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InnoPran XL sustained-release bead capsules

Generic Name: propranolol (proe-PRAN-oh-lol)
Brand Name: InnoPran XL

Do not suddenly stop taking InnoPran XL sustained-release bead capsules. Sharp chest pain, irregular heartbeat, and, sometimes, a heart attack may occur if you suddenly stop InnoPran XL sustained-release bead capsules. The risk may be greater if you have certain types of heart disease. Your doctor should slowly lower your dose over several weeks if you need to stop taking InnoPran XL sustained-release bead capsules. This should be done even if you only take InnoPran XL sustained-release bead capsules for high blood pressure. Heart disease is common and you may not know you have it. Limit physical activity while you are lowering your dose. If new or worsened chest pain or other heart problems occur, contact your doctor right away. You may need to start taking InnoPran XL sustained-release bead capsules again.


InnoPran XL sustained-release bead capsules is used for:

Treating high blood pressure. It may also be used for other conditions as determined by your doctor.

InnoPran XL sustained-release bead capsules is a beta-blocker. It works by slowing down the heart and decreasing the amount of blood it pumps out. This decreases blood pressure, helps the heart pump more efficiently, and reduces the workload on the heart.

Do NOT use InnoPran XL sustained-release bead capsules if:

  • you are allergic to any ingredient in InnoPran XL sustained-release bead capsules
  • you have moderate to severe heart block, sick sinus syndrome, or a very slow heartbeat and you do not have a permanent pacemaker
  • you have uncontrolled heart failure, shock caused by serious heart problems, or very low blood pressure after a heart attack
  • you have asthma
  • you are taking mibefradil

Contact your doctor or health care provider right away if any of these apply to you.

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Before using InnoPran XL sustained-release bead capsules:

Some medical conditions may interact with InnoPran XL sustained-release bead capsules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances, or you are taking medicine for allergies
  • if you have a history of other heart problems (eg, angina, congestive heart failure, slow heartbeat)
  • if you have a history of liver or kidney problems, blood vessel disease, lung or breathing problems (eg, chronic bronchitis, emphysema, chronic obstructive pulmonary disease [COPD]), diabetes, low blood sugar, an overactive thyroid, muscle problems, or glaucoma
  • if you have Wolff-Parkinson-White syndrome, Down syndrome, Raynaud syndrome, or an adrenal gland tumor (pheochromocytoma)
  • if you smoke or drink alcohol
  • if you will be having surgery, you exercise, or you have been fasting

Some MEDICINES MAY INTERACT with InnoPran XL sustained-release bead capsules. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Mibefradil because the risk of serious heart side effects may be increased
  • Many prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, high blood pressure, heart problems, irregular heartbeat, diabetes, prostate problems, blood thinning, thyroid problems, depression, mental or mood problems, immune system suppression, allergic reactions, asthma, high cholesterol, seizures, local anesthesia, stomach or bowel problems, migraine headaches), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may interact with InnoPran XL sustained-release bead capsules, increasing the risk of side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if InnoPran XL sustained-release bead capsules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use InnoPran XL sustained-release bead capsules:

Use InnoPran XL sustained-release bead capsules as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take InnoPran XL sustained-release bead capsules by mouth. It may be taken with or without food, but you should always take it the same way (either with or without food).
  • Take InnoPran XL sustained-release bead capsules at bedtime (about 10 PM), unless your doctor tells you otherwise.
  • Swallow InnoPran XL sustained-release bead capsules whole. Do not break, crush, or chew before swallowing.
  • If you are taking an antacid with aluminum in it, take it at least 2 hours after you take InnoPran XL sustained-release bead capsules.
  • Take InnoPran XL sustained-release bead capsules on a regular schedule to get the most benefit from it. Taking InnoPran XL sustained-release bead capsules at the same time each day will help you remember to take it.
  • Continue to take InnoPran XL sustained-release bead capsules even if you feel well. Do not miss any doses.
  • Do not suddenly stop taking InnoPran XL sustained-release bead capsules. You may have an increased risk of side effects. If you need to stop InnoPran XL sustained-release bead capsules or add a new medicine, your doctor will gradually lower your dose.
  • If you miss a dose of InnoPran XL sustained-release bead capsules, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use InnoPran XL sustained-release bead capsules.

Important safety information:

  • InnoPran XL sustained-release bead capsules may cause drowsiness, dizziness, lightheadedness, or vision changes. These effects may be worse if you take it with alcohol or certain medicines. Use InnoPran XL sustained-release bead capsules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Check with your doctor before you drink alcohol while you are taking InnoPran XL sustained-release bead capsules; it may increase the risk of InnoPran XL sustained-release bead capsules's side effects.
  • It may take 2 to 3 weeks to receive the full benefit of InnoPran XL sustained-release bead capsules. Do not stop taking InnoPran XL sustained-release bead capsules without checking with your doctor.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • Tell your doctor or dentist that you take InnoPran XL sustained-release bead capsules before you receive any medical or dental care, emergency care, or surgery.
  • If you have a history of any severe allergic reaction, talk with your doctor. You may be at risk of an even more severe allergic reaction if you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies may also not work as well while you are using InnoPran XL sustained-release bead capsules.
  • InnoPran XL sustained-release bead capsules may lower your blood sugar levels. This is most likely to happen in infants and children, or in patients who have diabetes or kidney problems. It may also occur after prolonged physical activity or during fasting. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you hungrier. It is a good idea to carry a reliable source of glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.
  • Diabetes patients - InnoPran XL sustained-release bead capsules may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • InnoPran XL sustained-release bead capsules may interfere with certain lab tests, including glaucoma screening, thyroid function, and dobutamine stress echocardiography. Be sure your doctor and lab personnel know you are taking InnoPran XL sustained-release bead capsules.
  • Lab tests, including blood pressure and heart function, may be performed while you use InnoPran XL sustained-release bead capsules. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use InnoPran XL sustained-release bead capsules with caution in the ELDERLY; they may be more sensitive to its effects.
  • InnoPran XL sustained-release bead capsules should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. Children may be more sensitive to InnoPran XL sustained-release bead capsules's effects, especially low blood sugar levels.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using InnoPran XL sustained-release bead capsules while you are pregnant. InnoPran XL sustained-release bead capsules is found in breast milk. If you are or will be breast-feeding while you use InnoPran XL sustained-release bead capsules, check with your doctor. Discuss any possible risks to your baby.

If you suddenly stop taking InnoPran XL sustained-release bead capsules, you may experience WITHDRAWAL symptoms, including worsening chest pain along with a possible heart attack.

Possible side effects of InnoPran XL sustained-release bead capsules:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; fatigue; lightheadedness; nausea; stomach upset or cramping; trouble sleeping; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; disorientation; fainting; fever with aching and sore throat; hallucinations; irregular heartbeat; memory loss; mental or mood changes (eg, depression); new or worsening muscle problems; numbness or tingling of the hands; red, swollen, blistered, or peeling skin; severe or persistent dizziness; shortness of breath or wheezing; sudden, unusual weight gain; swelling of the hands, ankles, or feet; unusual bruising; unusually slow heartbeat; very cold or blue fingers or toes; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include fainting; severe dizziness; shortness of breath; swelling of the hands, ankles, or feet; trouble breathing; very slow heart rate; wheezing.

Proper storage of InnoPran XL sustained-release bead capsules:

Store InnoPran XL sustained-release bead capsules at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep InnoPran XL sustained-release bead capsules out of the reach of children and away from pets.

General information:

  • If you have any questions about InnoPran XL sustained-release bead capsules, please talk with your doctor, pharmacist, or other health care provider.
  • InnoPran XL sustained-release bead capsules is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take InnoPran XL sustained-release bead capsules or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about InnoPran XL sustained-release bead capsules. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to InnoPran XL sustained-release bead capsules. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using InnoPran XL sustained-release bead capsules.

Issue Date: December 3, 2014
Database Edition 14.4.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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