People prescribed a common heart medication should be vigilant for concerning signs related to their blood and kidneys. The NHS alerts patients to contact 111 if they observe yellow skin or experience nosebleeds lasting 10 minutes.
Propranolol, classified as a ‘beta blocker’ drug per NHS guidance, is used to address heart conditions, alleviate anxiety symptoms, and prevent migraines. This prescription-only medicine reduces heart rate and facilitates blood circulation in the body.
Primarily prescribed for high blood pressure and cardiac issues, propranolol can also alleviate physical manifestations of anxiety, such as sweating and tremors. The British Heart Foundation noted over 50 million beta blocker prescriptions in the UK annually, including propranolol.
Typically taken once daily in standard or slow-release formulations, propranolol may induce side effects, particularly during initial use. The NHS advises that side effects, if present, often diminish as the body acclimates to the medication.
While most adults and children aged 12 and above can use propranolol, exceptions exist for individuals with conditions like low blood pressure, heart failure, depression, or diabetes. Medical practitioners should be informed of these conditions to adjust dosage or consider alternative medications.
Patients may be instructed to take the first propranolol dose before bedtime to mitigate dizziness. Not feeling dizzy after the initial dose allows for morning administration.
In rare instances, propranolol may trigger severe side effects, prompting patients to seek immediate medical attention. Patients should be wary of liver issues symptoms or thrombocytopenia-related signs like prolonged nosebleeds, unexplained bruising, or increased bruising susceptibility.
Abruptly discontinuing propranolol without medical consultation could lead to severe cardiac repercussions. Common side effects include fatigue, dizziness, cold extremities, sleep disturbances, and gastrointestinal discomfort.
Although uncommon, serious adverse effects like breathing difficulties, facial or throat swelling, rapid weight gain, or irregular heartbeat may occur. Immediate medical help is necessary if any of these symptoms manifest.
Propranolol may not be suitable for individuals with specific health conditions, such as asthma, uncontrolled heart failure, low blood pressure, or diabetes, as it can mask low blood sugar indicators. Patients should disclose all medications, vitamins, and herbal products to their healthcare provider due to potential interactions with other drugs, including certain antidepressants and NSAIDs like ibuprofen.