propranolol

Pronunciation: pro PRAN oh lol

Brand: Hemangeol, Inderal LA, Inderal XL, InnoPran XL

Inderal 10 mg

hexagonal, orange, imprinted with INDERAL 10, I

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Inderal LA 120 mg

blue/light blue, capsule, imprinted with INERAL LA 120

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Inderal LA 160 mg

capsule, blue, imprinted with INDERAL LA 160

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Inderal LA 60 mg

capsule, blue/white, imprinted with INDERAL LA 60

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Innopran XL 120 mg

gray/white, imprinted with 120, RD201 LOGO RELIANT

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Innopran XL 80 mg

gray/white, imprinted with Reliant, RD 201 80

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Propranolol 40 mg-WAT

round, green, imprinted with 40, DAN 5556

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Propranolol 60 mg-BAR

round, pink, imprinted with PLIVA 470

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Propranolol 80 mg-MYL

round, yellow, imprinted with 80, MYLAN 185

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Propranolol 80 mg-SID

round, yellow, imprinted with SL 471

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Propranolol 80 mg-WAT

round, yellow, imprinted with 80, DAN 5557

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Propranolol ER 160 mg-MYL

capsule, pink, imprinted with MYLAN 6260

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Propranolol LA 60 mg-ESI

white, imprinted with 59911 60 mg

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Inderal LA 80 mg

turquoise, capsule, imprinted with INDERAL LA 80

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Propranolol 10 mg-MYL

round, orange, imprinted with 10, MYLAN 182

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Propranolol 20 mg-SID

round, blue, imprinted with SL 468

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Propranolol 40 mg-MYL

round, green, imprinted with 40, MYLAN 184

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Propranolol ER 60 mg-MYL

capsule, blue/pink, imprinted with MYLAN 6160

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Propranolol ER 80 mg-MYL

capsule, pink/red, imprinted with MYLAN 6180

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Propranolol LA 160 mg-ESI

blue/white, imprinted with 59911 160 mg

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Inderal 20 mg

hexagonal, blue, imprinted with INDERAL 20, I

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Propranolol 10 mg-SID

round, orange, imprinted with SL 467

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Propranolol 20 mg-WAT

round, blue, imprinted with 20, DAN 5555

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Propranolol ER 120 mg-MYL

capsule, blue, imprinted with MYLAN 6220

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Propranolol LA 120 mg-ESI

blue/white, imprinted with 59911 120 mg

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Propranolol 10 mg-WAT

round, orange, imprinted with 10, DAN 5554

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Propranolol 20 mg-MYL

round, blue, imprinted with 20, MYLAN 183

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Propranolol 40 mg-SID

round, green, imprinted with SL 469

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What is the most important information I should know about propranolol?

Multum donot

You should not use this medicine if you are allergic to propranolol, 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).

Babies who weigh less than 4.5 pounds should not be given Hemangeol oral liquid.

What is propranolol?

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

Propranolol is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the severity and frequency of migraine headaches.

Hemangeol (propranolol oral liquid 4.28 milligrams) is given to infants who are at least 5 weeks old to treat a genetic condition called infantile hemangiomas. Hemangiomas are caused by blood vessels grouping together in an abnormal way. These blood vessels form benign (non-cancerous) growths that can develop into ulcers or red marks on the skin. Hemangiomas can also cause more serious complications inside the body (in the liver, brain, or digestive system).

Propranolol may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking propranolol?

Multum donot

You should not use propranolol if you are allergic to it, 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).

Babies who weigh less than 4.5 pounds should not be given Hemangeol oral liquid.

To make sure propranolol is safe for you, tell your doctor if you have:

  • a muscle disorder;
  • bronchitis, emphysema, or other breathing disorders;
  • low blood sugar, or diabetes (propranolol can make it harder for you to tell when you have low blood sugar);
  • slow heartbeats, low blood pressure;
  • congestive heart failure;
  • depression;
  • liver or kidney disease;
  • a thyroid disorder;
  • pheochromocytoma (tumor of the adrenal gland); or
  • problems with circulation (such as Raynaud's syndrome).
Multum nopreg

FDA pregnancy category C. It is not known whether propranolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

Multum nobrfeed

Propranolol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I take propranolol?

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Adults may take propranolol with or without food, but take it the same way each time.

Take this medicine at the same time each day.

Multum nocrush

Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.

Hemangeol must be given to an infant during or just after a feeding. Doses should be spaced at least 9 hours apart. Make sure your child gets fed regularly while taking this medicine. Tell your doctor when the child has any changes in weight. Hemangeol doses are based on weight in children, and any changes may affect your child's dose.

Multum calldoc

Call your doctor if a child taking Hemangeol is sick with vomiting, or has any loss of appetite.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not shake Hemangeol liquid.

Your blood pressure will need to be checked often.

If you need surgery, tell the surgeon ahead of time that you are using propranolol. You may need to stop using the medicine for a short time.

Multum donot

Do not skip doses or stop using propranolol suddenly. Stopping suddenly may make your condition worse. Follow your doctor's instructions about tapering your dose.

This medicine can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using propranolol.

If you are being treated for high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.

Propranolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

Multum rt

Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze. Throw away any unused Hemangeol 2 months after you first opened the bottle.

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 away.

For extended-release propranolol (Inderal LA, InnoPran XL and others): Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 8 hours away.

Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Multum emt

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include slow or uneven heartbeats, dizziness, weakness, or fainting.

What should I avoid while taking propranolol?

Multum noalcohol

Avoid drinking alcohol. It may increase your blood levels of propranolol.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

What are the possible side effects of propranolol?

Multum emt

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Multum calldoc

Call your doctor at once if you have:

  • slow or uneven heartbeats;
  • a light-headed feeling, like you might pass out;
  • wheezing or trouble breathing;
  • shortness of breath (even with mild exertion), swelling, rapid weight gain;
  • sudden weakness, vision problems, or loss of coordination (especially in a child with hemangioma that affects the face or head);
  • cold feeling in your hands and feet;
  • depression, confusion, hallucinations;
  • liver problems --nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • low blood sugar --headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery;
  • low blood sugar in a baby --pale skin, blue or purple skin, sweating, fussiness, crying, not wanting to eat, feeling cold, drowsiness, weak or shallow breathing (breathing may stop for short periods), seizure (convulsions), or loss of consciousness; or
  • severe skin reaction --fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Common side effects may include:

  • nausea, vomiting, diarrhea, constipation, stomach cramps;
  • decreased sex drive, impotence, or difficulty having an orgasm;
  • sleep problems (insomnia); or
  • tired feeling.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect propranolol?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with propranolol, especially:

  • a blood thinner --warfarin, Coumadin, Jantoven;
  • an antidepressant --amitriptyline, clomipramine, desipramine, imipramine, and others;
  • drugs to treat high blood pressure or a prostate disorder --doxazosin, prazosin, terazosin;
  • heart or blood pressure medicine --amiodarone, diltiazem, propafenone, quinidine, verapamil, and others;
  • NSAIDs (nonsteroidal anti-inflammatory drugs) --aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; or
  • steroid medicine -prednisone and others.

This list is not complete. Other drugs may interact with propranolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

Your pharmacist can provide more information about propranolol.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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