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Inderal® (Brand)

INDERAL (propranolol) works by affecting the body's response to some nerve impulses, especially in the heart. As a result, it decreases the heart's need for blood and oxygen and therefore reduces the amount of work the heart has to do. It also widens the blood vessels in the body, as well as helping the heart to beat more regularly.INDERAL helps your heart stay healthy and improve your overall level of fitness!


Inderal (Brand) 40mg Pills

INDERAL is brand product by Rosch.

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Uses

INDERAL belongs to a group of medicines called beta-blockers.
INDERAL tablets are used to treat or prevent a number of conditions, most of which are related to the heart.

* to lower high blood pressure, also called hypertension
* to prevent angina
* to treat or prevent heart attacks, or reduce your risk of heart
problems following a heart attack
* to treat irregularities in heart beat, including those caused by
anxiety
* essential tremor (shaking of head, chin, hands)
* phaeochromocytoma
* Fallot's Tetralogy
* to prevent migraine headaches

How to take

For high blood pressure
The usual starting dose is one 40mg tablet taken twice a day for one week. The dose is then usually increased to between 120mg to 320mg daily. If you are taking other medicines which lower blood pressure, your doctor may need to change the dose of them to obtain the best results for you.
For angina and tremor
The usual dose is 40mg taken two or three times a day.
To treat or prevent heart attack
The usual dose is 80mg taken twice a day, often starting with 40mg taken four times a day for 2 or 3 days.
For migraine prevention
Adults
The usual dose is 40mg taken twice a day. This may need to be increased up to 80mg twice a day.
Children over 7 years
The starting dose is 10mg taken once or twice daily. This can be increased if necessary.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking INDERAL.
INDERAL helps most people when taken correctly, but it may have unwanted side effects in a few people.
All medicines can have side effects.
Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Do not be alarmed by the following lists of side effects. You may not experience any of them. Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
* nausea (feeling sick), vomiting
* loss of appetite
* diarrhea, stomach pain, flatulence
* cold hands or feet
* dizziness, tiredness
* rash, flushing
* hair loss
These are all mild side effects of INDERAL.
Tell your doctor immediately if you notice any of the following:
* disturbed sleep, vivid dreams or nightmares
* conjunctivitis, dry eyes
* visual disturbances
* trouble passing urine
* unexplained bruising
* mood changes, confusion
* sexual problems
* loss of hearing
These are all serious side effects. You may need urgent medical
attention. Serious side effects are rare.
If any of the following happen, stop taking INDERAL and tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
* extreme tiredness or breathlessness on mild exercise
* wheezing, difficulty breathing or an asthma attack
* fast heart beats (palpitations)

These are very serious side effect. If you have them, you may have had a serious (allergic) reaction to INDERAL. You may need urgent medical attention or hospitalization.
All of these side effects are very rare.

Precaution

Before taking INDERAL, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain types of irregular heartbeats (e.g., sinus bradycardia, second or third degree atrioventricular block), cardiogenic shock, severe heart failure (overt or decompensated type), asthma, a certain type of tumor (untreated pheochromocytoma). Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart failure (treated, compensated type), other breathing problems (e.g., chronic obstructive lung disease), diabetes, overactive thyroid disease (hyperthyroidism), kidney disease, liver disease, blood circulation problems (e.g., Raynaud's disease), skin conditions (e.g., psoriasis), mental/mood disorders (e.g., depression), certain muscle disease (myasthenia gravis). Before having surgery, tell your doctor or dentist that you are taking this medication. If you have diabetes, this medication may mask the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of a low blood sugar level such as dizziness or sweating are unaffected by this drug. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position. This drug should be used only when clearly needed during pregnancy. Discuss the risks (e.g., low birth weight) and benefits with your doctor. This drug passes into breast milk. Consult your doctor before breast-feeding.

Drug interactions

INDERAL can aggravate breathing difficulties in patients with asthma, chronic bronchitis, or emphysema. In patients with existing slow heart rates (bradycardias) and heart blocks (defects in the electrical conduction of the heart), INDERAL can cause dangerously slow heart rates, and even shock. INDERAL reduces the force of heart muscle contraction and can aggravate symptoms of heart failure. Calcium channel blockers, digoxin (Lanoxin), and haloperidol (Haldol) can cause lowering of blood pressure and heart rate to dangerous levels when administered together with INDERAL. In patients with coronary artery disease, abruptly stopping INDERAL can suddenly worsen angina, and occasionally precipitate heart attacks. If it is necessary to discontinue INDERAL, its dosage can be reduced gradually over several weeks. INDERAL can mask the early warning symptoms of low blood sugar (hypoglycemia), and should be used with caution in patients receiving treatment for diabetes. Safe use in children has not been established. It is not habit forming.
Many medicines interact with INDERAL. Alcohol and aluminum containing antacids reduce the absorption of INDERAL. Phenytoin (Dilantin), phenobarbital, and rifampin reduce the blood levels of INDERAL. Cimetidine (Tagamet) and chlorpromazine increase the blood levels of INDERAL. INDERAL increases the blood levels of certain medicines such as theophylline and lidocaine.

Missed dose

If it is almost time for your next dose (within 6 hours), skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to
taking your tablets as you would normally.

Storage

Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Keep away from children and pets.