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Propranolol

Common Brand Names: Inderal

Side Effects & Precautions

Medically reviewed by Jessica Swirble, PharmD
Last updated on 5/14/2024

Drug Information | Side Effects | Use & Dosage | Request a Prescription

What are the side effects of propranolol?

The use of propranolol can lead to various side effects in some individuals.

Common mild side effects of propranolol use include:

  • Dizziness
  • Tiredness
  • Nausea and vomiting
  • Diarrhea
  • Constipation
  • Insomnia or vivid dreams
  • Cold extremities

More severe side effects of propranolol use can include:

  • Allergic reactions (difficulty breathing, rash, hives, itching, swelling)
  • Faintness
  • Weight gain
  • Shortness of breath
  • Changes in heartbeat
  • Hallucinations

If you experience any severe or concerning side effects while taking propranolol, contact your healthcare provider right away.

What should I tell my healthcare provider before using propranolol?

Tell your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with propranolol. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with propranolol.

Tell your provider if you are taking these medications or supplements:

  • Antacids that contain aluminum
  • NSAIDs
  • Blood pressure medications
  • Medications for heart rhythm
  • Warfarin
  • Antidepressants

You should also mention medical conditions such as:

  • Heart problems
  • Asthma
  • Kidney disease
  • Liver disease
  • Lung disease
  • Diabetes
  • Hyperthyroidism

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using propranolol to assess potential risks and benefits.

Are there any other special instructions I should follow?

Take propranolol exactly as prescribed by your healthcare provider. Do not exceed the recommended dose or duration of treatment.

Propranolol can affect your heart rate and blood pressure. Be aware of any symptoms of hypotension or bradycardia, such as dizziness, fainting, or unusually slow heartbeats.

Take propranolol at the same time every day to maintain an even level in your blood. For immediate-release formulations, it's often taken in divided doses. Extended-release capsules are usually taken once a day.

What should I do in case of an overdose?

In case of a propranolol overdose, seek medical attention immediately. Symptoms of overdose may include severe dizziness, fainting, difficulty breathing, or a very slow heart rate. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.