The product is used to deal with blood that is high (hypertension). Lowering blood that is high helps prevent strokes, heart attacks, and kidney issues.
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 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 effortlessly.
These medications are used together whenever 1 medication isn't managing your blood pressure. Your physician should direct you to start taking the patient medications first, and then switch you over to this combination item if this is the best dose combination for you.
See also Warning section.
Take this medication by lips, usually twice daily or as directed by the physician. You can take this medication with or without meals, but it really is important to choose a proven way and just take this medication the same way with every dosage.
The dosage relies in your 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 questions about your dosing schedule.
If additionally you take certain medications to reduce your cholesterol levels (bile acid-binding resins such as for example cholestyramine or colestipol), simply take this system at least 4 hours before or at least four to six hours after these medications.
Use this medication regularly to have the most benefit from it. To help you remember, take it at the same times each day. It is vital to continue taking this medication also if you're feeling well. Most people who have high blood circulation pressure usually do not feel unwell. It could take up to several weeks before you can get the benefit that is full of drug.
Tell your doctor if your problem worsens (e.g., your routine blood pressure readings increase).
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 unusual dreams may additionally happen. If some of these effects persist or worsen, inform your doctor or pharmacist quickly.
Propranolol may reduce the flow of blood to both hands and feet, causing them to feel cold. Smoking may worsen this effect. Dress warmly and avoid tobacco use.
Keep in mind that your physician 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 this 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 mouth that is dry extreme thirst, muscle cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual reduction in the amount of urine, fainting, seizures.
Tell your doctor immediately if any of these not likely but side that is serious happen: 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 of these rare but very 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 quantity of urine (excluding the conventional enhance in urine when you initially begin this drug).
A really serious allergic reaction to this drug is rare. However, seek immediate attention that is medical you observe any outward indications of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In america -
Call your doctor for medical advice about side effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about side impacts. You may report effects that are side wellness Canada at 1-866-234-2345.
Before using 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 allergies or other dilemmas. Talk to your pharmacist for more details.
Before using this medication, inform your doctor or pharmacist your medical history, especially of: difficulty in breathing (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain types of heart rhythm dilemmas (sinus bradycardia, Wolff-Parkinson-White syndrome, second- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney illness, liver condition, blood circulation problems (e.g., Raynaud's disease), a specific sort of tumefaction (pheochromocytoma), mental/mood disorders (e.g., depression), specific muscle/nerve infection (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain current nerve surgery (sympathectomy), severe allergies, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
Before having surgery, tell your dentist or doctor that you're taking this medicine.
This drug will make you dizzy or cause vision that is blurred. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit beverages that are alcoholic.
To cut back 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 diarrhoea can additionally lower your blood pressure levels and aggravate dizziness. Drink plenty of liquids to prevent these effects and dehydration. If you should be on restricted fluid intake, consult your physician for further instructions. Contact your medical professional if you have persistent diarrhea/vomiting if you are unable to drink fluids or.
This drug 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 may be prescribed by your 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 degree, such as dizziness and sweating, are unaffected by this drug. This product additionally may allow it to be harder to control your blood sugar levels. Always check your blood sugar levels regularly as directed by your doctor. Tell your physician straight away in the event that you have outward indications of high blood sugar such as increased thirst, hunger, and urination. Your anti-diabetic medication or diet may require to be adjusted.
This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
Older grownups may be more sensitive to the effects of this product, especially dizziness.
During maternity, the product should be used only when demonstrably needed. Infants confronted with the medications in this product during pregnancy may have birth that is low, low blood glucose, slow breathing/heartbeat, liver dilemmas, or bleeding issues. Discuss the risks and benefits together with your doctor.
The medicines in this product pass into breast milk. Consult your medical professional before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.