Propranolol 40mg Tablets

Propranolol 40mg Tablets (84 tablets )

Order before 4pm for delivery from Wed. 31 May.

Product Information

  • Age: 18 years +

    Maximum per order: 3

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Beta-blockers like propranolol have been used to prevent migraines for more than 25 years and remain an effective option for reducing the number of attacks. Proprnolol is the drug of choice for migraine prevention and is the most commonly used beta-blocker.

Indications:

  • You suffer between 2-8 headaches a month.
  • Your headaches are less frequent but more prolonged (more than 2 days) or you have severe attacks leading to substantial disability.
  • You cannot take other prescription Migraine treatments or you have other conditions.
  • Your migraines are predictable in occurrence.
  • You have tried other prescription treatments but they have not worked, or you are using them often.
  • You have suffered unwanted effects from other migraine treatments.
  • You have taken regular treatments which could be considered as overuse. Medication overuse is defined as the use of combination analgesics, opiods or triptans ten days each month or moreor use of simple analgesics (acetaminophen, non-steroidal anti-inflammatory drugs [NSAIDs] or acetylsalicylic acid [ASA]) 15 days a month or more.

One of the major reasons people do not succeed with preventative or prophylactic drugs is that they have not taken the medication long enough, or have taken it in an insufficient dosage.

Patients should start treatment with Propranolol at a low dose of 40mg twice a day for a month. If needed, you can gradually increase the dose up to 240mg, in divided doses, until you reach your desired effect or until unwanted effects interfere. A long-acting form of 160mg capsules is also available.

Propranolol has been proven effective at reducing migraines by 50% in 35-60% of patients, however it has no impact on the severity or duration of attacks. It may take a few weeks to take effect. For this reason, you should continue to use painkillers and prescription treatments if you develop a migraine. Sumattriptan, other migraine tablets and a variety of pain killers are available online to compliment your Proprnolol treatment

Usually, a patient should start with a low dosage of Propranolol in order to test response, then gradually increase it as needed.

Unfortunately, many physicians discontinue treatment before the drug has had a chance to work. Inderal may take six to twelve weeks to be effective with increased dosages as the weeks go by.

Migraine headaches can be debilitating if patients have difficulty controlling or minimizing the symptoms. However, migraines can be moderated by the avoidance of triggers, lifestyle changes and abortive treatment. For patients whose migraines do not respond to such measures, prophylactic prevention may be needed.

Take ONE to TWO tablets, ONCE or TWICE daily to prevent migraines or as directed by your GP. See GP if migraines continue or worsen.

Common (may affect up to 1 in 10 people)

Side effects while taking Propranolol 40mg can include:

Tiredness, cold extremities, difficulty sleeping, slow or irregular heartbeat, Raynaud’s syndrome and/or nightmares

If you are concerned about these effects, or if the product affects you in a different way, stop using it and consult your doctor or pharmacist.

Active ingredient:

Propranolol hydrochloride

Inactive ingredients:

Lactose, magnesium stearate, maize starch, stearic acid, hypromellose (E464), carmoisine (E122), polysorbate, titanium dioxide (E171) and iron oxide (E172)

Read the following warnings to ensure you are selecting an appropriate product.

Do not take propranolol and tell your doctor if you have any of the following conditions:

  • Untreated/uncontrolled heart failure or are in shock caused by heart problems
  • Low blood pressure
  • Slow heart rate
  • Blood circulation problems
  • Diabetes mellitus (low blood sugar levels may be hidden by this medication) 
  • Heart conduction or rhythmic problems
  • Increased blood acid
  • Are on a strict fasting diet
  • Prinzmetal’s angina
  • Untreated phaeochromocytoma (high blood pressure due to a tumor near the kidney)
  • Asthma or other breathing difficulties

Tell your doctor or pharmacist before taking propranolol if you:

  • Have a weak heart or first degree heart block.
  • Suffer from muscle weakness (myasthenia gravis).
  • Have kidney or liver disease.
  • Have had allergic reactions.
  • Have had allergic reactions.
  • Suffer from blood circulation problems.
  • Suffer with or have had psoriasis.
  • Suffer from Raynaud’s disease (cold sensations in the extremities) or intermittent claudication (narrowing of arteries in the legs causing pain while walking).
  • Have symptoms of hyperthyroidism.
  • Are a smoker.

Inform your doctor/pharmacist if you take or have recently taken:

  • Verapamil and diltiazem (to treat heart diseases).
  • Disopyramide, quinidine and amioadarone (to treat irregular heartbeat (arrhythmia).
  • Ergotamine derivatives (to treat migraine).
  • Adrenaline (epinephrine, used in anaphylactic shock).
  • Diabetes treatments, including insulin.
  • Lidocaine, propafenamine or flecanide (for irregular heartbeat or as a local anasethetic).
  • Non-Steroidal Anti-Inflammatory drugs (NSAIDs).
  • Indometacin.
  • Chlorpromazine (for mental illness).
  • Cimetidine (to treat stomach ulcers).
  • High blood pressure medications (clonidine, moxonidine, alpha-blockers, methyldopa or hydralazine).
  • Digitalis glycosides such as digoxin (for heart conditions).
  • Monoamine-oxidase inhibitors, imipramine or fluvoxamine.
  • Warfarin.
  • Rizatriptan.
  • Barbituates.
  • Rifampicin.
  • Theophylline.
  • Diuretics.

Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you take or intend to take.

UK ORDERS

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2/3 day delivery - £2.95
  • Express Tracked Delivery - 1/2 day delivery - £4.45
  • Special Delivery (Guaranteed before 1pm) - £8.95
  • Saturday Guaranteed before 1pm - £10.45

All our orders are sent out using Royal Mail. We always aim to dispatch all orders received before 4pm the same working day. Any orders received after 4pm or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders can be fully tracked in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

 

INTERNATIONAL ORDERS

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Migraine?

Visit our advice area or chat online to our support team

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We are regulated by a number of organisations in the UK including the MHRA, GPhC & CQC to ensure we offer the highest level of service to every one of our customers.

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