This system is used to take care of blood that is high (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney 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 water and salt. 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.
These medications are used together whenever 1 medication is not managing your blood pressure. Your medical professional should direct you to start taking the in-patient medications first, then switch you over to this combination item if this is actually the best dose combination for you.
See also Warning part.
Just take this medicine by lips, usually twice daily or as directed by the medical practitioner. You can take this medication with or without meals, but it's crucial to choose one way and take this medication the way that is same every dosage.
The dosage is based on your condition that is medical and to therapy.
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 questions about your dosing routine.
If you also take certain medications to reduce your cholesterol levels (bile acid-binding resins such as colestipol or cholestyramine), take the product at least 4 hours before or at least four to six hours after these medicines.
Use this medication regularly to obtain the benefit that is most from it. Each day to help you remember, take it at the same times. It is vital to continue taking this medicine even if you feel well. Most people who have high blood pressure levels never feel ill. It could take up to many months before you obtain the benefit that is full of drug.
Tell your doctor if your condition 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 dreams that are unusual also occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
Propranolol may reduce blood circulation to your hands and feet, causing them to feel cold. Smoking may aggravate this effect. Dress warmly and avoid tobacco use.
Remember that your physician has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have adverse that is serious.
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 dry mouth, extreme thirst, muscle mass cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual reduction in the amount of urine, fainting, seizures.
Tell your doctor straight away if any of these not likely but serious adverse effects happen: shortness of breath, blue fingers/toes, swelling 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 vision, attention pain.
Tell your doctor straight away if some of these rare but extremely side that is serious occur: effortless 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 change in the quantity of urine (excluding the normal increase in urine when you initially begin this drug).
A really serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you observe any symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Call your doctor for medical advice about side results. You may report side effects to Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your medical practitioner for medical advice about side effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before taking this medicine, tell your physician 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 ingredients that are inactive which could cause allergies or other problems. Confer with your pharmacist to get more details.
Before using this medication, inform your doctor or pharmacist your medical background, especially of: breathing problems (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain kinds of heart rhythm dilemmas (sinus bradycardia, Wolff-Parkinson-White syndrome, 2nd- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney condition, liver infection, circulation problems (age.g., Raynaud's disease), a specific form of tumefaction (pheochromocytoma), mental/mood problems (age.g., depression), certain muscle/nerve disease (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain present nerve surgery (sympathectomy), severe allergy symptoms, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
Before having surgery, tell your dentist or doctor you are taking this medication.
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 lying position. Significant loss of body water from too much sweating, vomiting, or diarrhoea can additionally reduced your blood circulation pressure and worsen dizziness. Drink plenty of liquids to prevent these effects and dehydration. If you're on restricted fluid intake, consult with your medical practitioner for further instructions. Contact your medical professional in the event that you are unable to drink fluids or if you have persistent diarrhea/vomiting.
This medication 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.
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 low blood sugar level, such as dizziness and sweating, are unaffected by this drug. This system additionally may allow it to be harder to control your blood sugar. Check always your blood sugar levels regularly as directed by your doctor. Tell your physician immediately if you have symptoms of high blood sugar such as increased thirst, hunger, and urination. Your medication that is anti-diabetic or might need 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 system, especially dizziness.
During maternity, this product should be used only if obviously needed. Infants exposed to the medications in this item during maternity may have low birth weight, low blood sugar levels, slow breathing/heartbeat, liver dilemmas, or bleeding dilemmas. Discuss the dangers and benefits along 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.