Inderal (propranolol) is a beta blocker predominately used in a range of heart and blood circulation conditions, though it does see use in other areas as well.

This product consists of standard tablets, which are typically taken 2 or 3 times per day. Some patients can achieve the same results with Inderal LA, a Long Acting version of the tablet which is taken just once daily; however, other patients find results are best with the multiple smaller doses typical of regular tablets. The condition being treated should be monitored closely if switching between regular and long-acting tablets. Note also that the two types of tablets are not directly interchangeable; the long-acting version will likely require higher dosage to produce the same effects.

Using Inderal

Inderal is an interesting medication that has seen a wide range of applications since its introduction in the 1960s. It is most commonly used to treat:

• Hypertension (high blood pressure)
• Angina (chest pain)
• Atrial fibrillation (irregular heart rate)
• Tachycardia (rapid heart rate)
• Pheochromocytoma (adrenal gland tumor)
• Essential tremor
• Migraines
• Anxiety
• Some phobias

Treatment is difficult to summarize; it will, of course, vary depending on the condition being treated, but there are also many individual variables that will influence dosage, including age, weight, other medical conditions present, other medications being taken, and so forth. The effect of the medication from individual to individual can also vary considerably, even when other variables are very similar. For these reasons it's important to work closely with a doctor until the ideal dosage is determined, a process which can take several weeks to several months.

Dosage ranges from 10 mg to 240 mg per day, usually starting at lower doses and gradually increased until an effective dose is found. Daily doses are typically split into two or three smaller doses, taken two or three times daily; this is done to keep levels of the drug consistent in the body. The importance of taking multiple smaller doses, versus taking long-acting tablets, depends on both the condition and individual patient response.

Tablets may be taken with or without food according to personal preference, but once a choice is made it should be adhered to; that is, either always take tablets with food or never take tablets with food. This is because the medication is absorbed differently depending on if the stomach is full or empty; adhering to the same method ensures levels of the drug---and thus its effects---are consistent. For the same reason, effort should be made to space out doses evenly and take them at the same time each day.

Treatment with Inderal is often long-term, spanning months or years; it can continue for as long as the medication continues to provide benefit. If treatment stops, it's important to gradually taper down dosage; stopping abruptly can cause very serious---even potentially fatal---complications.

Effects may be felt quickly in some cases, such as anxiety, or may take several weeks to see full benefits, such as with high blood pressure.

Note that Inderal is a preventive treatment for migraines, it reduces the frequency and severity of migraines over time. It is not a "rescue" treatment like triptan medications; it needs to be taken regularly over the long-term to provide benefit.

Before Taking Inderal

Inderal, or any beta-blocker medication, should generally be avoided in patients who have:

• Chronic breathing ailments, such as asthma or COPD
• Any condition that causes slow heartbeats
• Sick sinus syndrome without a pacemaker

Other conditions may put patients at significantly increased risk of side effects or other complications. Discuss risks and warning signs with a doctor before taking Inderal if there is any history of:

• Diabetes
• Low blood pressure
• Any heart problems
• Any circulation problems
• Kidney or liver problems
• Any thyroid disorders
• Depression or mental illness
• Any muscle disorders

Inderal can interact with a number of other medications. Check with a doctor or pharmacist if taking:

• Steroids
• Antidepressants
• Heart or blood pressure medications
• Blood thinners
• Prostate treatments

Also check with a doctor if regularly using NSAIDs (painkillers like aspirin or ibuprofen, often available over-the-counter).