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Drug Information For:
PROPRANOLOL 40MG/5ML SOLN
Ingredient Name:PROPRANOLOL (proe-PRAN-oh-lol)
Common Uses:This medicine is a beta-blocker used to treat high blood pressure or certain types of irregular heartbeat. It is used in patients with angina to decrease angina frequency and increase exercise tolerance. It is used to decrease the risk of heart death in certain patients who have survived a heart attack. It is used to manage certain types of tremors, a heart condition called hypertrophic subaortic stenosis, or certain symptoms of pheochromocytoma (an adrenal gland tumor). It is also used to prevent migraine headaches. It may also be used for other conditions as determined by your doctor.
Before Using This Medicine:WARNING: DO NOT SUDDENLY STOP TAKING this medicine. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop this medicine. The risk may be greater if you have certain types of heart disease. Your doctor should slowly lower your dose over several weeks if you need to stop taking it. This should be done even if you only take this medicine for high blood pressure. Heart disease is common and you may not know you have it. Limit physical activity while you are lowering your dose. If new or worsened chest pain or other heart problems occur, contact your doctor right away. You may need to start taking this medicine again. Some medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are also taking mibefradil. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking diphenhydramine, or other prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, high blood pressure, heart problems, irregular heartbeat, diabetes, prostate problems, blood thinning, thyroid problems, depression, mental or mood problems, immune system suppression, allergic reactions, asthma or other lung or breathing problems, high cholesterol, seizures, multiple sclerosis), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, an adrenal gland tumor (pheochromocytoma), allergies, pregnancy, or breast-feeding. Tell your doctor if you have a history of other heart problems (eg, angina, congestive heart failure, slow heartbeat), liver or kidney problems, blood vessel disease, lung or breathing problems (eg, chronic bronchitis, chronic obstructive pulmonary disease / COPD, emphysema), diabetes, low blood sugar, overactive thyroid, or glaucoma. Tell your doctor if you smoke or drink alcohol, or if you are scheduled to have surgery or receive anesthesia. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have moderate to severe heart block, sick sinus syndrome, or a very slow heartbeat and you do not have a permanent pacemaker. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have uncontrolled heart failure, shock caused by serious heart problems, or asthma. Use of this medicine in CHILDREN with diabetes or heart failure is not recommended. Discuss with your doctor the risks and benefits of giving this medicine to your child. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
How to Use This Medicine:Follow the directions for using this medicine provided by your doctor. Take this medicine by mouth. Talk with your doctor about how you should take this medicine with regard to food. Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure this dose. IF YOU ARE TAKING AN ANTACID WITH ALUMINUM IN IT, take it at least 2 hours after you take this medicine. DO NOT EXCEED THE RECOMMENDED DOSE or change your dose without checking with your doctor. When taking this medicine for high blood pressure, it may take a few days to several weeks to receive the full benefits from this medicine. DO NOT SUDDENLY STOP TAKING THIS MEDICINE. You may have an increased risk of side effects. If you need to stop this medicine, your doctor will gradually lower your dose. STORE THIS MEDICINE between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. KEEP THIS MEDICINE out of the reach of children and away from pets. Take this medicine regularly to receive the most benefit from it. Taking this medicine at the same time each day will help you to remember. CONTINUE TO TAKE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Cautions:DO NOT USE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. IF YOU STOP TAKING THIS MEDICINE SUDDENLY, you may have WITHDRAWAL symptoms. These may include worsening chest pain along with possible heart attack. Laboratory and/or medical tests may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. THIS MEDICINE MAY AFFECT CERTAIN LAB TEST RESULTS. Make sure laboratory personnel and your doctors know you use this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. This medicine may cause drowsiness, dizziness, lightheadedness, fainting, or vision changes. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, along with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. CHECK WITH YOUR DOCTOR BEFORE DRINKING ALCOHOL while you are using this medicine; it may increase the risk of this medicine's side effects. THIS MEDICINE MAY LOWER YOUR BLOOD SUGAR LEVELS. This is most likely to happen in infants and children or in patients who have diabetes or kidney problems. It may also occur after prolonged physical activity or during fasting. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you more hungry. If this occurs, eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. IF YOU HAVE A HISTORY OF ANY SEVERE ALLERGIC REACTION, talk with your doctor. You may be at risk for an even more severe allergic reaction if you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies may also not work as well while you are using this medicine. BEFORE TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines used to treat colds or congestion. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY AND CHILDREN because they may be more sensitive to the effects of the medicine. FOR WOMEN: IF YOU BECOME PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby. DIABETES PATIENTS: This medicine may hide signs of low blood sugar, such as a rapidheartbeat. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.
Possible Side Effects:SIDE EFFECTS that may occur while taking this medicine include constipation; diarrhea; dizziness; drowsiness; fatigue; light-headedness; nausea; stomach upset or cramping; trouble sleeping; vomiting; or weakness. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience chest pain; confusion; fainting; fever with aching and sore throat; hallucinations; irregular heartbeat; memory loss; mental or mood changes (eg, depression); numbness or tingling of the hands; red, swollen, blistered, or peeling skin; severe or persistent dizziness or light-headedness; shortness of breath or wheezing; sudden, unusual weight gain; swelling of the hands, ankles, or feet; unusual bruising or bleeding; unusually slow heartbeat; very cold or blue fingers or toes; or vision changes. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; or swelling of the mouth, face, lips, or tongue. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Overdose:IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include fainting; severe dizziness or light-headedness; shortness of breath; swelling of the hands, ankles, or feet; trouble breathing; or very slow heart rate.
Additional Information:Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal". Tell your doctor if you develop any new symptoms. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.
Copyright 2014 Wolters Kluwer Health, Inc.