1. What Inderal is and what it is used for
2. What you need to know before you take Inderal
3. How to take Inderal
4. Possible side effects
5. How to store Inderal
6. Contents of the pack and other information

• If you are allergic to propranolol or any of the other ingredients of this medicine (listed in section 6).

Talk to your doctor or pharmacist before taking Inderal.

Inderal should also not be taken by people with heart failure which is not under control or people with certain other conditions such as heart block, very slow or very irregular heartbeats, very low blood pressure or very poor circulation. It should also not be taken by people who are fasting or have been fasting recently, people who have phaeochromocytoma (high blood pressure due to a tumour usually near the kidney) which is not being treated or by people who have metabolic acidosis or a particular type of chest pain called Prinzmetal’s angina. Your doctor will know about these conditions. If you have one of these conditions, make sure your doctor knows about it before you take Inderal.

Talk to your doctor or pharmacist before taking Inderal if you:

• Get allergic reactions to such things as insect stings.
• Have diabetes as Inderal may change your normal response to low blood sugar, which usually involves an increase in heart rate. Inderal may cause low blood sugar levels even in patients who are not diabetic.
• Suffer from unstable angina (non exercise-induced sharp chest pain).
• Have thyrotoxicosis. Inderal may hide the symptoms of thyrotoxicosis.
• Have kidney or liver problems (including cirrhosis of the liver). If so, talk to your doctor because you may need to have some check-ups during your treatment.
• Have any other health problems such as circulation disorders, heart problems, breathlessness or swollen ankles.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Inderal can interfere with the action of some other drugs and some drugs can have an effect on your medicine. The drugs which can cause some problems when taken together with your medicine are:

• Verapamil
• Diltiazem
• Nifedipine
• Nisoldipine
• Nicardipine
• Isradipine
• Lacidipine, (which are used to treat hypertension or angina)
• Disopyramide
• Lidocaine
• Quinidine
• Amiodarone or propafenone (for irregular heartbeats)
• Digoxin (for heart failure)
• Adrenaline (a heart stimulant)
• Ibuprofen and indometacin (for pain and inflammation)
• Ergotamine, dihydroergotamine or rizatriptan (for migraine)
• Chlorpromazine and thioridazine (for certain psychiatric disorders)
• Cimetidine (for stomach problems)
• Rifampicin (for the treatment of tuberculosis)
• Theophylline (for asthma)
• Warfarin (to thin the blood) and hydralazine (for hypertension).

If you are taking clonidine (for hypertension or migraine) and Inderal together, you must not stop taking clonidine unless your doctor tells you to do so. If it becomes necessary for you to stop taking clonidine, your doctor will give you careful instructions on how to do it.

Alcohol may affect how this medicine works.

If you go into hospital to have an operation, tell the anaesthetist or the medical staff that you are taking Inderal.

Your medicine is unlikely to affect your ability to drive or to operate machinery. However, some people may occasionally feel dizzy or tired when taking Inderal. If this happens to you, ask your doctor for advice.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Inderal contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Propranolol is severely toxic if used in overdose. If you have accidently taken more than the prescribed dose or are experiencing symptoms of overdose, you should urgently seek medical attention.

If you accidentally take an overdose of your medicine, either call your doctor straight away, or go to your nearest hospital casualty department. Always take any remaining tablets, the container and the label with you, so that the medicine can be identified.

If you forget to take your medicine, take your dose when you remember and then take your next dose at the usual time. Don’t take two doses at the same time. If you are worried, ask your doctor or pharmacist for advice.

Do not stop taking your medicine without talking to your doctor first. In some cases, it may be necessary to stop taking the medicine gradually.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

The active ingredient is propranolol. Inderal is produced as film-coated tablets in two different strengths. Each tablet contains 10 mg or 40 mg of propranolol hydrochloride.

Your medicine also contains the following inactive ingredients:

Core: calcium carboxymethylcellulose, gelatin (E441), lactose, magnesium stearate.

Coating: carmine (E120), hypromellose (E464), titanium dioxide (E171) and glycerol (E422).

Inderal 10 mg and Inderal 40 mg film-coated tablets are produced in packs of 50 tablets.

Inderal 10 mg film-coated tablets are pink, round, biconvex, impressed with ‘10’ on one face and a score line on the reverse face. Diameter of each film-coated tablet is approximately 6.5 mm.

Inderal 40 mg film-coated tablets are pink, round, biconvex, impressed with ‘40’ on one face and a score line on the reverse face. Diameter of each film-coated tablet is approximately 8.5 mm.

The Marketing Authorisations for Inderal Tablets are held by

Inderal is manufactured by