This system is used to deal with blood that is high (hypertension). Lowering blood that is high helps prevent strokes, heart attacks, and renal issues.
This item contains 2 medicines. Propranolol is a blocker that is beta 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 whenever 1 medication is not managing your hypertension. Your doctor should direct you to definitely begin the individual medications first, then switch you over to this combination item if this is actually the dose combination that is best for you.
See also Warning part.
Just take this medicine by lips, usually twice daily or as directed by your doctor. You might take this medication with or without meals, but it's essential to choose one of the ways and simply take this medication the same way with every dosage.
The dosage is based in 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 actually questions regarding your dosing schedule.
If you take certain medications to lower your cholesterol (bile acid-binding resins such as colestipol or cholestyramine), simply take this system at the least 4 hours before or at least 4 to 6 hours after these medicines.
Use this medication regularly to obtain 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 people who have high blood pressure usually do not feel ill. It could take up a number of days before you can get the full benefit of this drug.
Inform your doctor if your trouble 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 occur. If any of these effects persist or worsen, tell your pharmacist or doctor immediately.
Propranolol may reduce blood circulation to both 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 adverse effects because he or. Many people using this medication do not have adverse that is serious.
The hydrochlorothiazide in this system 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 cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decrease in the quantity of urine, fainting, seizures.
Inform your doctor right away if any of these unlikely 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 immediately if any one of these rare but really serious adverse effects 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 quantity of urine (not including the standard increase in urine when you first start this drug).
An extremely serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you notice any symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
It is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report effects that are side Food And Drug Administration at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side effects. You'll report adverse effects to wellness Canada at 1-866-234-2345.
Before taking 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, that may cause allergy symptoms or other problems. Talk to your pharmacist for more details.
Before using this medicine, inform your doctor or pharmacist your medical history, especially of: breathing problems (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 illness, liver condition, circulation problems (e.g., Raynaud's disease), a particular form of tumefaction (pheochromocytoma), mental/mood problems (age.g., depression), certain muscle/nerve condition (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 doctor or dentist you are taking this medicine.
This drug will make you dizzy or cause blurred vision. 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 alcoholic beverages.
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 diarrhea can additionally lower your blood circulation pressure and worsen dizziness. Drink lots of fluids to prevent these effects and dehydration. If you are on restricted fluid intake, consult your doctor for further instructions. Contact your doctor 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 might be prescribed by your 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 also may ensure it is harder to control your blood sugar levels. Always check your blood sugar levels regularly as directed by your doctor. Tell your physician right away if you have signs and 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 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 adults may be more sensitive to the ramifications of this system, especially dizziness.
During maternity, this system should be used only when plainly needed. Babies subjected to the medications in this product during maternity may have birth that is low, low blood sugar, slow breathing/heartbeat, liver problems, or bleeding dilemmas. Talk about the risks and benefits 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.