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Precautions

Do NOT use Propranolol if:

• you might be allergic to the ingredient in Propranolol
• you have moderate to severe heart block, sick sinus syndrome, or even a very slow heartbeat so you don't have a perpetual pacemaker
• you might have uncontrolled heart failure, shock due to serious heart related illnesses, or really low blood pressure level following a cardiac arrest
• you have asthma
• the patient is often a child with diabetes or heart failure
• you consider mibefradil.

Contact your doctor or physician without delay if these connect with you.

Some medical ailments may communicate with Propranolol. Tell your medical professional or pharmacist when you have any medical conditions, in particular when any of the following apply to you:

• if you happen to be pregnant, intending to get pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine (eg, medicines to help remedy colds or congestion), herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or another substances, or are taking medicine for allergies
• for those who have a good other heart problems (eg, angina, congestive heart failure, slow heartbeat)
• when you have a reputation liver or kidney problems, blood vessel disease, lung or breathing problems (eg, chronic bronchitis, emphysema, chronic obstructive pulmonary disease [COPD]), diabetes, low blood glucose levels, overactive thyroid, or glaucoma
• when you have Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, or perhaps an adrenal gland tumor (pheochromocytoma)
• if you smoke or drink alcohol.

Some medicines may interact with Propranolol. Tell your doctor should you take another medicines, especially any of the following:

• Mibefradil for the reason that chance of serious heart unwanted side effects might be increased
• Many prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, high hypertension, heart disease, irregular heartbeat, diabetes, prostate problems, blood thinning, thyrois issues, depression, mental or mood problems, disease fighting capability suppression, allergy symptoms, asthma, high cholesterol levels, seizures, local anesthesia), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may communicate with Propranolol, helping the probability of negative effects

This may not be a complete report on all interactions that will occur. Ask your medical provider if Propranolol may talk with other medicines that you just take. Check with your doctor prior to starting, stop, or change the dose from a medicine.

Important safety information:

• Propranolol could cause drowsiness, dizziness, lightheadedness, or vision changes. These effects could be worse if you utilize it with alcohol or certain medicines. Use Propranolol with caution. Do not drive or perform other possible unsafe tasks before you understand how you answer it.
• Check with a medical expert when you are drinking alcohol while you're using Propranolol; it could boost the risk of Propranolol's unwanted side effects.
• Do NOT use greater than the recommended dose without checking with your physician.
• Patients who take medicine for high blood pressure often feel tired or shabby for some weeks after starting treatment. Be sure to look at your medicine in case you might not exactly feel "normal." Tell your doctor in the event you develop any new symptoms.
• Tell your doctor or dentist that you use Propranolol when you receive any medical or dental hygiene, emergency care, or surgery.
• If you've a good reputation for any severe hypersensitive reaction, talk with your medical professional. You might be at probability of a more severe allergic reaction in case you come into contact with the substance that caused your allergy. Some medicines used to help remedy severe allergies might also not be well while you are using Propranolol.
• Propranolol may decrease your blood glucose levels levels. This is more than likely to happen in infants and children, or perhaps patients that have diabetes or kidney problems. It might also occur after prolonged physical exercise or during fasting. Low blood glucose levels might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your pulse faster; build your vision change; give you a headache, chills, or tremors; or allow you to more hungry. If this occurs, you need to eat or drink an instant method to obtain sugar like white sugar, honey, candy, orange juice, or non-diet soda. This will lift up your blood glucose levels level quickly. Tell your physician without delay in such a circumstance.
• Diabetes patients - Propranolol may hide signs and symptoms of low blood glucose, like a rapid heartbeat. Be sure to watch for other signs and symptoms of low blood glucose. Check blood glucose levels closely. Ask your doctor when you customize the dose of your respective diabetes medicine.
• Propranolol may obstruct certain lab tests, including glaucoma screening and dobutamine stress echocardiography. Be sure a medical expert and lab personnel know you happen to be using Propranolol.
• Lab tests, including blood pressure levels and heart function, could be performed whilst you use Propranolol. These tests might be utilized to monitor your problem or check for negative effects. Be sure to keep all doctor and lab appointments.
• Use Propranolol with caution inside the elderly; they might be more responsive to its effects.
• Propranolol shouldn't be employed in children; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the rewards and risks of using Propranolol while you might be pregnant. Propranolol can be found in breast milk. If you are or will probably be breast-feeding while you use Propranolol, check with your physician. Discuss any possible risks for a baby.

If you stop taking Propranolol suddenly, you might have withdrawal symptoms. These may include worsening chest pain as well as possible cardiac arrest.