This medication is
a beta blocker used to treat high blood pressure, irregular
heartbeats, shaking (tremors), and other conditions. It is used after a
heart attack to improve the chance of survival. It is also used to
prevent migraine headaches and chest pain (angina).
Lowering high blood pressure helps prevent strokes, heart
attacks, and kidney problems. Preventing chest pain can help improve
your ability to exercise.
drug works by blocking the action of certain natural chemicals in your body
(such as epinephrine) that affect the heart and blood vessels.
This effect reduces heart rate, blood pressure, and strain on
or tiredness may occur as your body adjusts to the medication. Nausea/vomiting, stomach
pain, vision changes, trouble sleeping, and unusual dreams may
also occur. If any of these effects persist or worsen, tell your doctor
or pharmacist promptly.
drug may reduce blood flow to your hands and feet, causing them to
feel cold. Smoking may worsen this effect. Dress warmly and
avoid tobacco use.
that your doctor has prescribed this medication because he or she has judged that
the benefit to you is greater than the risk of side effects. Many people using
this medication do not have serious side effects.
your doctor right away if any of these unlikely but serious side effects occur:
blue fingers/toes, mental/mood changes (e.g., depression),
numbness/tingling of arms/legs, new or worsening symptoms of heart failure (such
as shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden
weight gain), very slow heartbeat, fainting, decreased sexual ability,
your doctor right away if any of these rare but very serious side effects
occur: easy bruising/bleeding, signs of infection (e.g., fever,
persistent sore throat), aching/swollen joints.
very serious allergic reaction to this drug is rare. However, seek
immediate medical attention if you notice any symptoms of a serious allergic
reaction, including: rash, itching/swelling (especially of the face/tongue/throat),
severe dizziness, trouble breathing.
is not a complete list of possible side effects. If you notice other effects
not listed above, contact your doctor or pharmacist.
taking propranolol, tell your doctor or pharmacist if you are
allergic to it; or if you have had a serious reaction to other beta
blockers (e.g., metoprolol); or if you have any other allergies.
This product may contain inactive ingredients, which can cause allergic
reactions or other problems. Talk to your pharmacist for more details.
using this medication, tell your doctor or pharmacist your medical
history, especially of: breathing problems (e.g., asthma, bronchitis, emphysema), heart
failure, certain types of heart rhythm problems (sinus bradycardia,
Wolff-Parkinson-White syndrome, second- or third-degree atrioventricular
block), overactive thyroid (hyperthyroidism), kidney disease, liver
disease, blood circulation problems (e.g., Raynauds disease), a
certain type of tumor (pheochromocytoma), mental/mood disorders (e.g., depression),
certain muscle/nerve disease (myasthenia gravis), severe allergic reactions.
having surgery, tell your doctor or dentist that you are taking this
you have diabetes, this product may mask the fast/pounding heartbeat you
would usually feel when your blood sugar falls too low (hypoglycemia).
Other symptoms of low blood sugar, such as dizziness and sweating,
are unaffected by this drug. This product may also make it harder to control
your blood sugar. Check your blood sugar regularly as directed
and share the results with your doctor. Tell your doctor right away if you have
symptoms of high blood sugar such as increased thirst/urination. Your doctor
may need to adjust your diabetes medication, exercise program,
drug may make you dizzy. Alcohol or marijuana (cannabis) can make you
more dizzy. Do not drive, use machinery, or do anything that needs alertness
until you can do it safely. Limit alcoholic beverages. Talk to your
doctor if you are using marijuana (cannabis).
reduce the risk of dizziness and lightheadedness, get up slowly when rising
from a sitting or lying position.
forms of this medication may contain alcohol. Caution is advised if you
have alcohol dependence or liver disease. Ask your doctor
or pharmacist about using this product safely.
this medication should be used only when clearly needed. Infants exposed to
this medication during pregnancy may have low birth weight, low blood
sugar, or slow breathing/heartbeat. Discuss the risks and benefits with your
drug passes into breast milk. Consult your doctor before