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APO- Tablets Propranolol hydrochloride Consumer Medicine Information

For a copy of a large print leaflet, Ph: 1800 195 055

What is in this leaflet · phaeochromocytoma · propranolol hydrochloride · Fallot©s Tetralogy · any of the ingredients listed at the This leaflet answers some common · to prevent headaches end of this leaflet. questions about propranolol. It does Propranolol belongs to a group of Some of the symptoms of an allergic not contain all the available reaction may include: information. It does not take the medicines called beta-blockers. place of talking to your doctor or · pharmacist. How it works · wheezing or difficulty breathing All medicines have risks and Propranolol works by affecting the · swelling of the face, lips, tongue, benefits. Your doctor has weighed body©s response to some nerve throat or other parts of the body impulses, especially in the . This the risks of you using this medicine · rash, itching or hives on the skin. against the benefits they expect it decreases the heart©s need for Do not take this medicine if you will have for you. and oxygen, which reduces the amount of work the heart must do. have or have had any of the If you have any concerns about Propranolol also widens the blood following medical conditions: taking this medicine, ask your vessels in the body and helps the · or an enlarged heart doctor or pharmacist. heart to beat more regularly. · problems with heart rhythm or a Keep this leaflet with the medicine. Ask your doctor if you have any slow heartbeat You may want to read it again. questions about why this medicine · second and third degree has been prescribed for you. Your doctor may have prescribed this · low blood pressure (also known medicine for another reason. What this medicine is as ) This medicine is available only with used for · blood circulation problems a doctor©s prescription. · Prinzmetal©s Propranolol is used to treat or prevent This medicine is not addictive. · or severe breathing a number of conditions, most of There is not enough information to problems which are related to the heart: recommend the use of this medicine · to lower high blood pressure, also in children under 7 years of age. · low blood sugar levels called Do not take this medicine if you · to prevent angina are pregnant or plan to become pregnant or are breastfeeding. · to treat or prevent heart attacks, Before you take this or reduce your risk of heart Propranolol may affect your problems following a heart attack medicine developing baby if you take it during pregnancy. It may also pass into · to treat irregularities in heartbeat, When you must not take it breast milk. Your doctor can discuss including those caused by with you the risks involved. · essential (shaking of head, Do not take this medicine if you have an allergy to: Do not take this medicine after the chin, hands) expiry date printed on the pack or

APO-PROPRANOLOL TABLETS 1 the packaging is torn or shows · calcium channel blockers and How much to take signs of tampering. beta blockers, medicines used to Your doctor will tell you how much treat heart conditions If it has expired or is damaged, of this medicine you should take. return it to your pharmacist for · medicines used for heart rhythm This will depend on your condition disposal. problems (e.g. lignocaine, and whether you are taking any other If you are not sure whether you , , medicines. ) should start taking this medicine, If you are taking other medicines talk to your doctor. · , a medicine used to treat which lower blood pressure, your heart failure doctor may need change the dose of Before you start to take it · , a medicine used to them to obtain the best results for Tell your doctor if you have treat high blood pressure you. allergies to any other medicines, · medicines used to treat migraine For high blood pressure foods, preservatives or dyes. (e.g. ) The usual starting dose is one 40 mg Tell your doctor if you have or · medicines for tablet taken twice a day. have had any of the following · warfarin, a medicine that stops After one week, the dose may be medical conditions: blood clots increased to between 120 mg to 320 · asthma or serious breathing mg daily. · , a medicine used to problems treat asthma · heart problems · rifampicin, a medicine used to For angina and tremor · low blood pressure treat tuberculosis The usual starting dose is one 40 mg · problems with your circulation · ibuprofen and indomethacin, tablet taken two to three times a day. · diabetes or low blood sugar medicines used to treat pain and After one week, the dose may be inflammation increased to between 120 mg to 320 · an overactive gland mg daily. · cimetidine, a medicine used to · problems treat ulcers To treat or prevent heart attack · problems · , a medicine used The usual dose is 80 mg taken twice Tell your doctor if you are fasting to treat psychotic illnesses a day, often starting with one 40 mg or have been fasting recently. tablet taken four times a day for 2 or These medicines may affect the way 3 days. Propranolol may cover up some of propranolol works or may be affected the symptoms of low blood sugar, by propranolol. You may need to use For migraine prevention such as an increased heart rate. different amounts of your medicines Adults Tell your doctor if you are or take different medicines. The usual dose is one 40 mg tablet planning to have surgery, dental Your doctor and pharmacist have taken twice a day. This may need to treatment or an anaesthetic. more information on medicines to be be increased up to 80 mg twice a day. When combined with anaesthetics, careful with or avoid while taking Children over 7 years propranolol may cause a sudden drop propranolol. The starting dose is one 10 mg tablet in blood pressure. Other medicines not listed above taken once or twice daily. This can If you have not told your doctor may also interact with this medicine. be increased if necessary. about any of the above, tell them before you start taking How to take it propranolol. How to take this Swallow the tablet whole with a full Taking other medicines medicine glass of water. Tell your doctor or pharmacist if When to take it you are taking any other Follow all directions given to you medicines, including any that you by your doctor or pharmacist Take this medicine at about the get without a prescription from carefully. same time each day. your pharmacy, supermarket or They may differ from the Taking it at the same time each day health food shop. information contained in this leaflet. will have the best effect. It will also Some medicines and propranolol If you do not understand the help you remember when to take it. may interfere with each other. These instructions on the bottle, ask your include: doctor or pharmacist for help.

APO-PROPRANOLOL TABLETS 2 It does not matter if you take While you are taking Things you must not do propranolol with or without food. this medicine Do not give this medicine to anyone else, even if they have the same How long to take it for Things you must do condition as you. Continue taking your medicine for Do not take your medicine to treat as long as your doctor tells you. If you are about to be started on any new medicine, remind your any other complaints unless your Make sure you have enough to last doctor and pharmacist that you doctor tells you to. over weekends and holidays. are taking propranolol. Do not stop taking your medicine or change the dosage without first If you forget to take it Tell any other doctors, dentists and pharmacists who are treating you checking with your doctor. If it is almost time to take your that you take this medicine. Your doctor may want you to next dose (within 6 hours), skip the If you become pregnant whilst gradually reduce the amount of dose you missed and take your next taking propranolol, tell your propranolol you are taking before dose when you are meant to. doctor immediately. stopping completely. This may help Otherwise, take it as soon as you reduce the possibility of your If you are going to have surgery, remember, and then go back to condition getting worse. tell the surgeon and anaesthetist taking your medicine as you would that you are taking propranolol. normally. Things to be careful of Your blood pressure may drop Do not take a double dose to make Be careful driving or operating suddenly due to propranolol up for missed doses. machinery until you know how this interacting with the anaesthetic. This may increase the chance of you medicine affects you. If you are being treated for experiencing side effects. Propranolol may cause , diabetes, make sure you check light-headedness, tiredness, or If you are not sure what to do, ask your blood sugar level regularly drowsiness in some people. Make your doctor or pharmacist. and report any changes to your sure you know how you react to this If you have trouble remembering doctor. medicine before you drive a car, to take your medicine, ask your Propranolol may change how well operate machinery, or do anything pharmacist for some hints. your diabetes is controlled. It may else that could be dangerous if you also cover up some of the symptoms are dizzy or light-headed. If you take too much of low blood sugar (hypoglycaemia) Be careful when drinking (overdose) such as an increased heart rate. It while you are taking propranolol. Immediately telephone your doctor may also increase the time your body Dizziness or light-headedness may be or the Poisons Information Centre takes to recover from low blood worse. Alcohol can also increase the (telephone 13 11 26) for advice, or sugar. Your doses of diabetic effects of propranolol. go to Accident and Emergency at medicines, including insulin, may your nearest hospital, if you think need to change. If you feel light-headed, dizzy or that you or anyone else may have Propranolol may also occasionally faint when getting out of bed or taken too much of this medicine. cause low blood sugar standing up, get up slowly. Do this even if there are no signs of (hypoglycaemia) in non-diabetic Standing up slowly, especially when discomfort or poisoning. patients. you get up from bed or chairs, will You may need urgent medical This may include newborn infants, help your body get used to the attention. toddlers, children, elderly, patients change in position and blood pressure. If this problem gets worse Signs of an overdose may include suffering from overdose, patients or continues, talk to your doctor. tiredness, and difficulty in breathing suffering from chronic , and moving around. fasting patients or patients on Dress warmly during cold weather, haemodialysis. especially if you will be outside for Keep all of your doctor's a long time (for example when appointments so that your progress playing winter sports). can be checked. Propranolol, like other beta-blocker Your doctor may occasionally do medicines, may make you more tests to make sure the medicine is sensitive to cold temperatures, working and to prevent side effects. especially if you have circulation problems.

APO-PROPRANOLOL TABLETS 3 Side effects If any of the following happen, stop Disposal taking your medicine and contact If your doctor tells you to stop taking your doctor immediately or go to Tell your doctor or pharmacist as this medicine or the expiry date has Accident and Emergency at your soon as possible if you do not feel passed, ask your pharmacist what to nearest hospital: well while you are taking do with any medicine that is left propranolol. · extreme tiredness or over. Propranolol helps most people but breathlessness on mild exercise may have unwanted side effects in a · wheezing, difficulty breathing or few people. All medicines can have an asthma attack side effects. Sometimes they are · fast heart beats () Product description serious, most of the time they are not. · shortness of breath, wheezing or You may need medical attention if What it looks like you get some of the side effects. difficulty breathing; swelling of the face, lips, tongue, throat or 10 mg tablet Do not be alarmed by the following other parts of the body; rash, Orange coloured, round, biconvex lists of side effects. You may not itching or hives on the skin (signs tablets, embossed with "P" and "10" experience any of them. of an allergic reaction) on either side of the breakline on one Ask your doctor or pharmacist to The above list contains very serious side and plain on the other side. answer any questions you may side effects. You may need urgent Bottles of 100 tablets. have. medical attention or hospitalisation. AUST R 222958. Tell your doctor or pharmacist if Tell your doctor if you notice you notice any of the following and anything else that is making you 40 mg tablet they worry you: feel unwell. Green coloured, round, biconvex · (feeling sick) or vomiting Other side effects not listed above tablets, embossed with "P" and "40" · loss of appetite may occur in some patients. on either side of the breakline on one side and plain on the other side. · diarrhoea, stomach pain, flatulence Bottles of 100 tablets. AUST R 222969. · cold hands or feet Storage and disposal * Not all strengths may be available. · dizziness, tiredness · rash, flushing Storage Ingredients · Keep the tablets in the bottle until Each tablet contains 10 mg or 40 mg · feeling tired, lethargic, lack of it is time to take them. propranolol hydrochloride as the energy If you take the tablets out of the active ingredient. The above list contains the more bottle they may not keep well. It also contains the following: common side effects of propranolol. Keep your medicine away from · lactose monohydrate Tell your doctor as soon as possible direct sunlight and in a cool dry · maize starch if you notice any of the following. place, where the temperature stays · sunset yellow FCF aluminium below 25°C. · disturbed sleep, vivid dreams or lake Do not store your medicine or any · quinoline yellow · conjunctivitis, dry eyes, visual other medicine in the bathroom or disturbances near a sink. Do not leave it on a · povidone window sill or in the car. · trouble passing urine · sodium starch glycollate Heat and dampness can destroy some · unexplained bruising · magnesium stearate medicines. · mood changes, confusion · brilliant blue FCF aluminium lake Keep it where children cannot (40 mg only) · sexual problems reach it. This medicine does not contain · loss of hearing A locked cupboard at least one-and- gluten, sucrose, tartrazine and other · slow heart beats a-half metres above the ground is a azo dyes. good place to store medicines. The above list includes serious side effects that may require medical Sponsor attention. Apotex Pty Ltd

APO-PROPRANOLOL TABLETS 4 16 Giffnock Avenue Macquarie Park NSW 2113

APO and APOTEX are registered trade marks of Apotex Inc.

This leaflet was prepared in August 2018.

APO-PROPRANOLOL TABLETS 5