The product is utilized to treat blood that is high (hypertension). Lowering blood that is high helps prevent strokes, heart attacks, and kidney issues.
This product contains 2 medicines. 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 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 effortlessly.
These medications are used together when 1 medication isn't controlling your blood pressure levels. Your doctor should direct you to begin taking the average person medications first, then switch you over to this combination product if this is actually the best dose combination for you.
See also Warning part.
Take this medication by mouth, usually twice daily or as directed by your doctor. You usually takes this medication with or without meals, but it's essential to choose one of the ways and just take this medication the way that is same every dose.
The dosage is based on your own condition that is medical and to treatment.
If you take this drug too close to bedtime, you may need to wake up to urinate. 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 about your dosing routine.
If you also take certain medications to lower your cholesterol (bile acid-binding resins such as colestipol or cholestyramine), simply take this system at the very least 4 hours before or at least 4 to 6 hours after these medicines.
Use this medication regularly to get the most benefit from it. Each day to help you remember, take it at the same times. It's important to continue taking this medication also if you feel well. Most individuals with high hypertension never feel sick. It could take up to many days before you get the benefit that is full of drug.
Tell your doctor if your trouble worsens (e.g., your routine blood pressure readings enhance).
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 happen. If any of these effects persist or worsen, inform your pharmacist or doctor immediately.
Propranolol may reduce circulation to the hands and feet, causing them to feel cold. Smoking may aggravate this effect. Dress warmly and avoid tobacco use.
Remember that your medical professional has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.
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 reduction in the quantity of urine, fainting, seizures.
Tell your physician immediately if some of these unlikely but side that is serious occur: shortness of breath, blue fingers/toes, swelling ankles/feet, mental/mood changes (e.g., depression), numbness/tingling of arms/legs, very slow heartbeat, decreased sexual capability, unexplained/sudden weight gain, increased thirst/urination, decrease in eyesight, eye pain.
Tell your doctor immediately if any one 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 improvement in the amount of urine (excluding the conventional enhance in urine when you first start this drug).
A very serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you observe any symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Call your physician for medical advice about adverse effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your medical practitioner for medical advice about part results. You may possibly report adverse effects to Health Canada at 1-866-234-2345.
Before using this medication, tell your physician or pharmacist if you are allergic to propranolol or hydrochlorothiazide; or to other thiazides (e.g., chlorothiazide); or if you have had a serious reaction to other beta blockers (e.g., metoprolol, atenolol); or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergy symptoms or other problems. Talk to your pharmacist for lots more details.
Before using this medicine, inform your doctor or pharmacist your medical history, especially of: difficulty in breathing (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain forms of heart rhythm problems (sinus bradycardia, Wolff-Parkinson-White syndrome, 2nd- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney infection, liver condition, blood flow problems (age.g., Raynaud's disease), a specific variety of tumefaction (pheochromocytoma), mental/mood disorders (age.g., depression), particular muscle/nerve illness (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain present nerve surgery (sympathectomy), severe allergies, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
Before having surgery, tell your dentist or doctor you are taking this medicine.
This drug can 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 cut back the possibility of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Significant loss of body water from too sweating that is much vomiting, or diarrhoea can also reduced your blood pressure levels and aggravate dizziness. Drink plenty of liquids to stop these effects and dehydration. If you're on restricted fluid intake, consult your doctor for further instructions. Contact your medical professional if you have persistent diarrhea/vomiting if you are unable to drink fluids or.
This drug may 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.
If you have diabetes, this product may prevent the fast/pounding heartbeat you would usually feel when your blood sugar level falls too low (hypoglycemia). Other symptoms of a low blood sugar level, such as dizziness and sweating, are unaffected by this drug. This product also may allow it to be harder to regulate your blood sugar levels. Check always your blood glucose levels regularly as directed by your doctor. Inform your doctor right away if you have 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 this product, especially dizziness.
During maternity, this system should be used only if demonstrably needed. Infants confronted with the medications in this item during maternity may have low birth weight, low blood glucose, slow breathing/heartbeat, liver dilemmas, or bleeding problems. Discuss the risks and benefits with your doctor.
The medications in this product pass into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.