The drug 'Propranolol'. Instructions for use

The drug "Propranolol" is a lipophilic blocker (nonselective) of beta-adrenoreceptors. The medicine helps to reduce the frequency and decrease the strength of the contractions of the heart, reduces the need for oxygen in the myocardium. Medication Propranolol has a membrane-stabilizing property. The medicine lowers the frequency of ectopic foci formation. Characterizing the therapeutic effect of the drug "Propranolol", the instruction for use indicates a negative inotropic and chronotropic effect. In other words, the frequency and force of the contractions of the heart does not change. Stabilization of the hypotensive effect is noted by the end of the second week of treatment.

Absorption of the drug from the digestive system occurs by 90%. In the liver, the drug is metabolized by almost 70%. The half-life of the medicine is from three to six hours.

The drug "Propranolol". Instructions for use: appointment

The drug is recommended for hypertension, hyperkinetic heart syndrome, tachyarrhythmia, ischemic heart disease, essential tremor. As a prophylaxis, the drug "Propranolol" is prescribed for migraines. The drug is indicated and with symptomatic therapy of hyperthyroidism.

The drug "Propranolol". Instructions for use: dosage regimen

The drug "Propranolol" (tablet form) is recommended for oral administration before meals for ten to fifteen minutes. The therapeutic dosage is ten to twenty milligrams. Take the drug should be two to four times a day.

Gradually (in accordance with the noted therapeutic effect), the dosage is increased to forty milligrams from four to six times a day.

In the form of a solution for injection, the drug "Propranolol" is prescribed for the treatment of cardiac arrhythmia. The dosage regimen is set by the doctor.

Contraindications

The drug "Propranolol" instruction does not allow prescribing for heart failure (decompensated), cardiogenic shock, bradycardia, severe arterial hypotension. Contraindications include bronchial asthma, COPD, a disorder in the peripheral circulation, hypersensitivity to the drug.

To side effects with the use of the drug "Propranolol" instructions for use include dyspepsia, numbness and a feeling of cooling in the limbs, dizziness, fatigue, headache. In addition, when taking the drug, it is possible to disturb sleep, the development of depression. Side effects include cramps and muscle weakness, reduced tearing, hypoglycemia, potency, hallucinations, dry mouth. In rare cases, keratoconjunctivitis may occur. Probably also the appearance of attacks of angina pectoris, a vision disorder.

special instructions

Patients with pheochromocytoma are recommended simultaneous appointment of alpha-adrenoreceptor blockers.

Caution should be exercised when using the drug "Propranolol" in patients with diabetes mellitus or during fasting.

It is established that the medication is able to influence psychophysical functions, to weaken attention, to slow down the responses. In particular, these phenomena are noted with the simultaneous use of alcohol or drugs that depress the effect of the central nervous system.

The drug is able to penetrate the placental barrier. The use of the drug "Propranolol" in the first trimester of pregnancy studies have not been conducted. The drug should be canceled in the pregnant woman for 48-72 hours before the probable period of labor, in order to prevent respiratory depression, hypoglycemia, arterial hypotension and bradycardia in a newborn. The born child during two - three days should be observed by the doctor.

Before using the drug "Propranolol" you should consult a specialist and carefully study the annotation.