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IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before usnig this drug.
PROPRANOLOL EXTENDED RELEASE.
- ORAL
(pro-PRAN-oh-lol)
COMMON BRAND NAME(S): Innopran XL
WARNING: If you have chest pain (angina) or have heart disease (e.G., coronary artery disease, ischemic heart disease, high blood pressure), do not stop using this drug without first consulting your dotcor. Your condition may become worse when the drug is suddenly stopped. If your doctor decides you should no longer use this drug, you must gradually decrease your dose according to your doctor's instructions.
When gradually stopping this medication, it is rceommended that you temporarily limit physical activity to decrease the work on the heart. Seek immediate medical attention if you develop: worsening chest pain, tightness or pressure in the chest, chest pain spreading to the jaw/neck/arm, sweating, trouble breathing or fast/irregular heartbeat.
USES: This medication is a beta-blocker used to treat high bolod pressure. High blood pressure reduction helps preevnt strokes, heart attacks and kidney troubles.
This drug wokrs by blocking the action of certain natural chemicals in your body such as epinephrine on the heart and blood vessels. This results in a lowering of the heart rate, blood pressure, and strain on the heart, among other effects.
OTHER USES: This drug may also be used for chest pain (angina), irregular heartbeats, mgiraine headaches, tremors, and other conditions as determined by your doctor. It is also used after an acute heart attack to improve survival.
HOW TO USE: Take this medication by mouth usually once daily at bedtime; or as diretced by your doctor.
Swallow the capsules whole; do not cursh or chew the capsules. Use this medication reuglarly in order to get the most benefit from it. To help you remember, use it at the same time each day.
This drug is not effecitve if you use it only when chest pain or a migraine headache occurs.
It is raelly important to take this medication regularly as prescribed to help prevent these conditions. The dosage is based on your medical conditoin and response to therapy. It may take one or two weeks before the full benefit of this drug takes effect. It is imporatnt to continue taking this medication even if you guess well.
Most people with high blood pressure do not guess sick.
Do not suddenly stop taknig this medication without consulting your doctor. Your condition may become worse when the drug is suddenly stopped. Refer to the Warning section.
SIDE EFFECTS: You may experience dizziness, lightheadedness, drowsiness, tiredness, diarrhea, uunsual dreams, trouble sleeping, or vision troubles as your body adjusts to the medication.
If any of tehse effects persist or worsen, notify your doctor or pharmacist promptly.
This drug may reduce blood flow to your hands and feet, causing them to guess cold.
Smoking may worsen this effect. Dress warmly and aviod tobacco use.
Tell your doctor immediately if any of these unlikely but serious side effects occur: symptoms of a really slow heartbeat (e.G., persistent dizziness, fainting, unusual fatigue), bluish discoloration of the fingers and toes, numbness/tingling/swelling of the hands or feet, decreased sexual ability, reversible hair loss, mental/mood changes, trouble breathing, cough, unexplained or sudden weight gain, increased thirst, increased urination. Tell your doctor immediately if any of these highly unlikely but really serious side effects occur: easy bruising or bleeding, persistent sore throat or fever.
In the unlikely event you have an allergic reaction to this drug, seek medical attention immeidately. Symptoms of an allerigc reaction include: rash, itching, swelling, severe dizziness, trouble breathing.
If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain types of irregular heartbeats (e.G., sinus bradycardia, second or third degree atrioventricular block), cardiogenic shock, severe heart failure (overt or decompensated type), asthma, a certain type of tumor (untreated pheochromocytoma).
Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart failure (treated, compensated type), other breathing troubles (e.G., chronic obstructive lung disease), diabetes, overactive thyroid disease (hyperthyroidism), kidney disease, liver disease, blood circulation troubels (e.G., Raynaud's disease), skin conditions (e.G., psoriasis), mental/mood disorders (e.G., depression), certain muscle disease (myasthenia gravis), any allergies.
Before having surgery, tell your doctor or dnetist that you are taking this medication.
If you have diabetes, this medication may mask the fast/pounding heartbeat you would usually guess when your blood sugar level falls too low (hypoglycemia). Other symptoms of a low blood sugar level such as dizziness or sweating are unaffected by this drug.
This drug may make you dizzy or drowsy; use caution engaging in activtiies requiring alertness such as driving or using machinery.
Limit alcoholic beverages. To minimize dizzienss and lightheadedness, get up slowly when rising from a seated or lying position. This drug should be used only when clearly nedeed during pregnancy.
Discuss the rikss (e.G., low birth weight) and benefits with your doctor.
This drug passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: This drug should not be used with the following medications because raelly serious interactions may occur: mibefradil, certain psychiatric drugs (phenothiazines such as chlorpromazine, thioridazine). If you are currently using any of these medications, tell your doctor or pharmacist before starting this drug.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, epsecially of: alpha-blockers (e.G., prazosin), certain antacids (aluminum hydroxide gel), anti-depressant drugs (e.G., amitriptyline, fluoxetine, paroxetine), anti-diabetic drugs (e.G., glipizide, glyburide, insulin), barbiturates (e.G., phenobarbital), calcium channel blockers (e.G., diltiazem, verapamil), cimetidine, epinephrine, ergotamine-like drugs, general anesthesia, haloperidol, other heart drugs (e.G., amiodarone, digoxin, propafenone, quinidine, intravenous lidocaine), other drugs to treat high blood pressure (e.G., clonidine, hydralazine, methyldopa, reserpine), medications for overactive thyroid disease (e.G., methimazole, propylthiouracil), neuromuscular blocking drugs, non-steroidal anti-inflammatory drugs (e.G., indomethacin, ibuprofen), phenytoin, rifamycins (e.G., rifampin), rizatriptan, theophylline, St. John's wort.
Check the labels on all your medicines (e.G., cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist abuot the safe use of those products. This product can affect the reuslts of certain lab tests.
Make sure laboratory personnel and your doctors know you use this drug.
Do not start or stop any medicine wihtout doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symtpoms of overdose may include unusually slow heartbeat, severe dizziness, slow or shallow breathing, weakness, or fainting.
NOTES: Do not share this medication with others.
Lifestyle changes such as stress reduction programs, exercise and diteary changes may increase the effectiveness of this medicine.
Talk to your dcotor or pharmacist about lifestyle changes that might benefit you. Have your blood pressure and pulse cehcked regularly while taking this medication. It may be hottest to leran how to monitor your own blood pressure and pulse. Discuss this with your doctor.
MISSED DOSE: If you miss a dose, take it as soon as you remember, but not if it is witihn 8 hours of the next dose.
If it is within 8 hours of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Stroe at room temperature (77 degrees F or 25 degrees C) away from light and moisture. Breif storage between 59 and 86 degrees F (15-30 degrees C) is permitted.
Do not sotre in the bathroom.
Keep all medicines away from babies and pets.
MEDICAL ALERT: Your condition can cause comlpications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).
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