Description and characteristics of the drug
The main active substance of Propranolol is propranolol hydrochloride, which is an antianginal, hypotensive and antiarrhythmic agent. In one pill Propranolol propranolol hydrochloride contains 10 mg or 40 mg. excipients included in the composition of the drug: calcium stearate, colloidal silicon dioxide, hypromellose, microcrystalline cellulose, corn starch, talc.
Form release: tablets of 10 mg and 40 mg, 10, 50, 100 tablets per pack. Also available in the form of solution for injection, 0.1% solution in ampoules of 1 ml and 5 ml In packages of 10 or 100 vials. 0.25% solution Propranolol is available in ampoules of 1 ml. In one pack of this drug is 10 ampoules.
Tablets are available in blister in carton (№5, №10) and the container box (No. 50).
Receiving Propranolol reduces heart rate, lowers blood pressure, the need of myocardium in oxygen, helps to reduce the uterus and increases the tone of the bronchial muscles, normalizes the digestive tract. People suffering from coronary heart disease, Inderal helps to cope with angina and to ease them, reduces the risk of myocardial infarction, improves performance. People regularly taking Inderal, easier to tolerate exercise. And besides, they have gradually reduced the need for nitroglycerin.
The result of the action of Propranolol is noticeable even after a single application. As a rule, the use of propanol contributes to the reduction of systolic and diastolic blood pressure, no matter in what position is the patient in the standing or lying position. By the end of the second week receiving the drug achieved a sustained hypotensive effect
Indications for use
Inderal is prescribed for angina, hypertension (high blood pressure), renal hypertension, ischemic heart disease, angina, cardiac arrhythmias, caused by rheumatic heart disease, including arrhythmias proksimalnee and sinus tachycardia, arrhythmia, atrial tachyarrhythmia, and when the hyperthyroidism and cases of intoxication with digitalis preparations. Recommended to take Propranolol in glaucoma, essential tremor and prophylaxis of migraine.
Method of application and doses
The drug should be drunk before meals for 15-30 minutes before meals. Tablet should drink plenty of water. Dosage and duration of treatment selected by the physician taking into account individual problems of each patient.
Even carefully read the instructions for use of Propranolol, never self-medicate.
For the treatment of hypertension in adults the daily dosage may be 160-320 mg. However, the treatment should start with initial doses, which is usually 40 mg twice a day. If necessary, the dosage can be gradually increased, but it is necessary to monitor the condition and health of the patient.
Each disease has its own dosage. For example, angina, migraine, essential tremor, agitation initial dose is: 40 mg 2-3 times a day. To treat arrhythmias, thyrotoxicosis and tachycardia excitation is recommended to drink Inderal dosage from 10mg to 40 mg 3-4 times per day.
Treatment Anaprilin after myocardial infarction begins in the 5th-21st day. The initial dose is 40 mg 4 times a day for the first four days, then the daily dose can be increased to 80 mg. But in this case take inderal need 2 times a day.
In open-angle glaucoma to reduce intraocular pressure to appoint a 15 percent solution of Propranolol.
To relieve an attack of angina pectoris and cardiac arrhythmias it is best to do injections with a solution of Propranolol that needs to be done only under the supervision of a physician.
Treatment Anaprilin is long for several months. Stop the drug gradually with gradual reduction of doses.
The elderly the dosage is prescribed individually according to their condition and age. Individual treatment Anaprilin appointed and children over three years of age with disorders of the cardiovascular system. In this case, to determine the dosage of the drug should follow the scheme: a 0.25-05 mg/ kg body weight 3 times a day.
Side effects
Despite good tolerability, Inderal may cause a number of side effects, even if it is used correctly, in accordance with all recommendations of the doctor. Among them are nausea, diarrhea, vomiting, constipation, dizziness, weakness, lethargy, hypotension, allergic reactions, bronchial spasm, shortness of breath, coughing, impaired vision, reduction of tear fluid and as a manifestation of this is dryness and soreness of the eyes, Raynaud's syndrome. The prolonged use in rare cases impotence.
The intake of Propranolol is not recommended for people whose profession requires attention.
Contraindications
Inderal cannot be applied after fresh myocardial infarction, with hay fever, tendency to spasm of the bronchi, bronchial asthma, diabetes, blood pressure disorders, heart failure, bradycardia, characterized by slowing of the heart rate to 60 beats per minute.
In any case, you can't take inderal with a hangover, do not combine the drug with alcohol as the combination together alcohol and Propranolol is dangerous and can cause sudden drop in blood pressure.
In the instruction does not specify the effect of the drug on the condition of the pregnant woman, therefore, the use of Propranolol during pregnancy and during lactation is possible under the supervision of a physician.
Smoking in the treatment of Anaprilin can provoke such side effects as shortness of breath, cough, broncho-spasm. In this case, you can try treatment of other analogues of Propranolol: Inderal, Obsidiana, Propranolol.
It is not recommended to combine reception of Propranolol and Paroxyna.