HOW TO USE: This medication is given by injection into a vein (intravenous) and must be used exactly as directed by the doctor.

SIDE EFFECTS: You may experience dizziness, lightheadedness, drowsiness, and blurred vision as your body adjusts to the medication. Inform your doctor if you develop: breathing difficulties, easy bruising or bleeding, swollen hands or feet, confusion, sore throat, depression. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, especially of: heart disease, kidney disease, liver disease, asthma, bronchitis, emphysema or other lung diseases, diabetes, an overactive thyroid, allergies (especially drug allergies). Before having any surgery, tell your doctor or dentist that you are taking propranolol. This drug should be used only if clearly needed during pregnancy. Discuss the risk and benefits with your doctor. This drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription drugs you may use, especially of: diuretics, cold preparations and nasal decongestants, high blood pressure drugs, reserpine, other heart medications, St John's wort. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include slowed heartbeat and dizziness and weakness especially upon standing.

NOTES: This drug is used only under the close supervision of your doctor in a hospital or clinic.

MISSED DOSE: If a dose is missed, consult the doctor. Do not "double-up" the dose to catch up.

STORAGE: Store at room temperature away from sunlight and moisture. Do not freeze.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

Last Editorial Review: 3/2/2005

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