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Propranolol

Propranolol
By Medicover Hospitals / 16 Feb 2021
Home | Medicine | Propranolol
  • Propranolol is available only on prescription. They come in the following forms: oral pill, extended-release oral capsule, oral solution, and injectable capsule. The oral tablet Propranolol is available in generic form only. It is a type of medication called beta-blockers. In particular areas of the body, such as the heart, it operates by acting on nerve impulses. This induces a slower and steadier rhythm of the heart.
    1. Propranolol Uses
    2. Side effects
    3. Precautions
    4. Dosage
    5. Storage
    6. Propranolol vs Atenolol
    7. FAQ's

    Propranolol Uses:

  • Propranolol is mainly used for the treatment of high blood pressure, irregular heart rhythms, pheochromocytoma, certain types of tremor and hypertrophic subaortic stenosis. It is also used for preventing angina, migraine headaches, and also helps in improving the survival rate of heart attack. The drug acts to increase blood flow and reduce blood pressure by calming blood vessels and slowing the heart rate. High blood pressure is a common condition and can affect the brain, heart, blood vessels, kidneys and other parts of the body when not treated. Heart disease, heart attack, heart failure, stroke, renal failure, vision loss, and other complications can be caused by damage to these organs. Making lifestyle changes can also help to regulate the blood pressure, in addition to taking medicine.
  • Propranolol helps in reducing the heart’s workload and also helps in a regular heartbeat. The medication is used to:
    • Treat High Blood Pressure
    • Control heart rhythm in atrial fibrillation
    • Relieve Chest pain
    • Prevent from migraines

    Propranolol Side Effects:

  • Some of the common side effects of Propranolol are:
    • Dizziness
    • Tiredness
    • Diarrhea
    • Constipation
  • Some of the serious side effects of Propranolol are:
    • Difficulty in breathing
    • Swallowing
    • Rashes
    • Blistering or peeling of skin
    • Hives
    • Itching
    • Swelling of the face
    • Feeling faint
    • Weight gain
    • Irregular heartbeat
  • If you have any of these serious symptoms immediately contact your doctor for further assistance. In any case, due to Propranolol if you get any kind of reactions in your body try avoiding it.
  • A doctor advised you to take the medicines by seeing your problems and the benefits of this medicine are greater than the side effects. Majority of the people who use this medicine don’t show any side effects. Get medical help immediately if you get any serious Propranolol side effects
  • Precautions:

  • Before taking Propranolol talk with your doctor if you are allergic to it or any other medication. The product may contain some inactive ingredients which can cause some serious allergic reactions or some other serious problems. Before using the medications talk with your doctor if you are having any medical history such as:
    • Breathing problems
    • Heart failure
    • Overactive thyroid
    • Kidney disease
    • Liver disease
    • Blood Circulation problems
    • Muscle or nerve disease

    How to take Propranolol?

  • Typically, take this drug orally 2 to 4 times a day or as recommended by your doctor. Before meals, take this drug (and at bedtime if taking 4 times daily). With a drug-measuring spoon or unit, weigh the liquid medication. Do not use a household spoon, since the correct dosage cannot be given to you. The dosage depends on the medical condition and your treatment reaction.
  • Dosage Forms and Strengths

  • Generic: Propranolol
    • Form: oral tablet
    • Strengths: 10 mg, 20 mg, 40 mg, 60 mg, 80 mg

    Dosage for atrial fibrillation

  • Adult dosage (ages 18 years and older): 10-30 mg of Propranolol which should be taken 3-4 times a day.
  • Dosage for Hypertension

  • Adult Dosage (ages 18 years and older): 40 mg of Propranolol should be taken twice a day.
  • Dosage for Angina (Chest Pain)

  • Adult dosages (Ages 18 years and older): 80-320 mg of Propranolol.
  • Dosage for Hypertrophic Subaortic Stenosis

  • Adult dosages (Ages 18 years and older): 20-40 mg of Propranolol should be taken 3-4 times a day.
  • Dosage of Migraine

  • Adult dosages (Ages 18 years and older): 80 mg per day.
  • Missed Dose:

  • Missing one or two-dose of Propranolol won’t show any effect on your body. The skipped dose causes no problem. But with some medication, it won’t work if you don’t take the dosage on time. If you miss a dose some sudden chemical change may affect your body. In some cases, your doctor would advise you to take the prescribed medicine as soon as possible if you have missed the dose.
  • Overdose:

  • Overdose of a drug can be accidental. If you have taken more than the prescribed Propranolol tablets there is a chance of getting a harmful effect on your body’s functions. Overdose of a medicine can lead to some medical emergency.
  • Warnings for Some Serious Health Conditions

  • For People with Carcinogenic Shock: Avoid using propranolol. The frequency of your pulse is decreased by propranolol, which may make this condition even worse.
  • For People with Slower than Normal Heart Rate: Avoid using propranolol. The medication can slow down the heart rate even more and can be dangerous in some cases.
  • For people with Higher than first-degree heart block: Avoid using propranolol. The medication can reduce the force of the heartbeat and can make the heart block worse.
  • For people with Heart Failure: Propranolol decreases the strength of your pulse, which may exacerbate your heart failure. If you’re a history of heart failure, are taking medicine for heart failure, and are being closely monitored by your doctor, propranolol can be helpful.
  • For people with Wolff-Parkinson-White Syndrome: This medical condition can cause a slower than normal heart rate. Treatment with propranolol to treat this condition can decrease your heart rate too much. Treatment might be required with a pacemaker.
  • Storage

  • Direct contact with heat, air and light may damage your medicines. The exposure of medicine may cause some harmful effects. The medicine must be kept in a safe place and out of children’s reach.
  • Mainly the drug should be kept at room temperature between 68ºF and 77ºF (20ºC and 25ºC).
  • Before taking propranolol consult your Doctor. In case if you face any problems or get any side effects after taking propranolol rush immediately to your nearby hospital or consult your doctor for better treatment. Carry your medications always in your bag while travelling to avoid any immediate emergencies. Follow your prescription and follow your Doctor advice whenever you take propranolol.
  • Propranolol vs Atenolol

    Propranolol
    Atenolol
    It is a type of medication called a beta-blocker. In particular areas of the body, such as the heart, it operates by acting on nerve impulses. Atenolol is a prescription drug which comes in the form of a tablet. It is available in the brand name drug called Tenormin.
    Propranolol is mainly used for the treatment of high blood pressure, irregular heart rhythms, pheochromocytoma, certain types of tremor and hypertrophic subaortic stenosis. Atenolol tablets can be used alone or with other medications for treating high blood pressure. This is also used to treat and improve survival after a heart attack
    Some of the serious side effects of Propranolol are:
    • -Difficulty in breathing
    • -Swallowing
    • -Rashes
    • -Blistering or peeling of skin
    • -Hives
    • -Itching
    • -Swelling of the face
    Some of the serious side effects of Atenolol are:
    • -Red rash
    • -Rash
    • -Fever
    • -Swelling of hands
    • -Trouble breathing
    • -Anxiety

    Frequently Asked Questions:

    Propranolol prevents the physical symptoms of anxiety, ensuring that when you feel anxious, you will not experience an elevated heart rate, sweating and shakiness. Propranolol can make you feel calmer, less stressed and more composed, by blocking the physical symptoms of anxiety.
    Some of the common side effects of Propranolol are:
    • -Dizziness
    • -Tiredness
    • -Diarrhea
    • -Constipation
    Propranolol is in a category of pharmaceutical products called beta-blockers. It is used to treat problems with the heart, to help with anxiety, and to avoid migraines. You should take propranolol to treat elevated blood pressure if you have a heart condition.
    You should feel calm and comfortable when using propranolol. For propranolol to have its full effect, it might take some time. The behaviour issue should be minimized by this consequence.
    Propranolol can cause more fluid than normal to be stored by your body, leading to a sudden rise in body weight.

    Citations:

  • Propranolol, https://www.nejm.org/doi/pdf/10.1056/NEJM197508072930606
  • Uses of Propranolol ,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1815864/