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Precautions

Do NOT use Propranolol if:

• you're allergic to any ingredient in Propranolol
• you might have moderate to severe heart block, sick sinus syndrome, or even a very slow heartbeat so you do not have a permanent pacemaker
• you've uncontrolled heart failure, shock due to serious heart disease, or minimal blood pressure level following a heart attack
• you've asthma
• the patient is a child with diabetes or heart failure
• you are taking mibefradil.

Contact your doctor or health care provider without delay if all of these apply to you.

Some medical ailments may communicate with Propranolol. Tell a medical expert or pharmacist for those who have any medical ailments, particularly if any of the following connect with you:

• if you happen to be pregnant, intending to get pregnant, or are breast-feeding
• in the event you consider 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, and other substances, or consider medicine for allergies
• when you have a history of other heart problems (eg, angina, congestive heart failure, slow heartbeat)
• if 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
• if you have Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, or perhaps an adrenal gland tumor (pheochromocytoma)
• should you smoke or are drinking alcohol.

Some medicines may communicate with Propranolol. Tell your doctor should you consider any other medicines, especially any from the following:

• Mibefradil as the chance of serious heart unwanted effects might be increased
• Many prescription and nonprescription medicines (eg, useful for infections, inflammation, discomfort, high blood pressure level, heart problems, irregular heartbeat, diabetes, prostate problems, blood thinning, an under active thyroid, depression, mental or mood problems, immune system suppression, allergy symptoms, asthma, high-cholesterol, seizures, local anesthesia), multivitamin products, and herbal or health supplements (eg, green tea, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may communicate with Propranolol, increasing the risk of unwanted effects

This is probably not a total report on all interactions that may occur. Ask your medical provider if Propranolol may interact with other medicines that you simply take. Check with your health care provider before you start, stop, or change the dose from a medicine.

Important safety information:

• Propranolol could potentially cause drowsiness, dizziness, lightheadedness, or vision changes. These effects might be worse if you use it with alcohol or certain medicines. Use Propranolol with caution. Do not drive or perform other possible unsafe tasks unless you understand how you react to it.
• Check with your doctor before you consume alcohol while you are using Propranolol; it might improve the risk of Propranolol's side effects.
• Do NOT use over the recommended dose without checking with your physician.
• Patients who take medicine for high blood pressure often feel tired or rundown for a few weeks after starting treatment. Be sure to consider your medicine although you may might not exactly feel "normal." Tell your doctor should you develop any new symptoms.
• Tell your physician or dentist which you use Propranolol prior to deciding to get any medical or dentistry, emergency care, or surgery.
• If you've got a reputation any severe allergic reaction, talk with your doctor. You could be at probability of a much more severe allergic attack in case you touch the substance that caused your allergy. Some medicines used to take care of severe allergies can also not are well while you're using Propranolol.
• Propranolol may decrease your blood glucose levels levels. This is more than likely that occurs in infants and children, or even in patients that have diabetes or kidney problems. It may also occur after prolonged exercising or during fasting. Low blood sugar levels might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It might also make your heartbeat faster; make your vision change; give you a headache, chills, or tremors; or make you more hungry. If this occurs, you must eat or drink a simple way to obtain sugar like white sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose level quickly. Tell your medical professional without delay if this happens.
• Diabetes patients - Propranolol may hide indications of low blood sugar, such as a rapid heartbeat. Be sure to look for other signs of low blood sugar levels. Check blood glucose levels closely. Ask your medical professional when you alter the dose of one's diabetes medicine.
• Propranolol may restrict certain diagnostic tests, including glaucoma screening and dobutamine stress echocardiography. Be sure your medical professional and lab personnel know you happen to be using Propranolol.
• Lab tests, including blood pressure and heart function, could be performed as you use Propranolol. These tests might be accustomed to monitor your problem or look for negative effects. Be sure to keep all doctor and lab appointments.
• Use Propranolol with caution within the elderly; they may be more sensitive to its effects.
• Propranolol mustn't be used in children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact a medical expert. You will need to discuss the benefits and perils associated with using Propranolol while you're pregnant. Propranolol is situated in breast milk. If you're or is going to be breast-feeding whilst you use Propranolol, check with your doctor. Discuss any possible risks for a baby.

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