Inderal

• High blood pressure (hypertension).
• Chest pain (angina).
• Some heart beat problems (arrhythmias).
• Protecting the heart after a heart attack.
• Preventing migraines.
• Essential tremor (shaking with an unknown cause).
• Anxiety.
• Some thyroid problems (such as thyrotoxicosis which is caused by an overactive thyroid gland).
• High blood pressure caused by a tumour, usually near the kidney (phaeochromocytoma).
• Prevention of bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver.

How does it work?

Inderal works by the effects it has on the heart and circulation and also on other parts of the body.

When and how do I take it?

Always take Inderal 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 tablets to take each day and when to take them. Read the label on the carton to remind you what the doctor said.
• Swallow your Inderal tablets with a drink of water.

What’s the dose?

High blood pressure (hypertension):

• the usual dose is 160 mg to 320 mg a day. Your doctor may decide to increase this dose.

Chest pain (angina):

• the usual dose is 80 mg to 320 mg a day.

Heart beat problems (arrhythmias):

• the usual dose is 30 mg to 160 mg a day.

To protect the heart after a heart attack:

• the usual dose is 160 mg a day.

To prevent migraine:

• the usual dose is 80 mg to 160 mg a day.

Essential tremor:

• the usual dose is 80 mg to 160 mg a day.

Anxiety:

• the usual dose is 80 mg to 160 mg a day.

Thyroid conditions (such as thyrotoxicosis):

• the usual dose is 30 mg to 160 mg a day.

Phaeochromocytoma:

• the usual dose is 30 mg to 60 mg a day.

Prevention of bleeding in the food pipe (oesophagus) caused by high blood pressure in the liver:

• the usual dose is 80 mg to 320 mg a day.

Could it interact with other tablets?

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 Inderal can affect the way some other medicines work and some medicines can have an effect on Inderal. 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 Inderal 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.
• Medicines such as Reserpine, Guanethidine or diuretics (water tablets) for high blood pressure (hypertension).
• Medicines for chest pain (angina).
• Disopyramide, lidocaine, quinidine, procainamide, 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 or dihydroergotamine (for migraine).
• Chlorpromazine or thioridazine (for mental illness).
• Cimetidine (for stomach problems).
• Rifampicin (for tuberculosis).
• Theophylline (for asthma).
• Insulin or medicines that you take by
• Medicines to treat nose or sinus congestion or other cold remedies (including those you can buy without a prescription).

Herbal products should also only be taken after talking with your doctor.

What are the possible risks or side-effects?

Like all medicines, Inderal can cause side effects, although not everybody gets them.

The following side effects may happen with this medicine:

Common (affects less than 1 in 10 people)

• You may notice that your pulse rate becomes slower while you are taking the tablets. 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.

Uncommon (affects less than 1 in 100 people)

• Diarrhoea.
• Feeling sick (nausea).
• Being sick (vomiting).

Can I drink alcohol while taking it?

• 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.

What if I’m pregnant/breastfeeding?

Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding.
Inderal should not be taken during pregnancy unless the doctor considers it essential.

If you have any more questions please ask your Pharmacist.

Remember to keep all medicines out of reach of children
Please Note: We have made every effort to ensure that the content of this information sheet is correct at time of publish, but remember that information about drugs may change. This sheet does not list all the uses and side-effects associated with this drug. For full details please see the drug information leaflet which comes with your medicine. Your doctor will assess your medical circumstances and draw your attention to any information or side-effects which may be relevant in your particular case.

References:

https://en.wikipedia.org/wiki/Propranolol

http://www.drugs.com/inderal.html

http://www.rxlist.com/inderal-drug/patient-images-side-effects.htm