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Propranolol

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Description

Generic Name

Propranolol

Chemical names

Propanolol, Dociton, Beta-Propranolol, Avlocardyl, Euprovasin

Brand names

Hemangeol, Inderal, Inderal XL, Inderal LA, Innopran XL

IUPAC name

1-(naphthalen-1-yloxy)-3-[(propan-2-yl)amino]propan-2-ol

Pharmacokinetics

  • Absorption: GI tract
  • Distribution: Crosses the blood-brain barrier and placenta, enters breast milk. Protein-binding: 90%.
  • Metabolism: Hepatic
  • Excretion: Urine

Actions

Propranolol competes with sympathomimetic neurotransmitters such as catecholamines for binding at beta (1)-adrenergic receptors in the heart, inhibiting sympathetic stimulation. This results in a reduction in resting heart rate, cardiac output, systolic and diastolic blood pressure, and reflex orthostatic hypotension.

Dosage/Dosage form

  • Hemangeol solution-4.28 mg/mL orally
  • Inderal 20 Tab 20mg

Therapeutic uses

Used as diuretic, anti hypertensive agent, vasodilator, ganglionic blocker, anti arrhythmia, anti angina agent.

Adverse effects/Side effects

Nausea, vomiting, diarrhea, constipation, stomach discomfort, fatigue, nonthrombocytopenic purpura, hallucination.

Interaction

  • Increased serum levels of thioridazine when used with propranolol.
  • Decreased effect with aluminum and calcium salts, NSAIDs, ampicillin, rifampicin.
  • Concurrent use with chlorpromazine results in raised blood levels of both drugs and additive hypotensive effect. 

Contraindications

Sinus bradycardia, pregnancy, cardiogenic shock, lactation, pulmonary oedema, severe hyperactive airway disease

Storage

Store at 20-25°C

Information

Molecular weight

259.349 g/mol

Molecular formula

C16H21NO2

CAS number

525-66-6

Precautions

Propranolol should be used with caution in patients with impaired hepatic or renal function.