Propranolol is a beta-blocker that is used to treat angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to reduce the risk of death after a heart attack.
Propranolol is also used to treat tremors of certain causes, and to prevent migraine headaches.
Hemangeol is used to treat a genetic condition called infantile hemangiomas in infants 5 weeks to 1 year old.
Propranolol may also be used for purposes not listed in this medication guide.
What is Propranolol (Oral) used for?
- Atrial Fibrillation
- Benign Essential Tremor
- Migraine Prophylaxis
- Myocardial Infarction
- Angina Pectoris
- Heart Block
- Heart Disease
- Ventricular Arrhythmia
- Cardiovascular Disease
- Ischemic Heart Disease
- Sinus Node Dysfunction
- Preexcitation Syndrome
- Hypertensive Congestive Heart Failure
- Hypertensive Heart (w/ CHF) and Renal Disease
- Hypertensive Heart (w/o CHF) and Renal Disease
- Hypertensive Renal Disease
- Hypertensive Retinopathy
- Graves' Disease
- Renovascular Hypertension
- Hypertensive Encephalopathy
- Hypertensive Heart Disease
- Aortic Stenosis
- Long QT Syndrome
- Short QT Syndrome
- Prinzmetal's Angina
What is the most important information I should know about Propranolol (Oral)?
You should not use propranolol if you are allergic to it, or if you have:
- history of slow heart beats that have caused you to faint;
- severe heart failure (that required you to be in the hospital); or
- a serious heart condition such as "sick sinus syndrome" or heart block (2nd or 3rd degree, unless you have a pacemaker).
You should not use Hemangeol if you have pheochromocytoma (tumor of the adrenal gland). This medicine also should not be used in babies who weigh less than 4.4 pounds.
Tell your doctor if you have ever had:
- slow heartbeats, congestive heart failure;
- bronchitis, emphysema, or other breathing disorders;
- diabetes (propranolol can make it harder for you to tell when you have low blood sugar);
- liver or kidney disease;
- a thyroid disorder;
- pheochromocytoma (tumor of the adrenal gland);
- problems with circulation (such as Raynaud's syndrome); or
- if you smoke.
Tell your doctor if you are pregnant or breastfeeding.
What are the side effects of Propranolol (Oral)?
Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).
Call your doctor at once if you have:
- slow or uneven heartbeats;
- a light-headed feeling, like you might pass out;
- wheezing or trouble breathing;
- sudden weakness, vision problems, or loss of coordination (especially in a child with hemangioma that affects the face or head);
- cold feeling in your hands and feet;
- depression, confusion, hallucinations;
- heart problems–swelling, rapid weight gain, feeling short of breath;
- low blood sugar–headache, hunger, sweating, irritability, dizziness, fast heart rate, and feeling anxious or shaky; or
- low blood sugar in a baby–pale skin, blue or purple skin, sweating, fussiness, crying, not wanting to eat, feeling cold, drowsiness, weak or shallow breathing (breathing may stop for short periods), seizure (convulsions), or loss of consciousness.
Common side effects may include:
- dizziness, tiredness;
- nausea, vomiting, diarrhea, constipation, stomach cramps;
- sleep problems (insomnia); or
- runny or stuffy nose, cough, sore throat, hoarse voice.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Pregnancy & Breastfeeding
Can I take Propranolol (Oral) if I’m pregnant or breastfeeding?
Tell your doctor if you are pregnant or breastfeeding.
What drugs and food should I avoid while taking Propranolol (Oral)?
Avoid drinking alcohol. It may increase your blood levels of propranolol.
Dosage Guidelines & Tips
How to take Propranolol (Oral)?
Use Propranolol (Oral) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Adults may take propranolol with or without food, but take it the same way each time.
Hemangeol must be given to an infant during or just after a feeding. Doses should be spaced at least 9 hours apart. Measure Hemangeol with the supplied measuring device (not a kitchen spoon). Do not shake.
Hemangeol can cause low blood sugar (hypoglycemia), especially during times of stress, illness, infections, or skipped meals. Make sure your child eats regularly while taking this medicine.
Call your doctor if a child taking Hemangeol is sick with vomiting, has missed a meal, or has signs of hypoglycemia such as severe weakness or seizure.
Doses are based on weight in children. Your child's dose may change if the child gains or loses weight.
Your heart function and blood pressure will need to be checked often.
Tell your doctor if you have a planned surgery.
Your condition may get worse if you stop using propranolol suddenly. Ask your doctor before stopping the medicine.
This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using propranolol.
If you have high blood pressure, keep using this medicine even if you feel well. High blood pressure often has no symptoms.
Store at room temperature away from moisture and heat. Do not freeze Hemangeol. Throw away any unused Hemangeol 2 months after you first opened the bottle.
What happens if I overdose on Propranolol (Oral)?
Overdose symptoms may include feeling light-headed or restless, tremors, fast or slow heartbeats, and trouble breathing.
Imprint: R2778, R2778
Imprint: R2780, R2780