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Levitra24hrs
Generic Inderal La (Propranolol)
Inderal la is a beta-adrenergic receptor blocker and is used to treat angina, hypertension and heart rhythm disorders.
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Common use

Inderal la acts blocking beta-adrenergic substances such as adrenaline (epinephrine), a key agent in the "sympathetic" portion of the autonomic (involuntary) nervous system which is responsible for work of the heart. The medication is used to treat tremors, chest pain, hypertension, heart rhythm disorders, ischemic heart disease, hypertrophic cardiomyopathy, myocardiodystrophy and other conditions.



Dosage and direction

Take orally disregarding time of your meal. Take Inderal la with a full glass of water at the same time every day. Do not chew, crush, break, or open a Inderal la capsule. Swallow the tab whole.

Do not stop to take the medication suddenly as it may cause problems to your heart.



Precautions

Do not use this drug if you suffer from asthma or certain heart conditions, especially second or third degree heart block, liver or kidney failure. Avoid drinking alcohol. Do not stop taking the medication even if you feel better as hypertension may have no symptoms.



Contraindications

Sinus bradycardia, incomplete or complete atrioventricular block (problems with conduction of excitation in the excitation-conduction system of the heart), severe right and left ventricular failure, bronchial asthma and a tendency to bronchospasm, pregnancy, disorders of peripheral arterial blood flow. In patients with spastic colitis (inflammation of the colon, characterized by its contraction) administration of Inderal la is not recommended.



Possible side effect

Nausea, vomit, diarrhea, bradycardia (a slow heartbeat), dizziness allergy itchy skin, bronchospasm (contraction of bronchus). Depression is possible.



Drug interaction

Alcohol and aluminum reduce the absorption of propranolol. Inderal la increases the blood levels of theophylline and lidocaine. Phenytoin, phenobarbital, and rifampin reduce level of Inderal la in blood. Cimetidine and chlorpromazine on the contrary increase the blood levels of Inderal la.



Missed dose

If you missed a dose of short acting Inderal la take the missed dose as soon as you remember but not if only about four hours remained till next dose. If so skip the missed dose and return to your schedule. If extended release Inderal la dose is missed then take the missed dose the soonest but not if less than eight hours remained till next dose. Never take extra dose to compensate the missed one.



Overdose

In case of severe symptoms such as heartbeats, dizziness, weakness, or fainting, seek for immediate medical attention.



Storage

Keep at room temperature away from moisture and sunlight.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

How does Vardenafil work and what pharmaceutical group does it belong to?

Erection of the penis is a haemodynamic process that is based on the relaxation of the cavernous body's smooth muscles and its arterioles. During sexual stimulation nitrogen oxide is released from the cavernous body's nerve ends and activates the enzyme cGMP. This results in relaxation of the smooth muscles in the cavernous body and increases blood flow to the penis. Vardenafil works by blocking PDE type 5(phosphodiesterase type 5) that is responsible for the inactivation of cGMP. This in its turn increases the amount of cGMP and improves erection.

Which conditions are treated with Vardenafil ?

Vardenafil is indicated for the treatment of erectile dysfunction manifested in inability to achieve and maintain erection, enough for the sexual intercourse.

What should a patient know prior to taking the medication?

  • Vardenafil should not be taken in known hypersensitivity or allergy to any of the medication ingredients.
  • Vardenafil is not intended to treat children and adolescents under 18 years of age.
  • Vardenafil should be used with caution in prolonged QT interval, anatomical deformation of the penis, priapism, blood diseases, severe liver and kidney diseases, arterial hypotension, recent heart attacks and strokes, tendency to bleedings, aggravation of stomach ulcers, aortal stenosis, idiopathic hypertrophic
  • Vardenafil is indicated only for men and should not be used by women.

Which adverse effects may manifest when using the medication?

The side effects of Vardenafil include: headache, hot flushing, dyspepsia, upset stomach, rhinitis, flu-like symptoms, increased levels of creatine kinase in the blood, nausea, dizziness, back pain.

In rare cases Vardenafil may cause arthritis, diarrhea, insomnia, muscle pain, blurred vision and others.

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Vardenafil?

The drug is affected by the following:

  • Alpha blockers
  • Heart arrhythmia medicines
  • Certain antibiotics
  • Grapefruit juice
  • Nitrates
  • Protease inhibitors

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient:

Vardenafil is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.