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.
Q. My doctor has prescribed Ciplar-LA 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 Ciplar-LA for chest pain (angina). Ciplar-LA 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. Ciplar-LA 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 Ciplar-LA for high blood pressure?
Ciplar-LA 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 Ciplar-LA be used in asthmatics?
No, Ciplar-LA cannot be used in asthmatics. Ciplar-LA is a non-specific beta receptor blocker. Using Ciplar-LA in asthma patients can cause breathing problems, which may trigger an asthma attack.
Q. Can I take fluoxetine with Ciplar-LA?
No, you should avoid taking fluoxetine with Ciplar-LA. The reason being, fluoxetine may cause an increase in levels of Ciplar-LA in body which may increase its toxicity.
Q. Can I stop taking Ciplar-LA as my chest pain is under control?
No, you should not stop taking Ciplar-LA suddenly because that may worsen your angina or heart attack. Tell your doctor and if there is a need to stop Ciplar-LA, your doctor will reduce your dose gradually over a period of a few weeks.
Q. Is Ciplar-LA good for anxiety?
Yes, Ciplar-LA helps relieve your physical symptoms of anxiety. The dose and duration of taking Ciplar-LA will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Ciplar-LA 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 Ciplar-LA along with it?
Yes, indomethacin may interfere with the working of Ciplar-LA 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.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 12th Nov 2019. The medicine details are for information purpose only. Consult a doctor before taking any medicine.