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Precautions

Do NOT use Propranolol if:

• you might be allergic to any ingredient in Propranolol
• you've got moderate to severe heart block, sick sinus syndrome, or possibly a very slow heartbeat and you also do not have an enduring pacemaker
• you might have uncontrolled heart failure, shock brought on by serious heart disease, or very low blood pressure levels following a cardiac event
• you might have asthma
• the patient can be a child with diabetes or heart failure
• you consider mibefradil.

Contact your medical professional or doctor without delay if some of these apply to you.

Some medical ailments may interact with Propranolol. Tell your physician or pharmacist in case you have any medical conditions, especially if any in the following affect you:

• if you might be pregnant, intending to become pregnant, or are breast-feeding
• should you take any prescription or nonprescription medicine (eg, medicines to deal with colds or congestion), herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or any other substances, or are taking medicine for allergies
• for those who have a history of other cardiovascular disease (eg, angina, congestive heart failure, slow heartbeat)
• if you have a good liver or kidney problems, circulation system disease, lung or breathing problems (eg, chronic bronchitis, emphysema, chronic obstructive pulmonary disease [COPD]), diabetes, low blood sugar, overactive thyroid, or glaucoma
• if you have Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, or even an adrenal gland tumor (pheochromocytoma)
• in the event you smoke or are drinking alcohol.

Some medicines may communicate with Propranolol. Tell your health care provider should you take another medicines, especially any from the following:

• Mibefradil as the chance of serious heart negative effects could be increased
• Many prescription and nonprescription medicines (eg, used for infections, inflammation, injuries, high hypertension, heart problems, irregular heartbeat, diabetes, prostate problems, blood thinning, thyrois issues, depression, mental or mood problems, immune system suppression, allergies, asthma, high cholesterol, seizures, local anesthesia), multivitamin products, and herbal or health supplements (eg, herb teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may communicate with Propranolol, helping the likelihood of unwanted side effects

This is probably not a total list of all interactions which could occur. Ask your doctor if Propranolol may interact with other medicines that you just take. Check with your health care provider before you begin, stop, or customize the dose of the medicine.

Important safety information:

• Propranolol might 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 know how you answer it.
• Check with your medical professional before you are drinking alcoholic beverages while you're using Propranolol; it might improve the risk of Propranolol's side effects.
• Do NOT use a lot more than the recommended dose without checking with your medical professional.
• Patients having medicine for high blood pressure levels often feel tired or run-down for some weeks after starting treatment. Be sure to take your medicine although you may might not feel "normal." Tell your medical professional if you develop any new symptoms.
• Tell your physician or dentist that you just use Propranolol prior to deciding to receive any medical or dentistry, emergency care, or surgery.
• If you might have a good reputation for any severe hypersensitivity, talk with your physician. You might be at likelihood of a more severe hypersensitivity if you touch the substance that caused your allergy. Some medicines used to help remedy severe allergies could also not be well while you might be using Propranolol.
• Propranolol may decrease your blood glucose levels levels. This is more than likely to take place in infants and children, or perhaps in patients that have diabetes or kidney problems. It can also occur after prolonged physical exercise or during fasting. Low blood glucose levels will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It could also you could make your heart beat faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. If this occurs, you must eat or drink an instant method to obtain sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose level quickly. Tell a medical expert without delay in such a circumstance.
• Diabetes patients - Propranolol may hide warning signs of low blood glucose levels, for instance a rapid heartbeat. Be sure to watch for other indications of low blood glucose levels. Check blood sugar levels levels closely. Ask a medical expert prior to deciding to customize the dose of the diabetes medicine.
• Propranolol may interfere with certain diagnostic tests, including glaucoma screening and dobutamine stress echocardiography. Be sure your physician and lab personnel know you're using Propranolol.
• Lab tests, including blood pressure levels and heart function, could possibly be performed when you use Propranolol. These tests might be accustomed to monitor your complaint or look for negative effects. Be sure to keep all doctor and lab appointments.
• Use Propranolol with caution in the elderly; they could be more sensitive to its effects.
• Propranolol really should not be employed in children; safety and effectiveness in youngsters haven't been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your medical professional. You will need to discuss the benefits and risks of using Propranolol while you happen to be pregnant. Propranolol is situated in breast milk. If you happen to be or will likely be breast-feeding while you use Propranolol, consult your doctor. Discuss any possible risks in your baby.

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