Generic Inderal is used to treat high blood pressure and heart pain i.e., angina. It also is used to prevent migraine headaches and recurrence of heart attacks. Inderal is taken one to four times a day. It comes in tablets, extended-release capsules, and oral liquid. Take the capsules and tablets with a glass of water, milk, or fruit juice, preferably before meals. Dilute the oral liquid concentrate with water, juice, or soft drinks before taking it.
Propranolol HCl, a type of medication known as a beta blocker, is used in the treatment of high blood pressure, angina pectoris (chest pain, usually caused by lack of oxygen to the heart due to clogged arteries), changes in heart rhythm, prevention of migraine headache, hereditary tremors, hypertrophic subaortic stenosis (a condition related to exertional angina), and tumors of the adrenal gland.
It works by slowing down the heart and decreasing the amount of blood it pumps out. Inderal is indicated in the management of hypertension; it may be used alone or used in combination with other antihypertensive agents, particularly a thiazide diuretic.
Propranolol, a nonselective b-adrenergic blocking agent, has been used for various indications in pregnancy. A number of fetal and neonatal adverse effects have been reported following the use of propranolol in pregnancy. Daily doses of 160 mg or higher seem to produce the more serious complications, but lower doses have also resulted in toxicity. In summary, propranolol has been used during pregnancy for maternal and fetal indications. The drug is apparently not a teratogen, but fetal and neonatal toxicity may occur.
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In clinical studies, propranolol has been shown to significantly lower systolic and diastolic blood pressures. The higher the dose of propranolol, the greater the drop in blood pressure is expected to be.
Propranolol is effective at treating symptoms of angina and improving exercise tolerance, because it decreases the heart's workload. This, in turn, means that the heart needs less oxygen and nutrient-rich blood to function properly at any given level of effort.
When people are given propranolol after a heart attack, the risk of dying decreases by up to 39 percent within the first year after a heart attack. It is not known how propranolol or other beta blockers improve survival following a heart attack. In previous clinical studies, about 70 percent of people taking propranolol for atrial fibrillation were able to maintain a normal heart rhythm while on the drug, resulting in improved symptoms.