Propranolol is in a group of drugs called beta-blockers. 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.

Propranolol may also be used for purposes other than those listed in this medication guide.

How should I take Inderal (Propranolol)?

Take propranolol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor.

Take this medication with a full glass of water.

Take propranolol at the same time every day.

Do not crush, chew, break, or open an extended-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not skip doses or stop taking propranolol without first talking to your doctor. Stopping suddenly may make your condition worse.

To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor.

If you need to have any type of surgery, tell the surgeon that you are using propranolol. You may need to briefly stop using propranolol before having surgery.

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.

Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.

Store propranolol at room temperature away from moisture and heat.

What are the possible side effects of Inderal (Propranolol)?

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

Call your doctor at once if you have any of these serious side effects:

• slow or uneven heartbeats
• feeling light-headed, fainting
• feeling short of breath, even with mild exertion
• swelling of your ankles or feet
• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
• depression; or
• cold feeling in your hands and feet

Other less serious side effects are more likely to occur, such as:

• decreased sex drive, impotence, or difficulty having an orgasm
• sleep problems (insomnia)
• tired feeling; or
• anxiety, nervousness

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs affect Inderal (Propranolol)?

Before taking propranolol, tell your doctor if you are using:

• allergy treatments (or if you are undergoing allergy skin-testing)
• clonidine (Catapres)
• guanabenz (Wytensin)
• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam)
• a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage)
• a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem)
• medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair); or
• cold medicines, stimulant medicines, or diet pills

If you are using any of these drugs, you may not be able to take propranolol, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect propranolol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What should I avoid while taking Inderal (Propranolol)?

Propranolol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking propranolol.

What happens if I overdose on Inderal (Propranolol)?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an propranolol overdose may include uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, or seizure (convulsions).

What happens if I miss a dose of Inderal (Propranolol)?

For regular (short-acting) propranolol: Take the missed dose as soon as you remember. If your next dose is less than 4 hours away, skip the missed dose and take the medicine at the next regularly scheduled time.

For extended-release propranolol (Inderal LA, InnoPran XL and others): Take the missed dose as soon as you remember. If your next dose is less than 8 hours away, skip the missed dose and take the medicine at the next regularly scheduled time.

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

What is the most important information I should know about Inderal (Propranolol)?

Do not stop taking propranolol without first talking to your doctor. Stopping suddenly may make your condition worse.

If you need to have any type of surgery, you may need to temporarily stop using propranolol. Be sure the surgeon knows ahead of time that you are using propranolol.

Propranolol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking propranolol.

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.

Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.

What should I discuss with my healthcare provider before taking Inderal (Propranolol)?

Before taking propranolol, tell your doctor if you have:

• asthma, bronchitis, emphysema
• diabetes
• low blood pressure
• a heart problem such as heart block, sick sinus syndrome, slow heart rate, or congestive heart failure
• depression
• liver or kidney disease
• a thyroid disorder
• myasthenia gravis
• pheochromocytoma; or
• problems with circulation (such as Raynaud’s syndrome)

If you have any of these conditions, you may not be able to use propranolol, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Propranolol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

What warnings do you have for Inderal (Propranolol)?

The following warnings are available for this medication:

• Be careful if taking OTCs.
• May cause drowsiness.
• Take as directed.

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Abana is a cardiac tonic contains Arjuna (Terminalia arjuna), Ashvagandha (Withania somnifera), Badranj boya (Nepeta hindostana), DashamoolaGuduchi (Tinospora cordifolia), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bhringaraja (Eclipta alba Syn. E.prostrata), Yashti-madhu (Glycyrrhiza glabra), Shatavari (Asparagus racemosus), Punarnava (Boerhaavia diffusa). Promotes healthy cholesterol levels, helps regulate blood pressure and supplies needed oxygen to the heart.

Abana regulates serum lipids by lowering the cholesterol, triglyceride, low-density lipoprotein (LDL) and very low-density lipoprotein (VLDL) levels, and restores the cardioprotective high-density lipoprotein (HDL) level. Abana also reduces platelet aggregation. Moreover, Abana reduces the sensitivity of the heart to adrenergic stimulation. Abana improves the contractility of the heart by exerting a positive inotropic action. Thus Abana produces cardioprotection.

Abana reduces the sensitivity of the heart to adrenergic stimulation. Abana. Abana is a cardiac tonic that protects the heart, guards against circulatory problems and wards off the fears and anxieties, which often lead to cardiac neurosis.

Obese people, smoking individuals who lead a stressful or even a sedentary life as well as those with a family history of cardiac problems, hypertension, hypercholesterolaemia, diabetes etc., all benefit from the daily use of Abana as a health supplement. Used daily, Abana helps prevent cardiac problems like heart attacks, hypertension etc. and assures a healthier, fuller life.

Abana guards against sympathetic outbursts, brings about a sense of well being and helps overcome the feeling of nervousness and anxiety. It does not cause any significant change in the blood pressure of individuals. Abana reduces the risk factors associated with coronary heart disease.

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Adalat is a dihydropyridine calcium blocker. It is mostly used for treating hypertension. and Angina Pectoris. Other conditions that benefit from Adalat are Raynaud’s phenomenon, Tetanus and Angina Pectoris. Brand names of the drug include Procardia and Nifedical. Adalat is a brand name given to the nifedipine component.

How Adalat works

The substance, nifedipine, treats the diseases by reducing the calcium content in your cells. Muscles need calcium to contract. By lowering calcium levels the muscles relax improving blood flow in the blood vessels and the heart. Adalat primarily focuses on the arteries. As the arteries expand through relaxation the blood pressure is reduced.

Side effects of Adalat

As with other medications, Adalat has some side effects. Generally most side effects are experienced by less than 10% of the users and their intensity differ from one person to another. It is best to do your research and consult your physician about possible drawbacks to any medication.
This drug has the following side effects:

- Dizziness
- Headache
- Tiredness
- Flushed appearance
- Constipation
- Abdominal pain
- Vomiting
- Swollen ankles
- Fast heart rate
- Visual disturbances
- Skin reactions like itching, sweating or rash
- Impotence
- Depression

Talk to Your Doctor

It is always wise to keep your doctor fully informed on all other drugs and medication you are taking. Certain combinations of different drugs can create adverse reactions and potentially harmful results. For instance, Rifampicin, lowers the blood level and renders the drug, Adalat ineffective. A simple adjustment in your medications by your doctor can often reduce or eliminate mild reactions such as dizziness, headaches or fainting. Consult your physician about safe drug interaction.
Who Should Avoid the Adalat drug?

There are certain people that should not take the drug, Adalat due to pre-exsiting conditions. During pregnancy and while breast-feeding women should avoid the use of Adalat. The same applies to patients with a history of heart conditions, children, and those suffering with blood disorders. Caution must be exercised if consuming Adalat by diabetics, anyone with liver or kidney difficulties or the elderly. Also it is not advised to take Adalat if you are allergic to calcium blockers like felodipine and amlodipine.

Is effective treatment of high blood pressure possible?

Yes, effective treatment of high blood pressure is possible. The danger of a stroke or heart attack may be reduced considerably by controlling high blood pressure. It is important to follow your doctor’s recommendations carefully. Sometimes, when altering your diet and exercise regimen are not enough to control high blood pressure, your doctor will also prescribe medication.

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Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Lotensin could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of benazepril. Do not use salt substitutes or potassium supplements while taking benazepril, unless your doctor has told you to.Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Lotensin. Drink plenty of water each day while you are taking this medication.

What is Lotensin?

Lotensin is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme.

Lotensin is used to treat high blood pressure (hypertension).

Lotensin may also be used for purposes other than those listed in this medication guide.

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

Do not use this medication if you are allergic to Lotensin or to any other ACE inhibitor, such as captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik).

Before using Lotensin, tell your doctor if you are allergic to any drugs, or if you have:

• kidney disease (or if you are on dialysis);
• liver disease;
• heart disease or congestive heart failure;
• diabetes; or
• a connective tissue disease such as Marfan syndrome, Sjogren’s syndrome, lupus, scleroderma, or rheumatoid arthritis.

If you have any of these conditions, you may not be able to use Lotensin, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category D. Do not use this medication without telling your doctor if you are pregnant or planning a pregnancy. Lotensin could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. Lotensin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 6 years old. How should I take Lotensin?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take each dose with a full glass of water.Lotensin can be taken with or without food.

Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Lotensin. Drink 6 to 8 full glasses of water daily while you are taking this medication.

To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking Lotensin. You may need to stop using the medicine for a short time.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

Store Lotensin at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Lotensin overdose may include feeling extremely dizzy or light-headed, or fainting.

What should I avoid while taking Lotensin?

Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of Lotensin. Do not use salt substitutes or potassium supplements while taking Lotensin, unless your doctor has told you to.

What other drugs will affect Lotensin?

Before taking Lotensin, tell your doctor if you are taking any of the following drugs:

• lithium (Lithobid, Eskalith);
• a potassium supplement such as K-Dur, Klor-Con;
• salt substitutes that contain potassium; or
• a diuretic (water pill).

If you are using any of these drugs, you may not be able to use Lotensin or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect Lotensin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

1. Your pharmacist has information about Lotensin written for health professionals that you may read.

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Accupril is used for lowering high blood pressure and managing heart failure.

How Taken

Use Accupril as directed by your doctor.

• Take Accupril by mouth on an empty stomach at least 1 hour before or 2 hours after eating, or with a light meal. High-fat meals, however, may decrease the absorption of the medicine into your bloodstream.
• If you are taking a tetracyclines (eg, doxycycline) or fluoroquinolones (e.g., ciprofloxacin), take it at least 3 hours apart from Accupril . This product contains magnesium, which can interfere with absorption of these antibiotics.

Ask your health care provider any questions you may have about how to use Accupril.
Missed Dose

If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. If more than one dose is missed, contact your health care provider or pharmacist.

Storage

Store Accupril at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Protect from moisture, heat, and light. Do not store in the bathroom. Keep Accupril out of the reach of children and away from pets.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• chest pain; coughing; diarrhea; difficulty breathing; dizziness; headache; lightheadedness; nausea; persistent, dry cough; tiredness; vomiting.

Seek medical attention right away if any of these severe side effects occur:

• severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; difficulty swallowing or breathing; fainting; hoarseness; infection (sore throat, fever); irregular or slow heartbeat; shortness of breath; unusual stomach pain; yellowing of the skin or eyes.

More Information

Accupril is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

Accupril

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