Prograin 40mg Tablet SR

Reviews How to Use Benefits Uses Side Effects

Product Info

Prescription required	Yes
Marketer	Pulse Pharmaceuticals
Active Ingredient	Propranolol (40mg)
Storage	Store below 30°C
Chemical Class	Naphthalenes derivatives
Habit Forming	No
Therapeutic Class	CARDIAC
Action Class	Beta blocker- Non selective
User Rating	4.8
User Reviews	426

FAQ

Can I stop taking Prograin 40mg as my chest pain is under control?

No, you should not stop taking Prograin 40mg suddenly because that may worsen your angina or may cause a heart attack. Tell your doctor and if there is a need to stop Prograin 40mg, your doctor will reduce your dose gradually over a period of a few weeks.

When can I expect relief in my symptoms after starting Prograin 40mg for high blood pressure?

Prograin 40mg usually starts working within a few hours of taking it. However, it may take up to a week to see the full benefits of the symptoms of high blood pressure or heart conditions. You may not notice any difference, but that does not mean it is not working. However, keep taking this medicine as prescribed by your doctor because you will still be getting its full benefits.

My doctor has prescribed Prograin 40mg even though my blood pressure is within normal limits. Is it because of the chest pain that I complained of?

Yes, it is possible that your doctor prescribed Prograin 40mg for chest pain (angina). Prograin 40mg is a beta-blocker that is used to lower high blood pressure, prevent angina, treat or prevent heart attacks or reduce your risk of heart problems following a heart attack. Prograin 40mg is also used to treat irregularities in the heartbeat, including those caused by anxiety, essential tremor (shaking of the head, chin and hands). It also prevents migraine headaches, overactive thyroid (thyrotoxicosis and hyperthyroidism), and bleeding in the food pipe caused by high blood pressure.

Is Prograin 40mg effective?

Prograin 40mg is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Prograin 40mg too early, the symptoms may return or worsen.

What other lifestyle changes should I make while taking Prograin 40mg?

Lifestyle changes play a major role in keeping you healthy if you are taking Prograin 40mg. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables, and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Prograin 40mg and to keep yourself healthy.

What if I forget to take a dose of Prograin 40mg?

If you forget a dose of Prograin 40mg, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose at the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.

Is Prograin 40mg safe?

Prograin 40mg is safe if used in the dose and duration advised by your doctor. Take it exactly as directed and do not skip any dose. Follow your doctor's instructions carefully and let your doctor know if any of the side effects bother you.

Does Prograin 40mg relieve anxiety?

Yes, Prograin 40mg helps relieve the symptoms of anxiety such as irritability, restlessness, excessive worry, lack of concentration, racing or unwanted thoughts, fatigue, insomnia (lack of sleep), palpitations (irregular heart rate), or trembling. The dose and duration of taking Prograin 40mg will be suggested by your doctor, depending on whether your symptoms are a recurring problem or occur only in stressful conditions. However, Prograin 40mg is usually given for the short-term treatment of anxiety. If you have any doubts, consult your doctor.

Can Prograin 40mg be used in asthmatics?

No, Prograin 40mg cannot be used in asthmatics. This is because using Prograin 40mg in asthma patients can cause breathing problems, which may trigger an asthma attack. Always inform your doctor if you have or ever had asthma or any episodes of difficulty breathing, before starting treatment with Prograin 40mg.

What if I take an overdose of Prograin 40mg?

If you take an overdose of Prograin 40mg you may experience symptoms such as slow heartbeat, trembling, difficulty breathing, or dizziness. However, the response of taking too much of Prograin 40mg varies from person to person. It would be best to consult a doctor if you think you have taken more than what you are prescribed.

I have been on Indomethacin for several months. Will it be a problem if I start taking Prograin 40mg along with it?

Yes, Indomethacin may interfere with the working of Prograin 40mg and make it less effective. As a result, your blood pressure may increase. Speak to your doctor who will prescribe you a different medicine to control blood pressure.

What if you forget to take Prograin Tablet SR?

If you miss a dose of Prograin 40mg, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Prograin 40mg Tablet SR Reviews

Prograin 40mg helps decrease anxiety and relieve tremors. It is also used to help prevent migraine, heart-related chest pain (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension).

Prograin 40mg may also be used to treat high blood pressure and some types of abnormal heartbeat (arrhythmia). The dose will depend on what you are being treated for and how you respond to the medicine. You should always take it as prescribed by the doctor. It should be taken on an empty stomach and at about the same time each day. You should keep taking it even if you feel well, as you are still getting the benefits. If you stop taking it suddenly, your condition may worsen.

The most common side effects are tiredness, weakness cold fingers and toes (Raynaud phenomenon), irregular or slow heartbeat, numbness in your fingers, and breathlessness. You may also experience nausea, vomiting, and diarrhea. Talk to your doctor if the side effects bother you or do not go away. Most side effects are short-lived and improve as your body gets used to the medicine.

You should not use this medicine if you have asthma, very slow or uneven heartbeats, or a serious heart condition, including heart failure. Talk to your doctor before taking it if you have kidney or liver problems or chronic obstructive pulmonary disease (COPD). In terms of lifestyle, alcohol may affect the way this medicine works and should be avoided. You should not drive if this medicine makes you feel dizzy. Ask your doctor whether it is safe to take this medicine if you are pregnant or breastfeeding.

How Prograin 40mg Tablet SR Works

Prograin 40mg contains Propranolol, a beta blocker. It works by affecting the body’s response to nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for the heart to pump blood around the body. This prevents arrhythmias. It also widens the blood vessels in the body for better blood flow, thereby preventing angina as well as migraine. The exact mechanism by which it prevents tremors is not known, but experts believe that Prograin 40mg helps block the nerve impulses to the muscles responsible for tremors. Propranolol helps block the effects of the chemical messengers namely, adrenaline and noradrenaline, that are produced by the brain and are responsible for increasing your heart rate which makes you feel anxious. This way it helps with anxiety. While treating pheochromocytoma, Prograin 40mg may be given to block the action of high-adrenaline hormones, to lower the risk of developing dangerously high blood pressure during surgery for removing the tumor.

How to Use Prograin 40mg Tablet SR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Prograin 40mg is to be taken empty stomach. Avoid Prograin 40mg with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

Benefits of Prograin 40mg Tablet SR

In Prevention of Heart attack: Prograin 40mg helps lower your blood pressure and make it easier for your heart to pump blood around your body. This reduces the chances of you having a heart attack. It can also reduce the risk of dying if it is given immediately after a heart attack. This medicine needs to be taken regularly to be effective, so keep taking it even if you feel well. Do not stop without talking to your doctor.
In Prevention of migraine: Prograin 40mg helps improve the flow of blood in your brain and prevents abnormal activity of muscles that triggers migraines. It is a very effective medicine for preventing migraine attacks, however, it does not treat an attack that has already started. By preventing and reducing the frequency of migraine attacks, the medicine can help you carry out your daily activities and improve your quality of life.
In Treatment of Anxiety: Prograin 40mg stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable and sleep problems that often come with Anxiety Disorder. Prograin 40mg will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.
In Treatment of Pheochromocytoma: While carrying out surgery for the removal of pheochromocytoma, there is a risk of abnormally high blood pressure. Prograin 40mg blocks the effect of some chemicals on your heart and blood vessels. This slows down the heart rate and helps the heartbeat with less force thereby lowering your blood pressure. It is used for the immediate reduction of very high blood pressure (hypertensive emergency). Controlled blood pressure reduces the risk of having a heart attack, stroke, or kidney problems.
In Treatment of Tremors: Prograin 40mg helps improve the flow of blood and prevents abnormal activity of muscles that trigger tremors. This medicine can therefore enhance the quality of life by improving the ability to carry out daily functions in a better manner.
In Treatment of Arrhythmia: Prograin 40mg is used to stabilize heart rate. It helps in normalizing an abnormal heart rhythm, preventing it occurring in the first place or slowing down the heart rate during an episode.
In Prevention of Angina (heart-related chest pain): Prograin 40mg relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly and as long as it is prescribed for it to work effectively.
In Treatment of Hypertension (high blood pressure): Prograin 40mg relaxes the blood vessels so that blood can flow more easily around your body. This lowers your blood pressure and reduces your risk of having a stroke, a heart attack, or kidney problems in the future. You do not usually feel any direct benefit from taking this medicine, but it works in the long term to keep you well. You should take it regularly as prescribed for this medicine to be most effective, even if you feel better.

Uses of Prograin 40mg Tablet SR

Prevention of Heart attack
Treatment of Pheochromocytoma
Prevention of Angina (heart-related chest pain)
Treatment of Anxiety
Treatment of Hypertension (high blood pressure)
Treatment of Arrhythmia
Treatment of Tremors
Prevention of migraine

Prograin 40mg Tablet SR Side Effects

Safety Tips

Pregnancy ^{CONSULT YOUR DOCTOR}

Prograin 40mg may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Kidney ^CAUTION

Prograin 40mg should be used with caution in patients with severe kidney disease. Dose adjustment of Prograin 40mg may be needed. Please consult your doctor.

Alcohol ^UNSAFE

It is unsafe to consume alcohol with Prograin 40mg.

Liver ^CAUTION

Prograin 40mg should be used with caution in patients with liver disease. Dose adjustment of Prograin 40mg may be needed. Please consult your doctor.

Breast feeding ^{CONSULT YOUR DOCTOR}

Prograin 40mg is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving ^CAUTION

Your ability to drive may be affected if your blood sugar is too low or too high. Do not drive if these symptoms occur.

Quick Tips

It may hide the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly.
Use caution while driving or doing anything that requires concentration as Prograin 40mg can cause dizziness and sleepiness.
Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath as these may be symptoms of heart failure.
Inform your doctor if you notice increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath as these may be symptoms of heart failure.
Use caution while driving or doing anything that requires concentration as Prograin 40mg can cause dizziness and sleepiness.
Do not stop taking the medication suddenly without talking to your doctor.
It may hide the symptoms of low blood sugar if you have diabetes. Monitor blood sugar levels regularly.
It is not the first-choice treatment for high blood pressure according to the latest guidelines.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
It is not the first-choice treatment for high blood pressure according to the latest guidelines.
Do not stop taking the medication suddenly without talking to your doctor.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.

References

Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1162-63.
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198.
Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings.
Central Drugs Standard Control Organisation (CDSCO).
Benowitz NL. Antihypertensive Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 175-76.
Opie LH. β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 28-29.
Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 320.