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    Propranolol

    Information about Propranolol

    Propranolol uses

    Propranolol is used in the treatment of Hypertension (high blood pressure), Angina (heart-related chest pain), Prevention of migraine, Anxiety, Arrhythmias and Tremors.

    How propranolol works

    Propranolol is a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. It also widens the blood vessels in the body for better blood flow.

    Common side effects of propranolol

    Slow heart rate, Nightmare, Tiredness, Cold extremities, Weakness, Irregular heart beat
    Content Details
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    Written By
    Dr. Betina Chandolia
    MDS, BDS
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    Reviewed By
    Dr. Ashish Ranjan
    MD (Pharmacology), MBBS
    Last updated on:
    11 Sep 2019 | 11:09 AM (IST)
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    Available Medicine for Propranolol

    • ₹12 to ₹64
      Sun Pharmaceutical Industries Ltd
      6 variant(s)
    • ₹42 to ₹82
      Cipla Ltd
      3 variant(s)
    • ₹18 to ₹46
      Abbott
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      Intas Pharmaceuticals Ltd
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    Expert advice for Propranolol

    • It is not the first-choice treatment for high blood pressure according to the latest guidelines.
    • It may cover up the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly.
    • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
    • Use caution while driving or doing anything that requires concentration as Propranolol can cause dizziness and sleepiness.
    • Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath as these may be symptoms of heart failure.
    • Do not stop taking the medication suddenly without talking to your doctor.

    Frequently asked questions for Propranolol

    Propranolol

    Q. My doctor has prescribed Propranolol even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

    Yes, it is possible that your doctor prescribed Propranolol for chest pain (angina). Propranolol is a beta blocker which is used to lower high blood pressure, prevent angina, treat or prevent heart attacks, or reduce your risk of heart problems following a heart attack. Propranolol is also used to treat irregularities in heartbeat, including those caused by anxiety, essential tremor (shaking of head, chin, hands). It also prevents migraine headaches, overactive thyroid (thyrotoxicosis and hyperthyroidism) and bleeding in food pipe caused by high blood pressure.

    Q. When can I expect a relief in my symptoms after starting Propranolol for high blood pressure?

    Propranolol usually starts working within a few hours of taking it. However, it may take up to a week to see the full benefits in the symptoms of high blood pressure or heart conditions. You may not notice any difference, but that does not mean it is not working. Keep on taking the medicine. For migraine, it may take a few weeks before you notice any difference, so keep taking the medicine.

    Q. Can Propranolol be used in asthmatics?

    No, Propranolol cannot be used in asthmatics. Propranolol is a non-specific beta receptor blocker. Using Propranolol in asthma patients can cause breathing problems, which may trigger an asthma attack.

    Q. Can I take fluoxetine with Propranolol?

    No, you should avoid taking fluoxetine with Propranolol. The reason being, fluoxetine may cause an increase in levels of Propranolol in body which may increase its toxicity.

    Q. Can I stop taking Propranolol as my chest pain is under control?

    No, you should not stop taking Propranolol suddenly because that may worsen your angina or heart attack. Tell your doctor and if there is a need to stop Propranolol, your doctor will reduce your dose gradually over a period of a few weeks.

    Q. Is Propranolol good for anxiety?

    Yes, Propranolol helps relieve your physical symptoms of anxiety. The dose and duration of taking Propranolol will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Propranolol is usually given for a short time for anxiety.

    Q. I have been on indomethacin since several months. Will it be a problem if I start taking Propranolol along with it?

    Yes, indomethacin may interfere with the working of Propranolol and make it less effective. As a result, your blood pressure may increase. Speak to your doctor who will prescribe you a different medicine to control blood pressure.

    Content on this page was last updated on 11 September, 2019, by Dr. Varun Gupta (MD Pharmacology)