PRACARDYL 40 mg

Indication

Propranolol is a non-selective beta-blocker used to treat hypertension, angina pectoris, cardiac arrhythmias, essential tremor, prophylaxis of migraine, anxiety, thyrotoxicosis, and as adjunct in pheochromocytoma.

Ingredients

• Propranolol Hydrochloride

Direction

Adults: Dose varies by indication. For hypertension: 40–80 mg twice daily, increasing to 160–320 mg/day if needed. For angina: 40 mg two or three times daily. For arrhythmias: 10–40 mg three to four times daily. Take orally with or without food.

Side effects

• Bradycardia
• hypotension.
• Fatigue
• cold hands and feet.
• Sleep disturbances
• nightmares.
• Nausea
• diarrhea.
• Bronchospasm in susceptible individuals.
• Depression.
• Erectile dysfunction (rare).

Precautions

• Contraindicated in asthma
• COPD
• bradycardia
• second
• or third
• degree AV block
• cardiogenic shock
• and uncontrolled heart failure.
• Do not stop abruptly in patients with angina or ischemic heart disease — taper gradually.
• Use with caution in diabetes (may mask hypoglycemia symptoms).
• Use with caution in patients with Raynaud's phenomenon or peripheral vascular disease.
• Avoid in patients with Prinzmetal's angina.
• May cause fatigue and cold extremities.
• Interactions with calcium channel blockers
• digoxin
• and NSAIDs.