Inderal 20 Tablet (Propranolol 20mg )

INTRODUCTION

INDERAL 20MG contains Propranolol which belongs to a group of medicines called beta-blockers, which have effects on the heart and circulation of the body. It is used to treat hypertension, angina, arrythmias (disorders of heart rhythm), migraine and proliferating infantile hemangioma.

Propranolol is a nonselective beta-adrenergic receptor blocking agent which specifically competes with beta-adrenergic receptor agonist agents for available receptor sites. By blocking the response to beta 1 and beta 2 adrenergic stimulation, it helps in decreasing the heart rate, myocardial contractility, blood pressure, and myocardial oxygen demand. It reduces portal pressure by producing splanchnic vasoconstriction thereby reducing portal blood flow.

Before taking INDERAL 20MG, tell your doctor if you have asthma, heart, kidney or liver problems. It is not recommended for use during pregnant and breastfeeding. The common side effects are tiredness, weakness cold fingers and toes, irregular or slow heartbeat, numbness in your fingers and breathlessness.

USES OF INDERAL 20MG

• Treat hypertension (high blood pressure), angina (chest pain), arrythmias (disorders of heart rhythm), phaeochromocytoma, migraine and proliferating infantile hemangioma

HOW INDERAL 20MG WORKS

INDERAL 20MG works by blocking the action of certain natural chemicals in your body that affect the heart and blood vessels. This effect reduces heart rate, blood pressure and strain on the heart.

DIRECTIONS FOR USE

Always take INDERAL 20MG as your doctor has directed you. Swallow this medicine with a drink of water before meal and do not chew.

SIDE EFFECTS OF INDERAL 20MG

HOW TO MANAGE SIDE EFFECTS

Cold hands and toes:

Wear gloves and socks to keep warm. Exercise daily to improve blood circulation and briskly massage hands or feet.

Disturbed sleep:

Maintain a regular bedtime, exercise regularly and avoid naps and go to bed only when sleepy.

Dizziness:

Get up and move around to feel awake, take small naps to edge off the sleepiness. Give your eyes a break to avoid fatigue and eat a healthy food to boost energy.

WARNING & PRECAUTIONS

INTERACTIONS

Inform your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription or the following:

• Verapamil, diltiazem
• Nifedipine, nisoldipine, nicardipine, isradipine, lacidipine and hydralazine (used to treat hypertension or angina)
• Lidocaine (local anesthetic)
• Disopyramide, quinidine, amiodarone, propafenone, adrenaline and glycosides (treats heart problems)
• Ibuprofen and indometacin (treats pain and inflammation)
• Ergotamine, dihydroergotamine or rizatriptan (used for migraine)
• Chlorpromazine, mao inhibitors and thioridazine (used for certain psychiatric disorders)
• Cimetidine (treats stomach problems)
• Rifampicin (used to treat tuberculosis)
• Theophylline (used for asthma)
• Warfarin (used to thin blood)
• Fingolimod (treats multiple sclerosis)
• Fluvoxamine and barbiturates (used to treat anxiety and insomnia)
• Clonidine (used for hypertension or migraine)