Manoprolol 20 MG Tablet
Description
Manoprolol 20 MG Tablet is a popular non-selective beta blocker medicine that is used for the lowering of high blood pressure and relieving chest pain caused due to reduced blood flow to the heart. It is also used for treating complications associated with heart, blood vessels, and other organs.
Side effects
Major & minor side effects for Manoprolol 20 MG Tablet
In addition to its intended effect, Manoprolol 20 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately.
- Dizziness
- Diarrhea
- Difficulty in breathing severe
- Skin blistering severe
- Swelling of face, lips, eyelids, tongue, hands and feet severe
- Irregular heartbeat severe
- Weight gain
- Hypotension severe
- Chest pain and discomfort severe rare
This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Highlights
Commonly asked questions for Manoprolol 20 MG Tablet
Onset of action
The effect of this medicine can be observed within 1-2 hours of oral administration. However, time taken for a visible change in symptoms may vary based on the condition for which it is taken.
Duration of effect
The effect of a conventional tablet lasts for 6-12 hours upon oral administration. This duration may increase to 24 hours if an extended release form is administered.
Safe with alcohol?
moderateUse of alcohol should be avoided especially when you start taking this medicine medicine or a change its dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.
Is it habit forming?
No habit forming tendencies were reported.
Usage in pregnancy?
This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.
Usage while breast-feeding?
This medicine has not known to cause any alarming side effects on the infant as the amount passed through milk is very less. However, caution should be exercised and the medicine should be used only when the potential benefits outweigh the risks associated. Consult your doctor before taking this medicine.
Substitutes
List of substitutes for Manoprolol 20 MG Tablet
Below is the list of medicines, which have the same composition, strength and form as Manoprolol 20 MG Tablet , and hence can be used as its substitute.
What is it prescribed for?
Uses of Manoprolol 20 MG Tablet
- HypertensionManoprolol 20 MG Tablet is used for the management of high blood pressure. It may be used as a single medicine or in combination with others.
- Angina pectorisManoprolol 20 MG Tablet is used to decrease the frequency of occurrence of chest pain and also increase exercise tolerance.
- Migraine preventionManoprolol 20 MG Tablet is used for the prevention of migraine headaches. However, the efficacy of this medicine in relieving migraine headaches is unknown.
- Hypertrophic subaortic stenosisManoprolol 20 MG Tablet is used in this condition for improving the capacity to perform physical work.
- Heart rhythm disordersManoprolol 20 MG Tablet is used to treat irregularities in the heart beat rhythm.
- Heart AttackManoprolol 20 MG Tablet is used during the early stages of treatment of heart attack.
- Essential tremorManoprolol 20 MG Tablet is used to treat the symptoms of tremor, where a part of the body starts to shake without any control.
- PheochromocytomaManoprolol 20 MG Tablet is used for the treatment of symptoms caused due to adrenal gland tumor.
When not to use?
Contraindications for Manoprolol 20 MG Tablet
- AllergyManoprolol 20 MG Tablet is not recommended for people who have a known history of allergy to it or any other component of the medicine.
- Heart FailureManoprolol 20 MG Tablet is not recommended for use in patients who have severe heart failure and are getting emergency attention.
- Heart rhythm disordersManoprolol 20 MG Tablet is not recommended for people having a significant decrease in heart rate.
- AsthmaManoprolol 20 MG Tablet is not recommended for use if you have asthma or other obstructive diseases of the lung.
Dosage
Missed / Overdose instructions
Missed Dose
Overdose
Interactions
Whenever you take more than one medicine, or mix it with certain foods or beverages, you’re at risk of a drug interaction.
Interaction with Alcohol moderate
Description
- Using alcohol while taking Manoprolol 20 MG Tablet may cause an additional lowering of the blood pressure. This may result in some very severe complications over time.
Instructions
- Use of alcohol should be avoided especially when you start taking this medicine medicine or a change its dosage. Symptoms like headache, dizziness, change in pulse or heart rate should be reported to the doctor.
Interaction with Medicine
- Amlodipinemoderate
- Diltiazemsevere
- Lidocainemoderate
- Aminophyllinesevere
- Diclofenacmoderate
- Formoterolsevere
- Epinephrinesevere
Other Interactions
Disease
Food
Lab Test
Asthma
severeManoprolol 20 MG Tablet should not be used in patients suffering from bronchial asthma or Chronic Obstructive Pulmonary Disease. Report the incidence of Asthma or other obstructive diseases to your doctor so that Manoprolol 20 MG Tablet can be substituted with another medicine.
Heart Disease
severeManoprolol 20 MG Tablet is not recommended for use if you suffer from a heart condition. Heart failure, a disease of the blood vessels, rhythm disorders etc should be informed to the doctor before Manoprolol 20 MG Tablet is prescribed. It is likely that the symptoms of heart disease may worsen and hence caution is advised.
Diabetes
severeManoprolol 20 MG Tablet should be used with caution in patients suffering from diabetes or have a condition where the likelihood of a sudden decrease in blood sugar levels is high.
Allergy
severeManoprolol 20 MG Tablet should be used with caution if you have seasonal allergies or are allergic to certain specific substances like pollen, cheese etc. The frequency of allergic attacks may increase and medicine to treat allergy might become less effective.
This is not an exhaustive list of interactions. Always inform your doctor beforehand about your medical history and current medications.
General Instructions
Take Manoprolol 20 MG Tablet as instructed by the doctor. Your dose is subject to change based on the effect and tolerance. Do not take this medicine in quantities smaller or larger than recommended. This medicine can be taken with or without food. It is advised to take this medicine at the same time every day. The medicine should not be abruptly withdrawn.
Warnings
Pregnancy
This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Even if the medicine is used, the dose should be as low as possible and should be discontinued at least 2-3 days before delivery.
Breast-feeding
This medicine has not known to cause any alarming side effects on the infant as the amount passed through milk is very less. However, caution should be exercised and the medicine should be used only when the potential benefits outweigh the risks associated. Consult your doctor before taking this medicine.
May exacerbate ischemic heart disease after abrupt withdrawal. Hypersensitivity to catecholamines has been observed during withdrawal. Exacerbation of angina and, in some cases, myocardial infarction occurrence after abrupt discontinuance. When discontinuing long-term administration of beta blockers (particularly with ischemic heart disease), gradually reduce dose over 1-2 weeks and carefully monitor If angina markedly worsens or acute coronary insufficiency develops, reinstate beta-blocker administration promptly, at least temporarily (in addition to other measures appropriate for unstable angina). Warn patients against interruption or discontinuance of beta-blocker therapy without physician advice Because coronary artery disease is common and may be unrecognized, slowly discontinue beta-blocker therapy, even in patients treated only for hypertension.
Heart failure
Manoprolol 20 MG Tablet can cause heart failure, especially in people having a heart disease. Suitable dose adjustment and safety monitoring might be required based on the severity of the disease.
Allergy
Manoprolol 20 MG Tablet should be used with caution if you have seasonal allergies or allergy to specific food substances. Use of this medicine can increase the frequency and severity of allergies.
Asthma
Manoprolol 20 MG Tablet should be used with caution in patients having asthma or other obstructive diseases.
Diabetes and hypoglycemia
Manoprolol 20 MG Tablet should be administered with caution in patients having elevated blood sugar levels. Some adverse effects may not be evident in these cases and hence doctor's intervention is a must before taking this medicine.
Thyrotoxicosis
Manoprolol 20 MG Tablet should be administered with caution in patients having elevated thyroid hormone level. Some adverse effects may not be evident in these cases. Hence doctor's intervention is a must before taking this medicine.
Sports
It is advised to not indulge in certain sports while Manoprolol 20 MG Tablet is consumed. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicines published by World Anti-Doping Agency which are not to be taken while participating in specific sports events.
Other medicines
Manoprolol 20 MG Tablet tends to react with other medicines used for conditions like high blood pressure, heart failure, asthma, painful conditions etc. Inform your doctor about other medicines including supplements and herbs.
Pediatric use
The extended release form this medication should not be administered in children below 17 years of age.
Other details
Legal Status
References
- DailyMed - PROPRANOLOL HYDROCHLORIDE- propranolol hydrochloride capsule, extended release [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 15 March 2017]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a4edba76-29b8-41fb-bf0b-d4633abba003
- Inderal, Inderal LA (propranolol) dosing, indications, interactions, adverse effects, and more [Internet]. Reference.medscape.com. 2017 [cited 15 March 2017]. Available from: http://reference.medscape.com/drug/inderal-inderal-la-propranolol-342364#0
- Propranolol - FDA prescribing information, side effects and uses [Internet]. Drugs.com. 2017 [cited 15 March 2017]. Available from: https://www.drugs.com/pro/propranolol.html
- propranolol | C16H21NO2 - PubChem [Internet]. Pubchem.ncbi.nlm.nih.gov. 2017 [cited 15 March 2017]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/4946#section=Top
- Propranolol, Oral Tablet [Internet]. Healthline. 2017 [cited 15 March 2017]. Available from: http://www.healthline.com/health/propranolol/oral-tablet#Highlights1
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