Propranolol
Brand: Inderal LA, InnoPran XL
No boxed warning on the current FDA label.
- Caution
- Non-selective: contraindicated in asthma and used with caution in COPD because it blocks beta-2 receptors in the lungs.
Common side effects
- Fatigue
- Slow heartbeat
- Cold hands and feet
- Vivid dreams
Key interactions
- Masks the warning signs of low blood sugar
- Additive slowing with verapamil or diltiazem
Counseling points
- Do not stop abruptly. Rebound chest pain or fast heart rate can follow
- Check pulse and blood pressure as directed
- Tell the pharmacist if you have asthma
- Diabetics: a low blood sugar may not feel the same
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