This system is utilized to treat high blood pressure (hypertension). Lowering blood that is high helps prevent strokes, heart attacks, and kidney problems.
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 isn't managing your blood circulation pressure. Your medical professional should direct one to start taking the patient medications first, and then switch you over to this combination product if here is the best dose combination for you.
See also Warning area.
Just take this medicine by mouth, usually twice daily or as directed by the physician. You might take this medication with or without meals, but it's important to choose one way and take this medication the way that is same every dosage.
The dosage is situated on your own medical condition and response to treatment.
You may need to wake up to urinate if you take this drug too close to bedtime. Therefore, it is best to take this medication at least 4 hours before your bedtime. Consult your doctor or pharmacist if you have questions regarding your dosing routine.
If you take certain medications to lower your cholesterol (bile acid-binding resins such as for example colestipol or cholestyramine), simply take the product at least 4 hours before or at least 4 to 6 hours after these medicines.
Use this medication regularly to have the benefit that is most from it. Each day to help you remember, take it at the same times. It is important to continue taking this medicine even if you are feeling well. Most individuals with high blood pressure usually do not feel ill. It could take up to several days before you receive the benefit that is full of drug.
Inform 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 take place. If some of these effects persist or worsen, tell your pharmacist or doctor immediately.
Propranolol may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may aggravate this effect. Dress warmly and avoid tobacco use.
Understand that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious adverse effects.
The hydrochlorothiazide in the product 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 cramps, weakness, fast/irregular heartbeat, nausea/vomiting, severe dizziness, confusion, unusual decline in the amount of urine, fainting, seizures.
Inform your doctor straight away if any of these unlikely but serious side effects happen: shortness of breath, 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, attention pain.
Tell your doctor straight away if any one of these rare but really serious adverse effects 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 standard increase in urine when you first start this drug).
A very serious reaction that is allergic this drug is rare. However, seek immediate attention that is medical you observe any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
This is simply not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
Call your physician for medical advice about side impacts. 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 doctor for medical advice about part results. You'll report effects that are side wellness Canada at 1-866-234-2345.
Before taking this medicine, tell your physician or pharmacist if you are allergic to propranolol or hydrochlorothiazide; or to other thiazides (e.g., chlorothiazide); or if you have had a serious reaction to other beta blockers (e.g., metoprolol, atenolol); or if you have any other allergies. This product may contain ingredients that are inactive which could cause allergic reactions or other problems. Confer with your pharmacist for more details.
Before using this medicine, tell your doctor or pharmacist your health background, especially of: breathing problems (e.g., asthma, bronchitis, emphysema), diabetes, heart failure, certain types of heart rhythm dilemmas (sinus bradycardia, Wolff-Parkinson-White syndrome, 2nd- or third-degree atrioventricular block), overactive thyroid (hyperthyroidism), kidney disease, liver condition, blood circulation problems (e.g., Raynaud's disease), a particular sort of tumefaction (pheochromocytoma), mental/mood disorders (e.g., depression), certain muscle/nerve illness (myasthenia gravis), gout, loss of too much body water (dehydration), lupus, certain present nerve surgery (sympathectomy), severe allergic reactions, untreated mineral imbalance (e.g., low potassium/magnesium, high calcium).
Before having surgery, tell your doctor or dentist you are taking this medication.
This drug can 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 alcoholic beverages.
To lessen 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 diarrhea can additionally lower your blood pressure levels and aggravate dizziness. Drink lots of liquids to avoid these effects and dehydration. If you should be on restricted fluid intake, consult your doctor for further instructions. Contact your doctor in the event that 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 potassium that is containing. A potassium supplement might 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 degree, such as dizziness and sweating, are unaffected by this drug. This product also may allow it to be harder to control your blood sugar. Check your blood glucose levels regularly as directed by your doctor. Tell your doctor immediately in the event that you have apparent 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 may 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 aftereffects of this product, especially dizziness.
During maternity, this system should be used only if clearly needed. Babies subjected to the medications in this item during pregnancy may have birth that is low, low blood glucose, slow breathing/heartbeat, liver issues, or bleeding issues. 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.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.