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Precautions

Do NOT use Propranolol if:

• you happen to be allergic to any ingredient in Propranolol
• you've moderate to severe heart block, sick sinus syndrome, or even a very slow heartbeat and you would not have a lasting pacemaker
• you have uncontrolled heart failure, shock caused by serious cardiovascular disease, or really low blood pressure level after having a cardiac arrest
• you've got asthma
• the patient is really a child with diabetes or heart failure
• you are taking mibefradil.

Contact your medical professional or physician without delay if all of these affect you.

Some medical conditions may interact with Propranolol. Tell your medical professional or pharmacist in case you have any health conditions, particularly when any with the following affect you:

• if you might be pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine (eg, medicines to treat colds or congestion), herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or any other substances, or take medicine for allergies
• in case you have a good other cardiovascular disease (eg, angina, congestive heart failure, slow heartbeat)
• in case 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, overactive thyroid, or glaucoma
• for those who have Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, or perhaps an adrenal gland tumor (pheochromocytoma)
• if you smoke or drink alcohol.

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

• Mibefradil because the chance of serious heart unwanted side effects may be increased
• Many prescription and nonprescription medicines (eg, employed for infections, inflammation, discomfort, high blood pressure levels, heart related illnesses, irregular heartbeat, diabetes, prostate problems, blood thinning, an under active thyroid, depression, mental or mood problems, immune system suppression, allergic reactions, asthma, high cholesterol levels, seizures, local anesthesia), multivitamin products, and herbal or health supplements (eg, green tea, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may interact with Propranolol, enhancing the risk of unwanted side effects

This may not be a complete set of all interactions that could occur. Ask your doctor if Propranolol may interact with other medicines which you take. Check with your doctor prior to starting, stop, or alter the dose from a medicine.

Important safety information:

• Propranolol could potentially cause drowsiness, dizziness, lightheadedness, or vision changes. These effects could possibly be worse if you are using it with alcohol or certain medicines. Use Propranolol with caution. Do not drive or perform other possible unsafe tasks before you recognize how you react to it.
• Check with your doctor before you decide to consume alcohol while you might be using Propranolol; it may increase the risk of Propranolol's negative effects.
• Do NOT use more than the recommended dose without checking with your medical professional.
• Patients having medicine for high blood pressure level often feel tired or rundown for a few weeks after starting treatment. Be sure to look at your medicine although you may may well not feel "normal." Tell a medical expert in case you develop any new symptoms.
• Tell a medical expert or dentist which you use Propranolol before you decide to have any medical or dental treatments, emergency care, or surgery.
• If you've got a good reputation for any severe allergic reaction, talk with a medical expert. You might be at risk of a far more severe allergic attack should you touch the substance that caused your allergy. Some medicines used to help remedy severe allergies could also not are well while you are using Propranolol.
• Propranolol may lessen your blood glucose levels levels. This is probably to happen in infants and children, or perhaps patients that have diabetes or kidney problems. It can also occur after prolonged exercise or during fasting. Low blood glucose levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your heartbeat faster; build your vision change; give you a headache, chills, or tremors; or cause you to more hungry. If this occurs, you should eat or drink a fast method to obtain sugar like white sugar, honey, candy, orange juice, or non-diet soda. This will increase your blood sugar level quickly. Tell a medical expert right away if this happens.
• Diabetes patients - Propranolol may hide warning signs of low blood glucose levels, say for example a rapid heartbeat. Be sure to watch out for other warning signs of low blood sugar. Check blood sugar levels levels closely. Ask your physician when you alter the dose of your diabetes medicine.
• Propranolol may obstruct certain diagnostic tests, including glaucoma screening and dobutamine stress echocardiography. Be sure your medical professional and lab personnel know you might be using Propranolol.
• Lab tests, including blood pressure and heart function, could be performed while you use Propranolol. These tests might be utilized to monitor your complaint or check for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Propranolol with caution in the elderly; they could possibly be more sensitive to its effects.
• Propranolol mustn't be employed in children; safety and effectiveness in kids are not confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact a medical expert. You will need to discuss the huge benefits and risks of using Propranolol while you are pregnant. Propranolol is located in breast milk. If you happen to be or will probably be breast-feeding when you use Propranolol, consult your doctor. Discuss any possible risks in your baby.

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