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Requires prescription Propranolol Hydrochloride 10 mg, 20 mg, 40 mg, 60 mg, 80 mg coated tablets what is Propranolol and what are the indications for its use can use Propranolol in: high blood pressure (hypertension) angina pectoris (chest pain) some arrhythmias (arrhythmias) protection of the heart after myocardial infarction (heart attack) migraine unknown cause (unintentional and regular tremor) some thyroid diseases hypertrophic cardiomyopathy (enlargement of the heart muscle) pheochromocytoma (high blood pressure due to a tumor near the kidney usually) bleeding in the esophagus caused by high blood pressure in the liver. Do not take Propranolol if you have an allergy to Propranolol Hydrochloride or any of the other components of this medicine have untreated / uncontrolled heart failure have serious heart defects which can be treated by a pacemaker suffer from problems in heart conduction or rhythm have a very slow or very irregular heart rate have increased blood acidity (metabolic acidosis) suffer from asthma or wheezing or any other breathing difficulties have untreated pheochromocytoma (high blood pressure due to a tumor near the kidney) have severe circulation problems feel tight and painful in the chest at rest (Prinzmetal's angina) have very low blood pressure precautions and warnings talk to your doctor or pharmacist before taking Propranolol if: you have allergies such as insect bites. you have diabetes. you have thyrotoxicosis. Propranolol may hide symptoms of thyrotoxicosis. you have kidney or liver problems (including cirrhosis). you have heart problems. you suffer from muscle weakness (myasthenia gravis) you have conditions like chronic obstructive pulmonary disease and bronchospasm. use calcium channel blockers with negative effects affecting muscle contraction such as Verapamil and Diltiazem possible side effects of Propranolol may occur: symptoms include cold fingers and toes, slow heartbeat, numbness and spasms in the fingers followed by warmth and pain (Raynaud's syndrome), sleep disturbances / nightmares, fatigue, shortness of breath, nausea, vomiting, diarrhea, and constipation. other medicines and Propranolol tell your doctor if you are taking any of the following: Nifedipine, Nisoldipine, NicarDIPINE, Isradipine, Lacidipine lidocaine (local anesthetic) disopyramide, quinidine, amiodarone, propafenone, glycosides (for heart problems) adrenaline (heart stimulant) ibuprofen and indomethacin (for pain and inflammation) ergotamine or dihydroergotamine or rizatriptan (for migraine) chlorpromazine and thioridazine (for some mental disorders) cimetidine (for stomach problems). rifampicin (for tuberculosis). theophylline (for asthma) warfarin (for blood thinning) hydralazine (for high blood pressure) fingolimod (for multiple sclerosis) fluvoxamine and barbiturates (for anxiety and insomnia) how to take Propranolol adults high blood pressure: initially 40 mg twice or three times daily, which can be increased by 80 mg per day at weekly intervals. angina pectoris (chest pain) and tremor: initially 40 mg two to three times daily, which can be increased by 40 mg daily at weekly intervals. protection of the heart after a heart attack: initially 40 mg four times daily, then after a few days changed to 80 mg twice daily arrhythmias: 10-40 mg three or four times daily pheochromocytoma: before surgery: 60 mg daily. non-surgical treatment dose: 30 mg daily liver diseases due to high blood pressure: initially 40 mg twice daily and increased to 80 mg twice daily children Propranolol can also be used to treat children with migraine and arrhythmias: for migraine, the dose less than 12 years is 20 mg twice or three times daily and the adult dose for children aged 12 or older. in case of arrhythmias, the dose is adjusted by the doctor according to the child's age or weight. elderly elderly should start with the lowest dose. the optimal dose is individually determined by the doctor. how to store Propranolol keep this medicine out of sight and reach of children. do not use this medicine after the expiration date printed on the package. this medical product does not require special storage conditions. * The dosage form and method of administration of Propranolol Hydrochloride 60 mg, 80 mg, 120 mg, 160 mg capsules, extended-release, should be prescribed according to the indication and severity of the disease for each patient individually.