This system is utilized to take care of blood that is high (hypertension). Lowering high blood pressure helps prevent strokes, heart assaults, and renal issues.
This item contains 2 medicines. Propranolol is a blocker that is beta works by blocking 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. Hydrochlorothiazide is called a "water pill" (diuretic) and causes your body to get rid of extra water and salt. This effect might increase the amount of urine you make when you first start the medication. It also helps to relax the blood vessels so that blood can flow through the physical body more easily.
These medications are used together when 1 medication isn't managing your hypertension. Your physician should direct one to start taking the individual medications first, then switch you over to this combination item if here is the best dose combination for you.
See also Warning section.
Just take this medication by lips, usually twice daily or as directed by the physician. You usually takes this medication with or without food, but it really is essential to choose a proven way and simply take this medication the way that is same every dose.
The dosage is based on your own medical condition and response to therapy.
You may need to wake up to urinate if you take this drug too close to bedtime. Therefore, it is best to take this medication at least 4 hours before your bedtime. Consult your doctor or pharmacist if you have questions about your dosing schedule.
If you take certain drugs to lower your cholesterol (bile acid-binding resins such as for example colestipol or cholestyramine), take the product at the very least 4 hours before or at least four to six hours after these medications.
Use this medication regularly to obtain the most benefit from it. Each day to help you remember, take it at the same times. It is critical to continue taking this medication also if you feel well. Most people who have high hypertension do not feel sick. It might take up to several days before you get the full benefit of this drug.
Tell your doctor if your condition worsens (e.g., your routine blood pressure readings enhance).
See also Warning and Precautions sections.
Dizziness, lightheadedness, blurred vision, or tiredness might occur as your body adjusts to the medication. Nausea/vomiting, stomach pain, and dreams that are unusual also occur. If any of these effects persist or worsen, tell your doctor or pharmacist quickly.
Propranolol may reduce blood circulation to both hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.
Understand that your doctor has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious side effects.
The hydrochlorothiazide in this system may cause a loss of too much body water (dehydration) and salt/minerals. Tell your doctor right away if you have any of these unlikely but serious symptoms of dehydration or mineral loss: very dry mouth, extreme thirst, muscle tissue cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decrease in the amount of urine, fainting, seizures.
Inform your physician straight away if any of these not likely but adverse that is serious happen: shortness of breath, blue fingers/toes, inflammation ankles/feet, mental/mood changes (e.g., depression), numbness/tingling of arms/legs, very sluggish heartbeat, decreased sexual ability, unexplained/sudden weight gain, increased thirst/urination, decrease in vision, attention pain.
Tell your doctor straight away if any one of these rare but extremely adverse that is serious occur: easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), aching/swollen joints, yellowing eyes/skin, persistent nausea/vomiting, severe stomach/abdominal pain, dark urine, unusual change in the quantity of urine (not including the normal enhance in urine when you initially begin this drug).
A tremendously serious reaction that is allergic this drug is rare. However, seek immediate medical attention if you see any symptoms of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
It is not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
Call your medical practitioner for medical advice about side results. You may report side effects to Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side impacts. You'll report adverse effects to wellness Canada at 1-866-234-2345.
Before using this medication, tell your physician or pharmacist if you have had a serious reaction to other beta blockers (e.g., metoprolol, atenolol); or if you have any other allergies if you are allergic to propranolol or hydrochlorothiazide; or to other thiazides (e.g., chlorothiazide); or. This product may contain inactive ingredients, which could cause allergic reactions or other dilemmas. Confer with your pharmacist for lots more details.
Before using this medication, inform your doctor or pharmacist your health background, especially of: breathing problems (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain forms of heart rhythm dilemmas (sinus bradycardia, Wolff-Parkinson-White syndrome, 2nd- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney condition, liver condition, the circulation of blood problems (age.g., Raynaud's disease), a certain kind of tumefaction (pheochromocytoma), mental/mood disorders (e.g., depression), specific muscle/nerve illness (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain present nerve surgery (sympathectomy), severe allergic reactions, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
Before having surgery, tell your dentist or doctor that you will be taking this medicine.
This drug could make you dizzy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit beverages that are alcoholic.
To reduce the possibility of dizziness and lightheadedness, get up slowly whenever rising from a sitting or lying position. Significant loss of body water from too much sweating, vomiting, or diarrhoea can also lower your blood circulation pressure and worsen dizziness. Drink plenty of liquids to prevent these effects and dehydration. If you are on restricted fluid intake, consult with your physician for further instructions. Contact your doctor if you have persistent diarrhea/vomiting if you are unable to drink fluids or.
This medication might reduce the potassium levels in your blood. Ask your doctor about increasing the amount of potassium in your diet (e.g., bananas, orange juice) or about using a salt substitute potassium that is containing. A potassium supplement might be prescribed by the doctor.
You would usually feel when your blood sugar level falls too low (hypoglycemia) if you have diabetes, this product may prevent the fast/pounding heartbeat. Other symptoms of a blood that is low degree, such as dizziness and sweating, are unaffected by this drug. This product also may ensure it is harder to regulate your blood sugar levels. Check always your blood sugar levels regularly as directed by your doctor. Inform your physician immediately if you have symptoms of high blood sugar such as increased thirst, hunger, and urination. Your anti-diabetic medication or diet may need to be adjusted.
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
Older adults may be more responsive to the aftereffects of this system, especially dizziness.
During pregnancy, this system should be used only if plainly needed. Infants exposed to the medications in this item during maternity may have low birth weight, low blood sugar, slow breathing/heartbeat, liver dilemmas, or bleeding issues. Discuss the risks and benefits with your doctor.
The medications in this product pass into breast milk. Consult your medical professional before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.