Inderal Tablet: Uses, Dosage & Side Effects in Pakistan

Inderal (Propranolol) Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Inderal Tablet? (Inderal kya hai)

Inderal (Propranolol) is a non-selective beta-blocker. It slows heart rate, reduces blood pressure, and decreases renin secretion. Beta-1 blockade acts on the heart and beta-2 blockade on peripheral vessels and bronchi. This is why it is CONTRAINDICATED in asthma. Do not take without a doctor — it is an Rx medicine.

3. Uses (Fayde / Kis kaam aati hai)

• Hypertension (high blood pressure — BP)
• Angina pectoris
• Cardiac arrhythmias
• Post-myocardial infarction — secondary prevention
• Essential tremor (haath kaanpna)
• Migraine prophylaxis (migraika rokna)
• Hyperthyroidism symptom control (thyrotoxicosis — beta-adrenergic symptoms)
• Performance / situational anxiety (off-label, doctor's discretion)

4. Who Should Take (Kis ko leni chahiye)

• Adults with hypertension, angina, or arrhythmias under doctor's care
• Patients with essential tremor not controlled by lifestyle
• Migraine patients requiring prophylaxis (prevention) therapy
• Patients post-myocardial infarction for secondary prevention

5. When NOT to Take (Kab nahi leni chahiye)

• Asthma or significant COPD — CONTRAINDICATED (bronchospasm risk)
• Cardiogenic shock
• Severe bradycardia or second/third degree heart block
• Uncontrolled heart failure
• Raynaud's phenomenon (peripheral circulation already compromised)

6. Dosage (Kitni leni hai)

• As prescribed — starting dose depends on indication (hypertension, arrhythmia, tremor, migraine)

• As prescribed by doctor (varies widely by condition and strength used)

• Do not exceed the recommended limit

• If you miss a dose, take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

7. How to Take (Kaise leni hai)

• As directed by your doctor — usually once or twice daily

• Same time every day (consistency important for BP control)

• With or without food — food can affect absorption in some patients; check with your doctor or pharmacist

8. Best Time (Kab leni chahiye)

• Follow your doctor's schedule

• Take at the same time every day to maintain a routine — consistency is essential for BP medicines

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

• Propranolol can be taken with or without food. Taking it with food reduces GI upset in some patients. Confirm with your doctor or pharmacist.

10. Warnings (Ihtiyat)

• Stopping Propranolol suddenly is FORBIDDEN — rebound hypertension, tachycardia, unstable angina, or myocardial infarction can occur. Always taper over 2 weeks under doctor supervision

• CONTRAINDICATED in asthma — beta-2 blockade se bronchospasm; even eye drops form se systemic absorption possible

• Hypoglycaemia symptoms (tachycardia) are masked — monitor glucose closely

11. Precautions (Ahm ehtiyaat)

• Store in a cool, dry place
• Keep away from direct sunlight
• Keep out of the reach of children

• Check pulse and BP regularly — follow your doctor's instructions
• If pulse is < 60 bpm ask your doctor before taking the dose

12. Side Effects (Nuksanat)

• Bradycardia (slow pulse), cold extremities, fatigue, sleep disturbances/nightmares, sexual dysfunction

• Bronchospasm, heart failure exacerbation, severe bradycardia/heart block, rebound MI on abrupt withdrawal, hypoglycaemia masking in diabetics

13. Drug Interactions (Dawaon ke sath reaction)

• Antidiabetics (insulin, oral hypoglycaemics) — hypoglycaemia symptoms are masked
• Verapamil and Diltiazem (CCBs) — additive bradycardia and heart block — AVOID combination
• Digoxin — additive bradycardia
• NSAIDs (ibuprofen, diclofenac) — antihypertensive effect is reduced
• MAO inhibitors — hypertensive crisis risk
• Adrenaline/epinephrine — paradoxical hypertension (alpha-1 unopposed) and reflex bradycardia
• Ergotamine — peripheral vasoconstriction increases

14. When to See Doctor (Kab doctor ke paas jayein)

• Pulse becomes very slow (< 50-60 bpm) or fainting occurs
• Breathlessness or wheeze develops (bronchospasm — emergency)
• Chest pain if Propranolol has been missed suddenly or stopped
• Severe coldness or bluish colour in hands and feet (severe Raynaud's / peripheral ischaemia)
• Severe dizziness or fainting

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Propranolol kis kaam aata hai?

A: Doctors prescribe Propranolol (Inderal) for BP, angina, irregular heart rhythm, essential tremor, migraine prevention, and thyrotoxicosis symptom control. It is an Rx medicine.

Q: Propranolol ke side effects kya hain?

A: Common side effects include slow heart rate, cold hands and feet, fatigue, and sleep disturbances. Do not use in asthma at all — bronchospasm can occur.

Q: Propranolol asthma mein kyun nahi leni chahiye?

A: Propranolol is non-selective — it blocks beta-2 receptors which are in the lungs. In asthma it can cause bronchospasm which can be life-threatening.

Q: Pakistan mein propranolol ki price kya hai?

A: Confirm the price at a local pharmacy — both generic versions and branded Inderal are available.

Q: Propranolol band karna kaise chahiye?

A: NEVER stop Propranolol suddenly — rebound hypertension, angina, or a heart attack can occur. Always taper the dose slowly over 2 weeks under doctor supervision.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-17

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.