Propranolol 10mg, 40mg, 80mg and 160mg tablets
Read all of this leaflet carefully before you start taking this medicine
- Keep this leaflet. You may need to read it again.
- If you have any further questions, please ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
Index
- 1 What Propranolol tablets are and what they are used for
- 2 Before you take
- 3 How to take
- 4 Possible side effects
- 5 How to store
- 6 Further information
What Propranolol tablets are and what they are used for
Propranolol belongs to a group of medicines called beta-blockers. It is used to:
- treat high blood pressure, an enlarged heart muscle or tremors
- treat angina pectoris (pain in the chest caused by blockages in the arteries leading to the heart) or high blood pressure caused by a tumour near a kidney (phaeochromocytoma)
- help prevent additional heart attacks
- control irregular or fast heart beats
- control fast heart rate and other symptoms caused by an overactive thyroid gland
- to reduce migraine attacks
- calm people who are anxious or worried
- prevent stomach bleeding in patients with high blood pressure in their liver or swollen blood vessels in their gullet.
Before you take
Do not take Propranolol tablets and tell your doctor if you:
- are allergic (hypersensitive) to Propranolol tablets or any of the other ingredients (see section 6)
- have heart failure or are in shock caused by heart problems
- suffer with heart conduction or rhythm problems
- have a slow heart rate
- have low blood pressure
- suffer from severe blood circulation problems (which may cause your fingers and toes to tingle or turn pale or blue)
- suffer from diabetes mellitus (low blood sugar levels may be hidden by this medicine) and increased acidity of the blood (metabolic acidosis)
- are on a strict fasting diet
- suffer from a tight, painful feeling in the chest in periods of rest (Prinzmetal’s angina)
- suffer from asthma or any other breathing difficulties
- suffer from untreated phaeochromocytoma (high blood pressure due to a tumour near the kidney).
Take special care with Propranolol tablets and tell your doctor if you:
- have a history of allergic reactions
- suffer with muscle weakness (myasthenis gravis)
- have a heart weakness
- have kidney or liver disease
- suffer from blood circulation problems (which may cause your fingers and toes to tingle or turn pale or
blue).
Taking other medicines
Before taking Propranolol tablets, tell your doctor if you are taking or have taken recently any of the following medicines or are taking any non-prescribed medicines:
- verapamil and diltiazem (to treat heart diseases)
- clonidine or hydralazine (to treat high blood pressure)
- disopyramide, quinidine and amiodarone (to treat irregular heartbeat (arrhythmia)
- ergotamine derivates (to treat migraine)
- adrenaline (epinephrine, used in anaphylactic shock)
- medicines to treat diabetes including insulin
- lidocaine (to treat irregular heartbeat (arrhythmia) or as a local anasethetic)
- indometacin (Non-Steroidal Anti-Inflammatory Drug (NSAID))
- digitalis glycosides such as digoxin (to treat heart conditions)
- chlorpromazine (for mental illness)
- cimetidine (to treat stomach ulcers)
Pregnancy and breast-feeding
Propranolol tablets are not recommended during pregnancy or breast-feeding. Ask your doctor or pharmacist for advice before taking any medicine.
Sugar intolerance
If you have been told that you have an intolerance to some sugars, contact your doctor before taking this medicine, as it contains lactose.
Alcohol intake
You are advised to avoid alcohol whilst taking this medicine.
Anaesthetics or tests
If you are going to have an anaesthetic or any blood or urine tests, please tell your doctor or dentist that you are taking Propranolol tablets.
If you see another doctor or go into hospital, let them know what medicines you are taking.
How to take
Always take Propranolol tablets exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.
Take with water before meals.
Usual doses:
- Adults & children over 12 years:
- Angina, migraine or tremor - initially 40mg two or three times a day, then 120-240mg a day for angina or 80-160mg a day for migraine or tremor.
- High blood pressure - initially 80mg twice a day, then 160-320mg a day.
- Irregular/fast heart beats, over active thyroid gland or enlarged heart muscle - 10-40mg three or four times a day.
- Heart attack (start treatment 5-21 days after attack) - 40mg four times a day for 2-3 days, then 80mg twice a day.
- Phaeochromocytoma
- before an operation - 60mg a day for 3 days.
- treatment dose - 30mg a day.
- Anxiety - 40mg before anxious situations. For long-term anxiety 40mg two or three times a day, treatment is reviewed after 6-12 months.
- Liver disease due to high blood pressure - initially 40mg twice a day, increasing to 80mg twice a day depending on response. Maximum dose 160mg twice a day.
- Children under 12 years:
- Migraine - 20mg two or three times a day.
- All other indications – Doses are decided using body weight.
- Elderly: your dose may be reduced.
If you take more than you should
If you have accidentally taken more than the prescribed dose, contact your nearest casualty department or tell your doctor or pharmacist at once. Overdose causes an excessively slowed heart beat with symptoms such as dizziness, breathlessness on exertion or fainting.
If you forget to take the tablets
If you forget to take a dose, take it as soon as you remember, unless it is nearly time for your next dose. Then go on as before. Never double up on the next dose to make up for the one missed.
Possible side effects
Like all medicines, Propranolol tablets can have side effects, although not everybody gets them.
Stop treatment and contact a doctor at once if you have the following symptoms of an:
- intolerance to Propranolol tablets such as slow heart rate and low blood pressure causing dizziness, light-headedness, fainting or blurred vision.
- allergic reaction such as itching, difficulty breathing or swelling of the face, lips, throat or tongue.
Tell your doctor if you notice any of the following side effects or notice any other effects not listed:
- Symptoms that usually disappear - tiredness, cold extremities, difficulty in sleeping, feeling sick or diarrhoea
- Heart - slow or irregular heart beat, worsening of heart failure
- Skin - skin rash, worsening of psoriasis, hair loss, dry flaky skin
- Nervous system –dizziness, hallucinations, mood changes, pins and needles, psychoses
- Respiratory - patients with asthma or a history of breathing problems may experience difficulty in breathing.
- Eye - dry eyes, visual disturbances.
- Other - your medicine may alter the numbers and types of your blood cells. If you notice increased bruising, nosebleeds, sore throats or infections, you should tell your doctor who may want to give you a blood test. Changes in sex drive or potency.
If you notice any side effects, they get worse, or if you notice any not listed, please tell your doctor or pharmacist.
How to store
Keep Propranolol tablets out of the reach and sight of children.
Do not store the tablets above 25°C.
Do not take the tablets after the expiry date which is stated on the carton. The expiry date is also stated on the back of the strip after ‘Exp’.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Further information
What Propranolol tablets contain
- the active substance (the ingredient that makes the tablets work) is propranolol hydrochloride. Each tablet contains either 10mg, 40mg, 80mg or 160mg of the active substance.
- the other ingredients are lactose, magnesium stearate, maize starch, stearic acid, hypromellose (E464).
- the coating contains polysorbate, carmoisine (E122), titanium dioxide (E171), iron oxide red (E172), hypromellose (E464).
What Propranolol tablets look like and contents of the pack
The tablets are pink, circular, film-coated tablets.
Pack sizes are 28 and 56 tablets.
Not all pack sizes may be available.
Marketing Authorisation Holder and Manufacturer
This leaflet was last revised in July 2008
50130111
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