Propranolol Tablets belong to the group of medications called beta-blockers. They are used to treat multiple conditions, some of which are high blood pressure, angina, irregular heartbeat and anxiety. The doctors at White Pharmacy will prescribe propranolol to help reduce migraine attacks.
Propranolol is prescribed for migraine prophylaxis, this means that it is used to prevent migraines from occurring. Taking propranolol every day, will reduce the likelihood of getting a migraine. Amitriptyline is an alternative to propranolol.
You should take Propranolol with water before eating.
For migraine prophylaxis, take 40mg two to three times daily, depending on the dosage prescribed. The normal dose is between 80-160mg daily. Never take more than prescribed by your doctor, as an overdose may result in a heart attack.
If you forget to take a dose, take it as soon as you remember – but don’t take this dose if it’s nearly time for your next dose.
Don’t stop taking this medication abruptly; make sure to talk to your doctor first.
Medicines and their possible side effects can affect individual people in different ways. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect. The following are some of the side effects that are known to be associated with Propranolol:
Common (may affect up to 1 in 10 people):
- cold extremities
- difficulty in sleeping (these symptoms usually disappear)
- slow or irregular heartbeat
- Raynaud’s syndrome
Uncommon (may affect up to 1 in 100 people):
- feeling or being sick, or diarrhoea (these symptoms usually disappear)
Rare (may affect up to 1 in 1000 people):
- your medicine may alter the number and types of your blood cells. If you notice increased bruising, nosebleeds, sore throats or infections, you should tell your doctor who may want to give you a blood test
- worsening of heart failure, low blood pressure/fainting on standing, dizziness, worsening of Intermittent claudication
- skin rash, worsening of psoriasis, hair loss, dry flaky skin, red/itchy skin
- hallucinations, mood changes, pins and needles, psychoses, memory loss
- patients with asthma or a history of breathing problems may have trouble in breathing
- dry eyes, visual disturbances
The side effects listed above may not include all of the side effects reported by the medicine's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.
Propranolol should be used with caution if you:
- have a history of allergic reactions
- suffer with muscle weakness (myasthenia gravis)
- have a heart weakness or first degree heart block
- have kidney or liver disease
- suffer from blood circulation problems
- have symptoms of hyperthyroidism (increased appetite, weight loss, sweating)
- suffer with or have a history of psoriasis
- suffer from Raynaud’s disease (cold sensations in fingers and toes) or intermittent claudication (narrowing of arteries in the legs causing pain on walking)
Propranolol should NOT be used if you:
- have untreated/uncontrolled heart failure or are in shock caused by heart problems
- suffer with heart conduction or rhythm problems
- have a slow heart rate
- have low blood pressure
- suffer from severe blood circulation problems
- suffer from diabetes mellitus (low blood sugar levels may be hidden by this medicine) and increased acidity of the blood (metabolic acidosis)
- are on a strict fasting diet
- suffer from a tight, painful feeling in the chest in periods of rest (Prinzmetal’s angina)
- suffer from asthma or any other breathing difficulties
- suffer from untreated phaeochromocytoma (high blood pressure due to a tumour near the kidney).
Propranalol e should not be used if you are allergic to any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.
The patient information leaflet (PIL) is a leaflet containing specific information about medical conditions, doses and side effects. You can download a copy of the PIL here:
Patient Info Leaflet