Inderal LA 40 Tablet (Propranolol 40mg)

INDERAL LA 40MG 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 LA 40MG, 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.

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

INDERAL LA 40MG 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.

Always take INDERAL LA 40MG as your doctor has directed you. Swallow this medicine with a drink of water before meal and do not chew.

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COMMON

Cold fingers and toes

Slow heartbeat

Numbness and spasm in the fingers

Disturbed sleep or nightmares

Fatigue

Breathlessness

RARE

Worsening of breathing difficulty

Worsening of heart problems

Swelling of the skin which may occur in the face, tongue, larynx, abdomen, or arms and legs

Dizziness

Worsening of blood circulation

Hair loss (alopecia)

Mood changes, confusion or memory loss

Psychosis or hallucinations

Paraesthesia

Disturbances of vision, dry eyes

Skin rash, including worsening of psoriasis

Reduction in the number of platelets

Purple spots on the skin

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.

PREGNANCY

INDERAL LA 40MG is not recommended during pregnancy, unless your doctor considers it necessary. Discuss the risks and benefits with your doctor.

BREASTFEEDING

INDERAL LA 40MG is not recommended for use in breastfeeding women unless necessary. Discuss the risks and benefits with your doctor.

DRIVING AND USING MACHINES

INDERAL LA 40MG may cause dizziness or tiredness. Do not drive or handle any machines while taking this medicine.

ALCOHOL

Consumption of alcohol is not recommended during treatment with INDERAL LA 40MG.

KIDNEY

INDERAL LA 40MG should be used with caution in patients suffering from active kidney diseases. Consult your doctor for advice.

LIVER

INDERAL LA 40MG should be used with caution in patients suffering from liver function impairment or active liver diseases. Consult your doctor for advice.

ALLERGY

Do not take if you are allergic (hypersensitive) to Propranolol.

HEART DISEASE

INDERAL LA 40MG is not recommended in patients with severe heart disease. Consult your doctor for advice.

Inform your doctor if you have or had a condition such as,

Increased acidity of the blood (metabolic acidosis)

Are on a strict fasting diet

Asthma, wheezing, chronic obstructive pulmonary disease and bronchospasm

Untreated phaeochromocytoma

Severe blood circulation problems

Prinzmetal’s angina

Decrease in blood pressure

Diabetes

Allergic reactions

Thyrotoxicosis

Muscle weakness

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)