Generic Inderal

Inderal Effects and Usage

Inderal - Propranolol Hydrochloride

What kind of medication is Inderal?

Inderal is a brand name for Propranolol hydrochloride. It is a non-selective beta blocker mainly used to treat hypertension, angina (chest pain), heart rhythm disorders, and other cardiovascular disorders. It works by blocking the action of nerves which stimulate the heart rate. It also lessens the force of heart contraction.

Due to the fact that Inderal has a sedative action on the nervous system, it is sometimes administered as an anti-anxiety agent. Other uses for Inderal include preventing of migraine headaches and the treatment of certain types of tremors.

The medication is also marketed under other trade names, including InnoPran XL.

When distributed by Pliva Pharmaceuticals, generic Propranolol is available on the market as Pliva 467 10 mg, Pliva 468 20 mg, Pliva 469 40 mg, Pliva 470 60 mg and Pliva 471 80 mg pills.

Generic versions of Propranolol HCl are marketed by other manufacturers, too, including Mylan Pharmaceuticals. See Mylan's Propranolol.

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What are possible side effects of using Inderal?

Inderal is reported to be generally well-tolerated. Rare or mild adverse reactions include:

  • nausea
  • abdominal cramps
  • blurred vision
  • decreased concentration
  • insomnia
  • hallucinations
  • nervousness or excitement
  • fatigue
  • slow heart rate
  • erectile dysfunction

  • What is the recommended dose of Inderal?

  • In children, the total initial daily dose may be calculated on the basis of 0.5 mg per 1 kg of body weight (about 0.2 mg per 1 lb). The maximum daily dose should not exceed 8 mg per 1 kg (about 3.5 mg per 1 lb) of body weight.

  • In adults, the minimum sufficient daily dose is 20 mg, while the maximum dose should not exceed 320 mg daily. For hypertension and migraine prophylaxis, the usual starting dose is 40 mg two times a day, with the usual effective dose ranging from 160 to 240 mg daily. For tachyarrhythmia, anxiety and hyperthyroidism, the dose is 10 to 40 mg three to four times a day.
  • Inderal is taken before meals or at bedtime.

    When should Inderal be avoided?

    Inderal should not be used

  • in patients who have asthma
  • in patients with 2nd and 3rd degree heart block or uncontrolled congestive heart failure
  • in patients with bradycardia (less than 60 heart beats a minute)
  • in patients with severe hypotension
  • in patients allergic to Inderal hydrochloride
  • while drinking alcohol

  • Inderal should be used with caution in patients with:

  • bronchitis, emphysema, or other breathing disorders
  • diabetes
  • low blood pressure
  • a heart block
  • liver or kidney disease
  • depression
  • myasthenia gravis (a muscle disorder)

  • Combining Inderal with other medications.

    Inderal may cause unwanted reactions if combined with:

  • clonidine (Catapres)

  • digitalis (Lanoxin)

  • dobutamine (Dobutrex)

  • haloperidol (Haldol)

  • isoproterenol (Isuprel)

  • blood thinners (e.g., warfarin (Coumadin))

  • antidepressants (e.g., amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Janimine, Tofranil))

  • MAOIs (e.g., isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate))

  • aspirin and other non-steroidal anti-inflammatory drugs (e.g., ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis))

  • doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin)

  • other heart medications (e.g., nifedipine (Procardia, Adalat), reserpine (Serpasil), diltiazem (Cartia, Cardizem), or verapamil (Calan, Verelan, Isoptin))

  • amiodarone (Cordarone, Pacerone), propafenone (Rythmol), quinidine (Quinaglute, Quinidex, Quin-Release)

  • ACE inhibitors (e.g., benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik)