This product is utilized to deal with high blood pressure (hypertension). Lowering blood that is high helps prevent strokes, heart assaults, and renal issues.
This product contains 2 medications. Propranolol is a beta blocker that 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 salt and water. This effect may 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.
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These medications are used together when 1 drug is not managing your blood circulation pressure. Your physician should direct you to definitely begin taking the average person medications first, then switch you over to this combination product if here is the best dose combination for you.
See also Warning part.
Simply take this medicine by mouth, usually twice daily or as directed by the physician. You can take 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 dosage.
The dosage is situated 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 actually questions regarding your dosing routine.
If additionally you take certain medications to decrease your cholesterol levels (bile acid-binding resins such as for instance colestipol or cholestyramine), just take this product at the very least 4 hours before or at least four to six hours after these medicines.
Use this medication regularly to get the benefit that is most from it. To help you remember, take it at the same times each day. It is vital to continue taking this medication even if you're feeling well. Most individuals with high hypertension usually do not feel sick. It may take up to many months before you will get the benefit that is full of drug.
Tell your doctor if your trouble worsens (e.g., your routine blood pressure readings increase).
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See also Warning and Precautions sections.
Dizziness, lightheadedness, blurred vision, or tiredness may occur as your body adjusts to the medication. Nausea/vomiting, stomach pain, and unusual dreams may additionally take place. If some of these effects persist or worsen, tell your pharmacist or doctor immediately.
Propranolol may reduce blood flow to the hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.
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Remember that your physician has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have adverse that is serious.
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The hydrochlorothiazide in the product may cause a loss of too body that is much (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 mass cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decline in the amount of urine, fainting, seizures.
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Inform your doctor straight away if any of these not likely but adverse that is serious occur: 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 eyesight, attention pain.
Tell your doctor straight away if any of these rare but extremely serious side effects happen: 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 (excluding the conventional enhance in urine when you first start this drug).
A really serious allergic reaction to this drug is rare. However, seek immediate attention that is medical you see any signs and symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your medical practitioner for medical advice about adverse results. You may report adverse effects to Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about side effects. You may possibly report effects that are side Health Canada at 1-866-234-2345.
Before taking this medicine, tell your doctor 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, tell your doctor or pharmacist your health background, especially of: difficulty in breathing (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain kinds of heart rhythm problems (sinus bradycardia, Wolff-Parkinson-White syndrome, second- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney condition, liver disease, the circulation of blood problems (age.g., Raynaud's disease), a certain variety of tumor (pheochromocytoma), mental/mood problems (e.g., depression), certain muscle/nerve disease (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain recent nerve surgery (sympathectomy), severe allergy symptoms, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
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Before having surgery, tell your dentist or doctor you are taking this medication.
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This drug could make you dizzy or cause blurred vision. 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 when rising from a sitting or position that is lying. Significant loss of body water from too sweating that is much vomiting, or diarrhea can also reduced your blood pressure and aggravate dizziness. Drink plenty of liquids to stop these effects and dehydration. If you are on restricted fluid intake, consult your medical practitioner 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 may 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 level, such as dizziness and sweating, are unaffected by this drug. This product additionally may ensure it is harder to regulate your blood sugar. Check always your blood glucose levels regularly as directed by your doctor. Tell your physician right away in the event that you have apparent symptoms of high blood sugar such as increased thirst, hunger, and urination. Your anti-diabetic medication or diet may require to be adjusted.
This medication might make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear clothing that is protective outdoors.
Older grownups may be more sensitive to the ramifications of the product, especially dizziness.
During pregnancy, this product should be used only once obviously needed. Infants subjected to the medications in this item during maternity may have low birth weight, low blood glucose, slow breathing/heartbeat, liver issues, or bleeding dilemmas. Talk about the dangers and benefits with your doctor.
The medicines in this product pass into breast milk. Consult your physician before breast-feeding.
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