of these bother you, or get worse, or do not go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Dizziness or headache may occur due to low blood pressure, hence rise slowly from sitting position or avoid driving.
Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.
Weakness and slow heart rate are some common side effects of this medicine. Consult your doctor If any of these bother you, or get worse, or do not go away. Drink plenty of fluids while taking medicine to overcome muscle weakness, dry mouth, and extreme thirst. Dizziness or headache may occur due to low blood pressure, hence rise slowly from sitting position or avoid driving.
Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions. You should have your blood pressure, kidney function, level of electrolytes, and blood sugar level checked regularly to make sure that this medicine is working properly.
Uses of Ranox-H Tablet
Benefits of Ranox-H Tablet
Hypertension (high blood pressure)
Ranox 40 H Tablet relaxes the blood vessels so that blood can flow more easily around your body. It also eliminates excess water from the body and increases urine output. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.
Ranox 40 H Tablet relaxes the blood vessels so that blood can flow more easily around your body. It also eliminates excess water from the body and increases urine output. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.
Side effects of Ranox-H Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Ranox-H
- Weakness
- Cold extremities
- Slow heart rate
- Nightmares
- Increased blood lipid level
- Increased blood uric acid
- Glucose intolerance
- Decreased potassium level in blood
- Decreased sodium level in blood
- Decreased magnesium level in blood
- Increased uric acid level in blood
How to use Ranox-H Tablet
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. Ranox 40 H Tablet is to be taken on an empty stomach.
How Ranox-H Tablet works
Ranox 40 H Tablet is a combination of two medicines: Propranolol and Hydrochlorothiazide.
Quick tips
- Ranox 40 H Tablet is prescribed to reduce high blood pressure and the risk of future heart attack and stroke.
- It helps you to lose water via urination. If, however, you lose too much fluid, you may become dehydrated. This will make you feel thirsty and make your skin look and feel dry. Consult your doctor immediately.
- Monitor your blood pressure regularly after starting treatment, and notify your doctor if it does not lower down.
- Your doctor may get regular tests done to monitor the level of urea, creatinine, sodium, magnesium, and potassium in your blood.
- Avoid taking painkillers along with this medicine without consulting your doctor.
- Lifestyle changes like a healthy diet, exercise, and not smoking may help this medicine work better.
Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Ranox 40 H Tablet

Pregnancy
CONSULT YOUR DOCTOR
The safety of Ranox 40 H Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding
SAFE IF PRESCRIBED
Ranox 40 H Tablet may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Driving
UNSAFE
Ranox 40 H Tablet may cause side effects that could affect your ability to drive.
Ranox 40 H Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Ranox 40 H Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.

Kidney
CAUTION
Ranox 40 H Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Use of Ranox 40 H Tablet is not recommended in patients with severe kidney disease.
Use of Ranox 40 H Tablet is not recommended in patients with severe kidney disease.

Liver
CAUTION
Ranox 40 H Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.
Fact Box
Habit Forming
No
Therapeutic Class
CARDIAC
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
Marketer details
Name: Zeelab Pharmacy Pvt Ltd
Address: 913, D-104, Pitampura, Delhi-110034
Address: 913, D-104, Pitampura, Delhi-110034
Vendor Details
Country of origin: India
Lab tests offered by us
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin)
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)
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