Product image of Inderal (Propranolol Hydrochloride) supplied by GNH India

Inderal

Active Ingredient:
Propranolol Hydrochloride
Origin:
EU

Inderal (Propranolol Hydrochloride)

Propranolol Hydrochloride, the active ingredient in Inderal, is a beta blocker presented as an oral tablet for oral use. It reduces heart rate, myocardial contractility and blood pressure and is used in adults with hypertension, angina, arrhythmias, migraine prophylaxis and essential tremor.

GNH India supplies Inderal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Atnahs Pharma Netherlands B.V.

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Indications & Clinical Uses

Inderal, a non‑selective beta‑adrenergic antagonist, is employed across several cardiovascular and neurological conditions.

  • Hypertension: lowers systolic and diastolic pressure to reduce cardiovascular risk.
  • Angina pectoris: decreases myocardial oxygen demand, relieving chest pain.
  • Myocardial infarction prophylaxis: reduces recurrence of heart attacks after an initial event.
  • Arrhythmias: stabilises abnormal heart rhythms by slowing conduction.
  • Migraine prophylaxis: prevents migraine attacks by modulating vascular tone.
  • Essential tremor: diminishes tremor amplitude in patients with this movement disorder.

How It Works

  • Propranolol Hydrochloride acts as a non‑selective antagonist of β1 and β2 adrenergic receptors. By blocking these receptors, it diminishes catecholamine‑induced stimulation of the heart, leading to reduced heart rate, contractility, and renin release. The resulting decrease in cardiac output and peripheral resistance lowers blood pressure and mitigates ischemic demand, while central nervous system effects contribute to migraine and tremor control.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Fatigue or drowsiness
  • Dizziness, especially on standing
  • Cold extremities or reduced peripheral circulation
  • Gastrointestinal upset such as nausea or abdominal cramps
  • Sleep disturbances, including vivid dreams
  • Mild bronchospasm in susceptible individuals

Serious or Rare Side Effects

  • Severe bradycardia or heart block
  • Hypotension leading to syncope
  • Exacerbation of asthma or chronic obstructive pulmonary disease
  • Depressive mood changes or suicidal thoughts
  • Masking of hypoglycaemia symptoms in diabetic patients
  • Allergic reactions such as rash, angioedema, or anaphylaxis

Precautions & Warnings

Before initiating therapy, consider patient‑specific factors and monitor for adverse events.

  • Cardiovascular disease: assess baseline heart rate and blood pressure.
  • Respiratory conditions: avoid in uncontrolled asthma or severe COPD.
  • Diabetes: monitor blood glucose as symptoms of hypoglycaemia may be blunted.
  • Thyroid disorders: use caution in hyperthyroidism due to potential for exaggerated heart rate changes.
  • Concomitant depression: observe for mood alterations.
  • Store at ambient temperature below 25°C: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Propranolol may alter the pharmacokinetics or pharmacodynamics of several agents.

Major Interactions (Avoid)

  • Calcium channel blockers (e.g., verapamil, diltiazem): risk of profound bradycardia and AV block.
  • Anti‑arrhythmic drugs (e.g., amiodarone, flecainide): additive conduction slowing.
  • Non‑selective β‑blockers combined with other β‑blockers: excessive β‑blockade.

Moderate Interactions (Monitor Closely)

  • Antidiabetic agents (insulin, sulfonylureas): may potentiate hypoglycaemia.
  • NSAIDs and selective COX‑2 inhibitors: can attenuate antihypertensive effect.
  • Antidepressants (e.g., SSRIs, tricyclics): may increase plasma propranolol levels.
  • Antithyroid drugs: monitor thyroid function tests.

Frequently Asked Questions

Inderal (propranolol hydrochloride) is prescribed for several cardiovascular and neurological conditions, including hypertension, angina pectoris, prevention of recurrent myocardial infarction, various cardiac arrhythmias, migraine prophylaxis, and essential tremor. The drug’s non‑selective beta‑blocking activity helps control heart rate, blood pressure, and vascular tone, which underlies its therapeutic benefits across these indications.

Propranolol hydrochloride blocks both β1 and β2 adrenergic receptors, preventing catecholamines such as adrenaline from binding. This inhibition reduces heart rate, myocardial contractility, and renin release, leading to lower cardiac output and blood pressure. In the central nervous system, beta‑blockade modulates neurotransmitter release, contributing to migraine prevention and tremor reduction.

The appropriate dose of Inderal is individualized by the prescribing clinician based on the specific indication, patient age, renal and hepatic function, and response to therapy. Dosage regimens can range from low daily doses for migraine prophylaxis to higher divided doses for hypertension or angina. Patients should follow the exact dosing instructions provided by their healthcare professional.

The safety of propranolol hydrochloride during pregnancy and lactation has not been definitively established, and it is classified as a pregnancy category with unknown risk. Clinicians weigh potential benefits against possible risks to the fetus or infant. Breastfeeding mothers should discuss alternatives with their physician, as propranolol can be excreted in breast milk.

To request Inderal, visit the product page on gnhindia.com, enter the desired quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifying trade or institutional credentials before providing pricing, availability, shipping details (including any required temperature control), and import documentation.

Inderal is a non‑selective beta blocker, meaning it blocks both β1 and β2 receptors, whereas some alternatives like atenolol or metoprolol are β1‑selective. Non‑selective agents may be more effective for conditions such as migraine prophylaxis and essential tremor, but they can also affect bronchial smooth muscle, requiring caution in asthmatic patients. Choice of therapy depends on the clinical scenario and patient tolerance.

Inderal should be stored at ambient temperature below 25 °C. Keep the tablets in their original packaging to protect them from moisture and light. Do not store in areas with high humidity or direct sunlight, and keep out of reach of children.

Inderal is taken orally, usually as a tablet swallowed whole with a glass of water. It can be taken with or without food, but consistency with meals may help reduce gastrointestinal discomfort. The exact dosing schedule—once daily, twice daily, or more frequent—depends on the prescribed regimen and the condition being treated.

Serious adverse events, though uncommon, include severe bradycardia, heart block, profound hypotension, bronchospasm in patients with reactive airway disease, and masking of hypoglycaemia symptoms in diabetic individuals. Patients should seek immediate medical attention if they experience fainting, extreme fatigue, difficulty breathing, or signs of allergic reaction such as rash or swelling.

Inderal is contraindicated in patients with known hypersensitivity to propranolol or any component of the formulation, those with severe bradycardia, second‑ or third‑degree heart block, uncompensated heart failure, or uncontrolled asthma/COPD. Caution is also advised for individuals with severe peripheral vascular disease, untreated pheochromocytoma, or acute decompensated heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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