This product is utilized to take care of high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart assaults, and renal dilemmas.
This item 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 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 drug is not controlling your blood circulation pressure. Your medical professional should direct one to begin taking the patient medications first, and then switch you over to this combination product if here is the best dose combination for you.
See also Warning area.
Take this medication by lips, usually twice daily or as directed by the doctor. You might take this medication with or without meals, but it's essential to choose a good way and simply take this medication the way that is same every dosage.
The dosage relies on your own medical condition and response 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 regarding your dosing schedule.
If you take certain drugs to lower your cholesterol (bile acid-binding resins such as for instance cholestyramine or colestipol), take this system at least 4 hours before or at least four to six 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're feeling well. Most individuals with high blood circulation pressure don't feel sick. It could take up to several weeks before you obtain the benefit that is full of drug.
Inform your doctor if your trouble worsens (e.g., your blood that is routine pressure 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 immediately.
Propranolol may reduce circulation to the hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.
Remember that your medical professional has prescribed this medicine 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 serious adverse 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 mouth that is dry extreme thirst, muscle mass cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decline in the total amount of urine, fainting, seizures.
Tell your physician immediately if some of these not likely but adverse that is serious happen: difficulty breathing, 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, eye pain.
Tell your doctor right away if some of these rare but very adverse that is serious occur: simple bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), aching/swollen bones, yellowing eyes/skin, persistent nausea/vomiting, severe stomach/abdominal pain, dark urine, unusual improvement in the amount of urine (excluding the normal increase in urine when you first begin this drug).
An extremely serious reaction that is allergic this drug is rare. However, seek immediate medical attention if you observe any symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
This is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your physician for medical advice about side 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 doctor for medical advice about side results. You could report adverse effects to Health Canada at 1-866-234-2345.
Before taking 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 could cause allergies or other problems. Speak to your pharmacist for lots more details.
Before using this medicine, tell your doctor or pharmacist your medical background, especially of: difficulty in breathing (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain types of heart rhythm problems (sinus bradycardia, Wolff-Parkinson-White syndrome, 2nd- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney disease, liver disease, blood flow problems (age.g., Raynaud's disease), a particular sort of tumefaction (pheochromocytoma), mental/mood disorders (age.g., depression), particular muscle/nerve infection (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).
Before having surgery, tell your doctor or dentist that you are taking this medication.
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 position that is lying. Significant loss of body water from too sweating that is much vomiting, or diarrhea can also reduced your blood pressure levels and worsen dizziness. Drink lots of liquids to prevent these effects and dehydration. If you should be 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 containing potassium. A potassium supplement might 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. The product also may make it harder to control your blood sugar levels. Always check your blood sugar levels levels regularly as directed by your doctor. Inform your doctor 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 adults may be more responsive to the ramifications of this product, especially dizziness.
During maternity, this system should be used only when clearly needed. Infants exposed to the medications in this item during maternity may have birth that is low, low blood sugar, slow breathing/heartbeat, liver problems, or bleeding issues. Talk about the risks and benefits together with your doctor.
The medications in this product pass into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.