Andicardin 10 mg 50 tablets

Propranolol Hydrochloride Film-Coated Tablets (Inderal/Indocardin) – 10 / 20 / 40 / 60 / 80 mg Scientific name: Propranolol Hydrochloride Pharmaceutical form: Film-coated tablets Brand: Indocardin Package: 50 tablets What is Propranolol? Propranolol is a medication from the beta-adrenergic blocker group, which works to reduce the effect of stress hormones (such as adrenaline) on the heart and blood vessels, helping to lower blood pressure, slow the heartbeat, and reduce stress on the heart. Indications for Use Propranolol can be used in the following cases (according to the doctor’s prescription): High blood pressure Angina pectoris (chest pain) Some arrhythmias Protection of the heart after myocardial infarction (heart attack) Prevention of migraines Unspecified tremor Some cases of hyperthyroidism (may hide its symptoms) Hypertrophic cardiomyopathy Pheochromocytoma (with appropriate treatment and medical supervision) Esophageal variceal bleeding associated with portal hypertension Propranolol should be used if you have: Allergy to propranolol or any component of the medication Uncontrolled/untreated heart failure Severe bradycardia or severe arrhythmia Severe electrical conduction problems in the heart (unless a pacemaker is present) Asthma or obvious wheezing/difficulty breathing Severe hypotension Metabolic acidosis Prinzmetal’s angina Severe peripheral circulatory disorders Untreated pheochromocytoma Important warnings before use Consult your doctor/pharmacist if you are: Diabetic (may hide hypoglycemia symptoms) Hyperthyroid (may hide symptoms) Liver or kidney problems (especially cirrhosis) COPD or bronchospasm Muscle weakness and myasthenia gravis Using medications like verapamil or diltiazem (significant interaction) Possible side effects May occur: Cold hands/feet Slow heartbeat Fatigue/tiredness Sleep disturbances/nightmares Shortness of breath (especially for asthma patients) Nausea/vomiting/diarrhea If severe wheezing, significant shortness of breath, fainting, or bothersome slow heartbeat occurs: stop the medication and see your doctor immediately. Drug interactions Tell your doctor/pharmacist if you are using: Calcium channel blockers: nifedipine/nicardipine… etc. Arrhythmia medications: amiodarone, quinidine, disopyramide… Lidocaine NSAIDs: ibuprofen, indomethacin (may reduce its effect on blood pressure) Migraine medications: ergotamine, rizatriptan Cimetidine, rifampicin Theophylline (for asthma) Warfarin, hydralazine Phenytoin, fluvoxamine, barbiturates Dosage and method of use (guidelines – as prescribed by the doctor) Adults: High blood pressure: usually starts with a low dose and gradually adjusts based on response. Angina/palpitations: divided doses daily and increased gradually if needed. After a heart attack: high divided doses may be used then stabilized at twice daily. Arrhythmias: divided doses 3–4 times daily depending on the condition. Children: Dose determined based on age/weight and doctor’s diagnosis. Elderly: Start with the lowest dose then gradually increase based on tolerance. Important: Do not stop the medication suddenly except under medical guidance, especially for heart patients. Storage: Keep out of reach of children. Do not use after the expiration date. No special storage conditions required (usually room temperature).