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Propranolol

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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). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help improve your ability to exercise. This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This effect reduces heart rate, blood pressure, and strain on the heart.
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WarningsPropranolol Side EffectsInteractionsFAQs

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Warnings

Do not stop using this drug without first consulting your doctor. Your condition may become worse when the drug is suddenly stopped, especially if you have chest pain (angina) or heart disease (such as coronary artery disease, ischemic heart disease, high blood pressure). 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 recommended that you temporarily limit physical activity to decrease strain on the heart. Get medical help right away if you develop: worsening chest pain, tightness/pressure in the chest, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat.

Propranolol Side Effects

Dizziness, lightheadedness, or tiredness may occur as your body adjusts to the medication. Nausea/vomiting, stomach pain, vision changes, trouble sleeping, and unusual dreams may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. This drug may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: blue fingers/toes, mental/mood changes (such as depression), numbness/tingling of arms/legs, new or worsening symptoms of heart failure (such as shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden weight gain), very slow heartbeat, fainting, decreased sexual ability, increased thirst/urination, easy bruising/bleeding, signs of infection (such as sore throat that doesn't go away, fever), aching/swollen joints. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Interactions

Some products that may interact with this drug are: epinephrine, fingolimod. Other medications can affect the removal of propranolol from your body, which may affect how propranolol works. Examples include quinidine, rifamycins (such as rifabutin), among others. This medication can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include fezolinetant, propafenone, thioridazine, among others. Some products have ingredients that could raise your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). This medication may interfere with certain lab tests (such as glaucoma screening test), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.
Propranolol FAQs
Does propranolol stop panic attacks?

Propranolol is a beta-blocker that can help manage some physical symptoms associated with anxiety, such as rapid heartbeat and trembling. However, it is not typically used as a primary treatment for panic attacks. It may be prescribed to help with situational anxiety or to reduce physical symptoms, but it does not address the underlying psychological aspects of panic attacks. For comprehensive treatment, other medications or therapies may be more effective.

Propranolol is mainly used to treat high blood pressure, angina (chest pain), and certain heart rhythm disorders. It is also used to prevent migraines and to manage symptoms of anxiety.

Propranolol is not specifically classified as an anxiety medication, but it is sometimes used off-label to help manage the physical symptoms of anxiety, such as rapid heartbeat and tremors. It is a beta-blocker primarily used to treat high blood pressure and heart-related conditions.

Propranolol may not be recommended for certain individuals due to potential contraindications or side effects. It is generally avoided in patients with asthma or other respiratory conditions, as it can cause bronchoconstriction. Additionally, it may not be suitable for those with certain heart conditions, such as severe bradycardia or heart block, unless under specific medical supervision. It can also interact with other medications, so a healthcare provider should evaluate its use based on the individual's overall health and medication profile.

Propranolol should be avoided by individuals with certain medical conditions. These include those with asthma or other severe respiratory disorders, as propranolol can constrict airways. It should also be avoided by individuals with certain heart conditions, such as severe bradycardia, heart block, or uncontrolled heart failure. People with a history of severe allergic reactions may also need to avoid propranolol, as it can make allergic reactions more severe. Additionally, those with diabetes should use caution, as propranolol can mask symptoms of low blood sugar. It is important for individuals to consult with their healthcare provider to determine if propranolol is safe for them.

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