Propranolol
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About propranolol
| Type of medicine | Beta-blocker |
| Used for | High blood pressure Angina (chest pain) Irregular heartbeat Anxiety Thyroid problems Protection of the heart following a heart attack Prevention of migraines |
| Also called | Bedranol SR; Beta-Prograne; Half Beta-Prograne; Half-Inderal LA; Inderal; Inderal LA; Rapranol SR, Slo-Pro; Syprol |
| Available as | Tablet, capsule, oral liquid and injection |
This belongs to the group of medicines known as beta-blockers. Propranolol is used to treat a number of different problems.
High Blood Pressure: Propranolol slows down the activity of the heart, decreasing blood pressure.
Angina: Propranolol slows down the activity of the heart and reduces the heart's need for oxygen. This makes angina attacks less likely to occur.
Irregular Heartbeat: Normally the heartbeat is regulated by special tissues which conduct electricity. Some cases of irregular heartbeat are caused by these tissues conducting electricity too quickly. Propranolol works by reducing over-activity in the conducting tissue.
Anxiety: Anxiety can cause physical symptoms such as fast heartbeat, palpitations and trembling. Propranolol slows the heart rate to relieve these symptoms. (This medicine does not relieve the emotional symptoms associated with anxiety such as stress or fear, these symptoms should be treated separately).
Thyroid Problems: An overactive thyroid gland causes symptoms such as a fast or pounding heartbeat, trembling and sweating. Propranolol relieves these symptoms quickly, while anti-thyroid treatment takes effect (this may be several weeks).
Protecting the heart: Taking beta-blockers after having a heart attack has been shown, in some patients, to reduce the risk of a second attack.
Migraine: The pain of a migraine attack is usually due to widening of the blood vessels on the surface of the brain. Propranolol prevents this widening and thus prevents attacks.
Before taking propranolol
Before taking propranolol make sure your doctor or pharmacist knows:
- If you are pregnant, trying for a baby or breast-feeding.
- If you suffer from liver or kidney problems.
- If you suffer from low blood pressure or poor circulation.
- If you suffer from asthma or breathing difficulties.
- If you suffer from diabetes.
- If you suffer from myasthenia gravis (a muscle weakening disease).
- If you suffer from severe allergic reactions.
- If you suffer from phaeochromocytoma.
How to take propranolol
- Do not stop taking this medicine without speaking to your doctor first as this can cause problems.
- Try to take your medicine at the same times each day to avoid missing any doses.
- Swallow the modified release form of propranolol whole (not crushed or chewed).
Getting the most from your treatment
- Keep your regular doctors appointments so your progress can be monitored.
- It is very important to follow any dietary advice that you may have been given by your doctor.
Can propranolol cause problems
Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.
| Possible side-effects | What can I do if I experience this |
| Tiredness, coldness of the extremities (fingers, toes and nose), disturbed sleep, nightmares, upset tummy, skin rashes or dry eyes. | Speak with your doctor if you suffer from these side effects. |
| Shortness of breath | Speak with your doctor as soon as possible if you suffer from these side effects. |
How to store propranolol
- Keep all medicines out of the reach of children.
- Store in a cool, dry place, away from direct heat and light.
Important information about all medicines
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The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest.
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