Treatment FAQ

which patient will benefit from propranolol (inderal) treatment?

by Emely Morissette Published 3 years ago Updated 2 years ago
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What is the Indication for PROPRANOLOL HYDROCHLORIDE 1 INDICATIONS AND USAGE INDERAL XL is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.

Full Answer

What is Inderal (propranolol)?

Inderal ( propranolol) is a beta-blocker. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Inderal is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions.

What should I know about Inderal before taking it?

Before taking this medicine. You should not use Inderal if you are allergic to propranolol, or if you have: asthma; very slow heart beats that have caused you to faint; or. a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker).

What should I know about propranolol before taking it?

Propranolol may cause vivid dreams and is not usually recommended for people with pre-existing breathing difficulties. 5. Tips May be taken with or without food. Take exactly as directed.

How does propranolol work to lower blood pressure?

Propranolol blocks beta-1 receptors in the heart which slows the heart rate and decreases how hard the heart has to work to pump blood around the body, decreasing blood pressure.

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Which disease is treated by propranolol?

Propranolol belongs to a group of medicines called beta blockers. It's used to treat heart problems, help with anxiety and prevent migraines. If you have a heart problem, you can take propranolol to: treat high blood pressure.

Why would a patient be given propranolol?

Propranolol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly.

What is Propranolol Inderal used for?

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).

Which conditions are indications for the use of propranolol?

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease).

When is propranolol most effective?

Propranolol can work very quickly to relieve these symptoms (taking effect in between 30 and 60 minutes) and can last for around three to four hours.

Is propranolol good for anxiety?

Propranolol is sometimes used off-label to help with certain kinds of anxiety, such as performance anxiety. Propranolol can help with physical performance anxiety symptoms, including dry mouth, nausea, fast pulse, or shaky hands. It's FDA-approved to treat many other conditions, such as high blood pressure and tremors.

Is Inderal good for heart?

Inderal is a prescription medicine used to treat the symptoms high blood pressure (hypertension), migraine, chest pain (angina), heart rhythm disorders, and other circulatory conditions, as a preventative of heart attacks and to reduce migraines. Inderal may be used alone or with other medications.

Is Inderal good for anxiety?

They're also used off-label to help relieve the physical symptoms of anxiety, especially in social anxiety disorder. Your doctor may prescribe a beta-blocker such as propranolol (Inderal) to help reduce your anxiety symptoms in stressful situations, such as attending a party or giving a speech.

Is Inderal Safe?

Warnings. You should not use Inderal if you have asthma, very slow heart beats, or a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker). Propranolol may mask the symptoms of hypoglycemia in diabetic patients. Report any changes in blood sugar levels to you doctor.

Why propranolol is used in hyperthyroidism?

Propranolol is the preferred agent for β-blockade in hyperthyroidism and thyroid storm due to its additional effect of blocking the peripheral conversion of inactive T4 to active form T3.

Is Inderal good for migraines?

Propranolol is a beta blocker medication which is helpful in preventing migraine attacks in some patients. If a patient is having frequent attacks or severe, long-lasting attacks, it may be of help in cutting down the frequency of the attacks.

What are beta blockers used to treat?

Uses for beta blockers heart failure – failure of the heart to pump enough blood around the body. atrial fibrillation – irregular heartbeat. heart attack – an emergency where the blood supply to the heart is suddenly blocked. high blood pressure – when other medicines have been tried, or in addition to other medicines.

Before Taking This Medicine

You should not use Inderal if you are allergic to propranolol, or if you have: 1. asthma; 2. very slow heart beats that have caused you to faint; o...

How Should I Take Inderal?

Take Inderal exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose...

What Happens If I Miss A Dose?

For regular (short-acting) propranolol: Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 4 hours a...

What Happens If I Overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.Overdose symptoms may include slow or uneven heartbeats, dizziness,...

What Should I Avoid While Taking Propranolol?

Avoid drinking alcohol. It may increase your blood levels of Inderal.See also: Inderal and alcohol (in more detail)Avoid getting up too fast from a...

What Other Drugs Will Affect Inderal?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Inderal, especially: 1. a blood thinner...

What are some things I need to know or do while I take this drug?

Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.

How is this drug best taken?

Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

Can you stop taking a med all of a sudden?

Do not stop taking this drug all of a sudden. If you do, chest pain that is worse and in some cases heart attack may occur. The risk may be greater if you have certain types of heart disease. To avoid side effects, you will want to slowly stop this drug as ordered by your doctor. Call your doctor right away if you have new or worse chest pain or if other heart problems occur.

What other drugs will affect Inderal?

Sometimes it is not safe to use certain medicines at the same time. Some drugs can affect your blood levels of other drugs you use, which may increase side effects or make the medicines less effective.

What is Inderal?

Inderal ( propranolol) is a beta-blocker. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

What happens if you are allergic to inderal?

Get emergency medical help if you have signs of an allergic reaction to Inderal ( hives, difficult breathing, swelling in your face or throat ) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Can you take Inderal if you are allergic to propranolol?

You should not use Inderal if you are allergic to propranolol, or if you have: asthma; very slow heart beats that have caused you to faint; or. a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker).

Can you take Inderal if you have asthma?

You should not use Inderal if you have asthma, very slow heart beats, or a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker).

Does propranolol mask hypoglycemia?

Propranolol may mask the symptoms of hypoglycemia in diabetic patients. Report any changes in blood sugar levels to you doctor.

Does Propranolol affect your test results?

Propranolol can affect the results of certain medical tests. Tell any doctor who treats you that you are using Inderal.

What is the drug used for atrial fibrillation?

2. A patient with atrial fibrillation is taking verapamil [Calan] . The patient has read about the drug on the Internet and wants to know why a drug that affects the rate of ventricular contraction is used to treat an abnormal atrial contraction. What will the nurse tell the patient?

Why do you administer medications as ordered?

Administer the medications as ordered, because this indicates improvement.

How does calcium channel blockade affect cardiac function?

Calcium channel blockade has the same impact on cardiac action potentials as does beta blockade, so these agents have nearly identical effects on cardiac function; that is, they reduce automaticity in the SA node, delay conduction through the AV node, and reduce myocardial contractility. Potassium channel blockers act by delaying repolarization of fast potentials. Sodium channel blockers block sodium channels to slow impulse conduction in the atria, ventricles, and His-Purkinje system.

What is adenosine used for?

Adenosine is used to terminate paroxysmal supraventricular tachycardia (SVT) and Wolff-Parkinson-White (WPW) syndrome, not to prevent symptoms. Adenosine suppresses action potentials in the SA and AV nodes. Because it has a very short half-life of 1.5 to 10 seconds, it must be given IV bolus, as close to the heart as possible. Adenosine is not active against atrial fibrillation, atrial flutter, or ventricular dysrhythmias.

Does verapamil affect warfarin?

Increasing the dose of digoxin can result in digoxin toxicity. Verapamil does not affect warfarin levels.

Is amiodarone toxic to the liver?

Amiodarone has many toxic effects. Liver toxicity is rare but serious and should be reported and the drug discontinued. Dermatologic toxicity can occur, and sunblock helps protect the skin, which, with prolonged exposure to the sun, can turn bluish gray. Drinking grapefruit juice can increase amiodarone levels. Pulmonary toxicity is the greatest concern, and patients with pulmonary symptoms should report these to the provider.

Is propranolol contraindicated for asthma?

Propranolol is contraindicated in patients with asthma, because it is a nonselective beta-adrenergic antagonist and can cause bronchoconstriction and exacerbate asthma. It is used to treat tachyarrhythmias and paroxysmal atrial tachycardia evoked by emotion, so it is not contraindicated for patients with these conditions. It lowers blood pressure, so it would be helpful in patients with hypertension.

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How It Works

  1. Propranolol is a medicine that may be used to treat certain heart conditions, reduce essential tremor, or prevent migraine. It works by blocking beta-receptors. There are two types of beta receptor...
  2. Propranolol blocks beta-1 receptors in the heart which slows the heart rate and decreases ho…
  1. Propranolol is a medicine that may be used to treat certain heart conditions, reduce essential tremor, or prevent migraine. It works by blocking beta-receptors. There are two types of beta receptor...
  2. Propranolol blocks beta-1 receptors in the heart which slows the heart rate and decreases how hard the heart has to work to pump blood around the body, decreasing blood pressure.
  3. Propranolol has a "nonselective" action. This means that it also blocks beta-2 receptors in the bronchioles, which can cause a narrowing of the bronchioles which may cause breathing difficulties in...
  4. Propranolol also has a membrane-stabilizing effect at higher dosages which can affect the electrical impulses of the heart, although is not thought to contribute much to its antiarrhythmic properties.

Upsides

  1. May be used to treat high blood pressure (hypertension), either alone or in combination with thiazide diuretics or other medicines for hypertension.
  2. May improve the symptoms of angina and increase a person with angina's capacity to exercise.
  3. May be used in the prevention of migraine headaches.
  1. May be used to treat high blood pressure (hypertension), either alone or in combination with thiazide diuretics or other medicines for hypertension.
  2. May improve the symptoms of angina and increase a person with angina's capacity to exercise.
  3. May be used in the prevention of migraine headaches.
  4. May improve symptoms of hypertrophic subaortic stenosis; however, will not change the course of the disease.

Bottom Line

  • Propranolol is mainly used for blood pressure and angina control; however, it also has a role in migraine prevention and the treatment of essential tremor. Propranolol may cause vivid dreams and is not usually recommended for people with pre-existing breathing difficulties.
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Tips

  1. May be taken with or without food. Take exactly as directed. Do not increase or decrease the dosage without your doctor's advice.
  2. Swallow extended-release capsules whole: do not prise apart or chew.
  3. Should always be used as part of a comprehensive cardiovascular risk reduction program that includes diabetes management, smoking cessation, exercise, and other drug therapies. May …
  1. May be taken with or without food. Take exactly as directed. Do not increase or decrease the dosage without your doctor's advice.
  2. Swallow extended-release capsules whole: do not prise apart or chew.
  3. Should always be used as part of a comprehensive cardiovascular risk reduction program that includes diabetes management, smoking cessation, exercise, and other drug therapies. May be used in addit...
  4. Seek immediate medical advice if you find it difficult to breathe.

Response and Effectiveness

  1. Peak concentrations are reached within six hours following administration of extended-release (ER) capsules; effects last for 24 hours following ER dosing so ER capsules may be given once daily.
  2. Propranolol is lipophilic and can cross the blood/brain barrier (a semipermeable membrane that separates blood from the fluid surrounding the brain). This means it is more likely than s…
  1. Peak concentrations are reached within six hours following administration of extended-release (ER) capsules; effects last for 24 hours following ER dosing so ER capsules may be given once daily.
  2. Propranolol is lipophilic and can cross the blood/brain barrier (a semipermeable membrane that separates blood from the fluid surrounding the brain). This means it is more likely than some water-so...
  3. When used for essential tremor, there is a wide variation in individual response, and effective dosages may range from 60mg to 320mg. May be used daily or as needed before or during social situatio...

Interactions

  • Medicines that interact with propranolol may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with propranolol. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions sh…
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Further Information

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use propranolol only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Copyright 1996-2022 Drugs.com. Revision date: November 3, 2021. Medical Dis…
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