Inderal Side Effects in Pakistan

A complete guide to the side effects of Inderal. From common effects to serious warnings, including special risks for people with asthma, COPD, or diabetes — everything you need to know is on this page.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-07-02

Side Effects

Quick Answer

Common side effects of Inderal include fatigue and cold hands and feet. Serious effects such as severe bronchospasm or a dangerously slow heart rate require immediate medical attention. Most patients tolerate Inderal well at the correct dose. Contact your doctor if any side effect persists or worsens.

Side Effects at a Glance

Common

Fatigue and tiredness
Cold hands and feet
Bradycardia (slow heart rate)
Sleep disturbances and vivid dreams

Serious — See a Doctor

Severe bradycardia or heart block
Severe bronchospasm or difficulty breathing (especially in asthma/COPD)
Signs of worsening heart failure
Masked hypoglycaemia symptoms in people with diabetes

When to See a Doctor Immediately

Sudden difficulty breathing, wheezing, or chest tightness
Heart rate feels unusually slow, or you feel faint or fainting occurs
Signs of very low blood pressure: severe dizziness, cold clammy skin
New or worsening chest pain

Inderal Side Effects (Nuksanat)

Inderal (Propranolol Hydrochloride) is generally safe when taken at the correct dose. However, like all medicines, it can cause side effects in some patients, and its non-selective action means certain risks need special attention.

Common Side Effects (Aam Nuksanat)

Fatigue and tiredness
Cold hands and feet
Bradycardia (slow heart rate)

These side effects are usually mild. If they continue, inform your doctor.

Serious Side Effects (Sanjeedah Nuksanat)

Severe bradycardia or heart block — see a doctor immediately
Severe bronchospasm or difficulty breathing — see a doctor immediately, especially if you have asthma or COPD
Signs of worsening heart failure — see a doctor immediately

When to See a Doctor (Kab Doctor Se Milna Zaroori Hai)

Sudden difficulty breathing, wheezing, or chest tightness
Heart rate feels unusually slow, or you feel faint
Signs of very low blood pressure: severe dizziness, cold clammy skin

Warnings and Precautions (Ihtiyat)

Don't use Inderal if you are allergic to propranolol or any ingredient
Use with particular caution, or avoid, if you have asthma, COPD, or a history of bronchospasm — non-selective beta blockers like Inderal carry a higher risk here than heart-selective options
People with diabetes should monitor blood sugar closely, since Inderal can mask hypoglycaemia symptoms

Side Effects Summary Table

Type	Side Effect	Action
Common	Fatigue and tiredness	Monitor / inform doctor
Common	Cold hands and feet	Monitor / inform doctor
Common	Bradycardia (slow heart rate)	Monitor / inform doctor
Serious	Severe bronchospasm / breathing difficulty	See a doctor immediately
Serious	Severe bradycardia or heart block	See a doctor immediately

Reporting Side Effects

If you notice any unexpected side effect, report it on the DRAP pharmacovigilance portal: https://www.dra.gov.pk/pharmacovigilance

The information in this guide is for educational purposes only. If you notice any side effect, contact your doctor or pharmacist.

Frequently Asked Questions

What are the most common side effects of Inderal?

The most commonly reported side effects of Inderal include fatigue and cold hands and feet. These are usually mild and go away on their own. Inform your doctor if they persist.

Can Inderal cause allergic reactions?

Yes, like all medicines, Inderal can cause allergic reactions in some people. Signs include rash, itching, swelling, or difficulty breathing. Stop use and seek medical help immediately if this happens.

Is Inderal safe for people with asthma?

Generally no. As a non-selective beta blocker, Inderal carries a higher risk of triggering severe bronchospasm and breathing difficulty in people with asthma or COPD compared with heart-selective beta blockers. Most doctors avoid prescribing it in these patients.

What should I do if I experience side effects from Inderal?

For mild side effects, inform your pharmacist. For serious effects such as severe breathing difficulty or a very slow heart rate, stop the medicine and contact your doctor immediately or go to the nearest hospital.

Does Inderal affect blood sugar in diabetics?

Inderal can mask the early warning signs of low blood sugar (hypoglycaemia), such as a fast heartbeat, in people with diabetes. Your doctor will advise on closer blood glucose monitoring if you have diabetes.

Brand alternatives, same-class options, and other medicines used for the same conditions as Inderal Tablet.

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Sources

DRAP Registered Products Database — Drug Regulatory Authority of Pakistan
WHO Model List of Essential Medicines, 23rd ed. (2023) — World Health Organization
British National Formulary (BNF) — BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.