くすりのしおり

Internal
Revised: 5/2016

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Inderal Tablets 10 mg
 Active ingredient:
Propranolol hydrochloride
 Dosage form:
white tablet (diameter: approx. 6.5mm, thickness: approx. 2.3 to 2.7mm)
 Print on wrapping:
surface/10mg, backside/ZNC 219 インデラル10

Effects of this medicine

Used to treat essential hypertension (mild to moderate symptoms), angina, arrhythmia and prophylaxis of migraine attack.
It lowers the blood pressure with beta-blocking activity and slows down heart rate to prevent heart attacks, and control tachycardic arrhythmia.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
    If you have: diabetes, heart disease, hypotension, peripheral circulatory disorder, phaeochromocytomia or asthma.
    If you are in prolonged fasting state.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • To treat hypertension: In general, for adults, start with taking 1 to 2 tablets (10 to 20mg of the active ingredient) at a time, 3 times a day; if it is not effective enough, then increase the dose up to 12 tablets a day (120mg of the active ingredient). It should be adjusted according to disease, age and symptoms of the patient in any case.
    To treat angina, arrhythmia, etc.: In general, for adults, take 1 tablet (10mg of the active ingredient) at a time, 3 times a day; then if it is not effective enough, then increase the dose up to 6 or 9 tablets day (60, or 90mg of the active ingredient). It should be adjusted according to disease, age and symptoms of the patient in any case.
    To treat arrhythmia in pediatric patients: In general, for children, start with taking 0.5 to 2mg/kg of the active ingredient daily, in 3 to 4 divided doses. The treatment should be started at a lower dose. If it is not effective enough, then increase the dose up to 4mg/kg of the active ingredient daily. However, the maximum daily dose should not exceed 90mg. It should be adjusted according to disease, age and symptoms of the patient in any case.
    To use for prophylaxis of migraine attack: In general, for adults, start with taking 20 to 30mg of the active ingredient daily, in 2 to 3 divided doses; if it is not effective enough, then increase the dose up to 6 tablets a day (60mg of the active ingredient).
    Strictly follow the instructions.
  • If you miss a dose, take dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • This drug may cause dizziness/wobbly walking. Do not drive a car, operate dangerous machinery, or work at heights.
  • Alcohol may affect the efficacy of the medicine.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include infrequent pulse, dizziness, rash, hives, vision disorder, foggy vision and decreased tear fluid. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • fatigue, respiratory distress, general swelling [heart failure]
  • infrequent/jumping pulse, conscious disorder [infrequent pulse, atrioventricular block]
  • dizziness on standing up, faint feeling, syncope [hypotension upon standing that comes with fainting]
  • bleeding from nose/gum, bruise, subcutaneous bleeding [thrombocytopenia, purpura]
  • shortness of breath, respiratory distress, wheezing [respiratory distress, bronchospasm]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of reach of children. Store away from heat, humidity and direct sunlight.
  • Discard remaining medicine; Do not store them. Ask your pharmacy or medical institution on how to discard the remainder.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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