| Information for
patients
|
| Drug Information |
The name of your medicine is Propranolol hydrochloride.It has the active ingredient propranolol
hydrochloride.This belongs to a group of medicines called beta-blockers.Propranolol hydrochloride is used for many conditions including:
•High blood pressure (hypertension).
•Chest pain (angina).
•Preventing migraines.
•Essential tremor (shaking with an unknown cause).
•Anxiety.
•Some thyroid problems (such as thyrotoxicosis which is caused by an overactive thyroid gland).
•Bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver.
It works by the effects it has on the heart and circulation and also on other parts of the body. |
| Drug Alert |
| Alert |
•You have ever had asthma or wheezing. If this applies to you talk to your doctor or pharmacist.
•You are allergic (hypersensitive) to propranolol hydrochloride or any of the other ingredients in Propranolol hydrochloride.
•You have ever had any of the following heart problems:
- heart failure which is not under control (this usually makes you breathless and causes your ankles to swell)
- second- or third-degree heart block (a condition which may be treated by a pacemaker)
- very slow or very uneven heart beats, very low blood pressure or very poor circulation
- a type of chest pain (angina) called Prinzmetal’s angina.
• You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure.
• You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis).
• You have been fasting recently.
Do not take Propranolol hydrochloride if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Propranolol hydrochloride. |
| Before Consuming
the Medicine
|
| Avoid Drug |
•You have ever had asthma or wheezing. If this applies to you talk to your doctor or pharmacist.
•You are allergic (hypersensitive) to propranolol hydrochloride or any of the other ingredients in Propranolol hydrochloride.
•You have ever had any of the following heart problems:
- heart failure which is not under control (this usually makes you breathless and causes your ankles to swell)
- second- or third-degree heart block (a condition which may be treated by a pacemaker)
- very slow or very uneven heart beats, very low blood pressure or very poor circulation
- a type of chest pain (angina) called Prinzmetal’s angina.
• You have a tumour called phaeochromocytoma that is not being treated. This is usually near your kidney and can cause high blood pressure.
• You have been told that you have higher than normal levels of acid in your blood (metabolic acidosis).
• You have been fasting recently.
Do not take Propranolol hydrochloride if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Propranolol hydrochloride. |
| Drug Special Care |
Check with your doctor or pharmacist before taking Propranolol hydrochloride if:
•You have ever had an allergic reaction, for example to insect stings.
•You have poor blood circulation or controlled heart failure.
•You have first-degree heart block.
•You have sharp chest pain which is not caused by exercise (unstable angina).
• You have problems with your kidneys.
You may need to have some check-ups during your treatment.
• You have problems with your liver (such as cirrhosis of the liver). You may need to have some check-ups during your treatment.
• You have diabetes. Your medicine may change how you respond to having low blood sugar (hypoglycaemia). You may feel your heart beating faster.
• You have thyrotoxicosis (a condition caused by an overactive thyroid gland).
Your medicine may hide the symptoms of thyrotoxicosis. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Propranolol hydrochloride. |
| Drug Drug Interactions |
Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Propranolol hydrochloride can affect the way some other medicines
work and some medicines can have aneffect on Propranolol hydrochloride. In particular, tell your doctor if you are taking any of the following medicines:
•Clonidine (for high blood pressure or migraine). If you are taking clonidine and Propranolol hydrochloride together, do not stop taking clonidine unless your doctor tells you to do so. If you have to stop taking clonidine, your doctor will give you careful instructions about how to do it.
•Verapamil, diltiazem, nifedipine,nisoldipine, nicardipine, isradipine or lacidipine (for high blood pressure or chest pain).
•Disopyramide, lidocaine, quinidine, amiodarone or propafenone (for an uneven heart beat).
•Digoxin (for heart problems).
•Warfarin (to thin the blood).
•Adrenaline, also known as epinephrine (a medicine that stimulates the heart).
•Ibuprofen or indometacin (for pain and inflammation).
•Ergotamine, dihydroergotamine or rizatriptan (for migraine).
•Chlorpromazine or thioridazine (for mental illness).
•Cimetidine (for stomach problems).
•Rifampicin (for tuberculosis).
•Theophylline (for asthma).
•Insulin |
| Drug Pregnancy Interaction |
Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding. |
| Drug Breast feeding Interaction |
Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding. |
| Drug Machinery Interaction |
•Your medicine is not likely to affect you being able to drive or use any tools or machines. However, it is best to wait to see how your medicine affects you before trying these activities.
•If you feel dizzy or tired when taking this medicine, do not drive or use any tools or machines |
| Drug More Information |
If you frequently drink a lot of alcohol, talk to your doctor before having this medicine. This is because alcohol can affect how the medicine works.
If you go into hospital to have an operation, tell the anaesthetist or medical staff that you are taking Propranolol hydrochloride. This is because you can get low blood pressure (hypotension) if you are given certain anaesthetics while you are taking Propranolol hydrochloride. |
| How to take the
Medicine
|
| Consumption Info |
Propranolol hydrochloride contain microcrystalline cellulose and titanium dioxide. These may cause a problem in a very small number of people who are sensitive to them |
| Drug quanitty |
High blood pressure (hypertension): the usual dose is a day. Your doctor may decide to increase this dose.
•Chest pain (angina): the usual dose is to 240 mg a day.
•To prevent migraine: the usual dose is to 240 mg a day.
•Essential tremor: the usual dose is to 240 mg a day.
•Anxiety: the usual dose is to a day.
•Thyroid conditions (such as thyrotoxicosis): the usual dose is to 240 mg a day.
•Bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver: the usual dose is to 320 mg a day.
Elderly people
If you are an elderly person, your doctor may decide to start you on a lower dose.
Children
Your medicine must not be given to children |
| Drug Dose |
Always take Propranolol hydrochloride exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
•Your doctor will tell you how many to take each day and when to take them. Read the label on the carton to remind you what the doctor said.
•Swallow your Propranolol hydrochloride with a drink of water. Swallow whole. Do not chew. |
| Excess Drug Consumption |
If you take more Propranolol hydrochloride than prescribed by your doctor, talk to a doctor or go to a hospital straight away. Take the medicine pack with you so that the can be identified. |
| Forgot Drug Consumption |
If you forget to take a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose. |
| Stop Drug Consumption |
Do not stop taking Propranolol hydrochloride without talking to your doctor. In some cases, you may need to stop taking it gradually. |
| Possible Side
Effects
|
| General Information |
•Diarrhoea.
•Feeling sick (nausea).
•Being sick (vomiting). |
| Common Drug Side Effects |
•You may notice that your pulse rate becomes slower while you are taking the This is normal, but if you are concerned please tell your doctor about it.
•Cold hands and feet.
•Numbness and spasm in your fingers which is followed by warmth and pain (Raynaud’s disease).
•Disturbed sleep or nightmares.
•Feeling tired |
| Rare Drug Side Effects |
•Heart block (which may cause an abnormal heart beat, dizziness,tiredness or fainting).
•Dizziness, particularly on standing up.
•Thinning of your hair.
•Mood changes.
•Feeling confused.
•Memory loss.
•Changes in personality (psychoses).
•Hallucinations.
•Tingling of your hands.
•Disturbances of vision.
•Dry eyes.
•Skin rash.
•Reduced numbers of platelets in your blood which may make you bruise more easily.
•Purplish marks on your skin. |
| Very Rare Drug Side Effects |
•Severe muscle weakness (myasthenia gravis).
•Changes to some of the cells or other parts of your blood. Your doctor may take blood samples every so often to check whether Propranolol hydrochloride has had any effect on your blood.
•Low levels of sugar in the blood (hypoglycaemia). This can happen in people with or without diabetes.This includes elderly people, people on artificial kidneys (haemodialysis) or people taking medicines for diabetes. It may also happen if you are fasting or in people with a long-term liver disease. |
| Drug Side Effects Symptoms |
If you have any of the following conditions,they may get worse when you start to take your medicine. This happens rarely affecting less than 1 in 1,000 people.
•Psoriasis (a skin condition).
•Being short of breath or having swollen ankles (if you have heart failure).
•Asthma or breathing problems.
•Poor circulation.
Do not be concerned by this list of side effects. You may not get any of them. If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist |
| How to Store the
Medicine
|
| How to Store the Medicine |
•Keep your medicine in a safe place where children cannot see or reach it. Your medicine could harm them.
•Do not store above 25°C. Protect your medicine from light and moisture. Store your in the original package. Keep the calendar pack in the carton.
•Do not use your after the expiry date which is stated on the carton.The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer required.These measures will help to protect the environment |
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