Propranolol dosage more detail What are some side effects that I need to call my doctor about right away? Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives ; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
Signs of low blood sugar like dizziness , headache , feeling sleepy, feeling weak, shaking, a fast heartbeat, confusion, hunger, or sweating. Signs of lupus like a rash on the cheeks or other body parts, sunburn easy, muscle or joint pain, chest pain or shortness of breath, or swelling in the arms or legs.
Very bad dizziness or passing out. Chest pain that is new or worse. Slow heartbeat. A heartbeat that does not feel normal. Shortness of breath, a big weight gain, or swelling in the arms or legs. Feeling confused. Hallucinations seeing or hearing things that are not there. Memory problems or loss. Depression or other mood changes.
A burning, numbness , or tingling feeling that is not normal. Feeling cold in the arms or legs. Change in eyesight. Fever, chills, or sore throat. Not able to get or keep an erection.
It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin with or without fever ; red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
Propranolol side effects more detail What are some other side effects of Propranolol Tablets? All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Feeling dizzy, sleepy, tired, or weak.
Upset stomach or throwing up. Stomach pain or cramps. Trouble sleeping. Strange or odd dreams. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at Be ready to tell or show what was taken, how much, and when it happened. Store at room temperature. Do not freeze. Protect from heat, cold, and light.
Keep lid tightly closed. Non-selective beta-blockers, such as propranolol, are used with caution in patients with asthma and chronic obstructive pulmonary disease due to inhibition of bronchodilation. Propranolol may also mask the signs of hyperthyroidism by the same mechanism. Propranolol-induced depression may be more likely in patients with a personal or family history of depression. Of the 34 patients, 12 had a history of depression and 8 had a history of substance abuse , alcoholism , or a family history of psychiatric disorders.
Since none of the 12 patients with a history of depression were clinically depressed at the start of propranolol therapy and were comparable by age, diagnosis, and propranolol dosage to the other 22 patients, a comparison was made. Patients with a personal or family history of depression had significantly higher scores on depression scales than those without such histories.
A year-old retired college professor with no history of affective disorders developed progressive sadness, tearfulness, hopelessness, decreased energy, social withdrawal, anhedonia, insomnia, and decreased memory and concentration within two weeks after beginning propranolol monotherapy for hypertension.
The signs and symptoms of depression resolved upon substitution with a thiazide diuretic. Interestingly, the patient later was treated for recurrent depression while not receiving propranolol. Rare cases of psychoses associated with propranolol have been reported. Interestingly, NK natural killer cell activity may be decreased during propranolol therapy, although the number of circulating NK cells may remain unchanged.
These results are consistent with previous data showing decreased immunologic function during periods of elevated sympathetic activity, such as congestive heart failure, uremia, or life-threatening events. Epinephrine including local anesthetics with epinephrine : Inderal 10 MG Tablet may cause hypertension. Flecainide: Pharmacological activity of both agents may be increased when used concurrently.
Fluoxetine may inhibit the metabolism of Inderal 10 MG Tablet, resulting in cardiac toxicity. Glucagon: Inderal 10 MG Tablet may blunt hyperglycemic action.
Haloperidol: Hypotensive effects may be potentiated. Hydralazine: The bioavailability propranolol rapid release and hydralazine may be enhanced with concurrent dosing. Insulin: Inderal 10 MG Tablet inhibits recovery and may cause hypertension and bradycardia following insulin-induced hypoglycemia. Also masks the tachycardia that usually accompanies insulin-induced hypoglycemia. NSAIDs ibuprofen, indomethacin, naproxen, piroxicam may reduce the antihypertensive effects of beta-blockers. Salicylates may reduce the antihypertensive effects of beta-blockers.
Sulfonylureas: Beta-blockers may alter response to hypoglycemic agents. Verapamil or diltiazem may have synergistic or additive pharmacological effects when taken concurrently with beta-blockers; avoid concurrent I. Interaction with Food Information not available. Interaction with Disease Administer cautiously in compensated heart failure and monitor for a worsening of the condition efficacy of propranolol in CHF has not been demonstrated.
Avoid abrupt discontinuation in patients with a history of CAD; slowly wean while monitoring for signs and symptoms of ischemia. Use caution in patient with PVD. Use cautiously in diabetics because it can mask prominent hypoglycemic symptoms. Can mask signs of thyrotoxicosis.
You may need to use blood indicardin medicine for the rest of your life. I believe this is important to do as I am also a inderal alcoholic with over 20 years sobriety. If you are taking the extended release, then continue reading the four above to eight, and you will know what to do. We have been able to find where people have been put on Metoprolol before, inderal the history of it is just not as defined as indicardin Propranolol.
I hope to continue to speak publicly with propranolol and hopefully come to a day I don't need it anymore. However, Propranolol has shown to be more effective at doing so.
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This may not seem like a very big deal to most people, but it could have a profound impact on your body. Forms When it comes online the type of drugs that Propranolol and Metoprolol are, they do have some differences to be aware of. However, Propranolol has shown to be more effective at doing so. What happens if I miss a dose? Take Inderal exactly as prescribed by your doctor. Atenolol is a cardio-selective beta blocker that primarily binds to b1 receptors in the go to the article and is used to primarily treat inderal issues inderal problems.
This list is not complete. Inderal is only part of a complete online of treatment for link that may also include diet, exercise, and weight control.
It may increase your blood levels of Inderal.
Follow your doctor's instructions about tapering your dose. What is Atenolol? Both drugs can be prescribed for heart-related problems or for higher than normal blood pressure.
Propranolol is a form of beta blocker that has been around for quite a long time now. First developed in the s and brought to market, the drug was originally intended to be used for treating chest pain and lowering blood pressure. However, it soon became obvious that there were other positive uses for the drug as well. Doctors and researchers soon became aware of it being able to help with migraines, hand tremors, and even event driven performance anxiety in some instances.
Because of it, it is one of the most versatile drugs out there. What is Metoprolol? Metoprolol is yet another beta blocker, and it, too, has been around the block for a while now as well. It was introduced to the market in by the Novartis brand, and since then it has been developed by various companies within the drug realm. While Metoprolol can be utilized for purposes other than the main ones, it is usually prescribed to take on angina chest pain , and hypertension.
It can also be used to lessen the chances of heart failure as well. Alternate Uses We touched on how versatile Propranolol can be a bit earlier, but we should dive into it a little bit more here by looking at them head-to-head. We have been able to find where people have been put on Metoprolol before, but the history of it is just not as defined as with Propranolol. Those years might not seem like a big difference, but Propranolol had over a decade gap to Metoprolol, and that helped them get out in front and understand it better.
Recently, there have even been studies that show encouraging results for PTSD patients taking Propranolol. So, there could be even more uses for the drug that emerge in the coming years. Both drugs can be prescribed for heart-related problems or for higher than normal blood pressure.
Both have been used on migraines and for hand tremors, but more than likely Propranolol will be used for each. When it comes to anxiety, it would almost always end up being Propranolol, and the same goes for PTSD, though the research is still fairly new on that. However, Propranolol has shown to be more effective at doing so. Therefore, that is the drug that most doctors will prescribe to you if you have that specific condition.
Side Effects With Propranolol and Metoprolol, the same basic side effects are going to be present when taking them. As they are both beta blockers, there is not a whole lot of difference between the two, making them react in the same sort of manner as the other would. As such, you can generally view the side effects for one and assume they exist for the other. A new beta-blocker, nebivolol, has the standard beta-blocking effects, but also produces blood vessel relaxation vasodilation , probably through increased secretion of the vasodilator nitric oxide.
Studies indicate that nebivolol, unlike most beta-blockers, does not cause constriction of peripheral blood vessels, and is associated with improved heart function 2. Studies suggest that it is also less likely to cause fatigue 3. Personal experience is consistent with this, as I have observed marked improvement in energy in patients in whom I have prescribed nebivolol in place of a different beta-blocker.
The possibility of placebo effect of course cannot be excluded. Nevertheless, the known hemodynamic differences between nebivolol and other beta-blockers, and the positive clinical experience, warrant formal study to determine whether nebivolol is kinder than other beta-blockers in terms of the important side effect of fatigue. Stopping suddenly may make your condition worse. Follow your doctor's instructions about tapering your dose.
This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using Inderal. If you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life. Inderal is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control.
Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension. Store at room temperature away from moisture and heat. What happens if I miss a dose? For regular short-acting propranolol: Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 4 hours away. Skip the missed dose if your next dose is less than 8 hours away.
Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at
Discontinuance of the drug should be The usual dose is 80 mg days for it to be completely anything else that could be dangerous if you are dizzy or light-headed. This drug is FDA online classification C - it's not understood whether propranolol can create childbirth defects in a coming child.
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