Monograph Details

Pain & Pyrexia > Migraine and headache
INDERAL LA
Manufacturer
Akrimax Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
β-blocker.
Generic Name
Propranolol HCl 60mg, 80mg, 120mg, 160mg; sust rel caps.
Also
INDERAL
Indications
Migraine prophylaxis.
Children
Not recommended.
Adults
Initially 80mg daily. Usual range: 160–240mg daily. Discontinue if poor result after 4–6 weeks.
Contraindications
Asthma. Sinus bradycardia. 2nd- or 3rd-degree AV block. Overt heart failure. Cardiogenic shock.
Precautions
CHF. Wolff-Parkinson-White syndrome. Renal or hepatic dysfunction. Bronchospastic disease, COPD. Diabetes. Hyperthyroidism. Surgery. SLE. Avoid abrupt cessation. Elderly. Pregnancy (Cat.C). Nursing mothers.
Interactions
Potentiated by alcohol, CNS depressants, other antihypertensives, antithyroid drugs, haloperidol, chlorpromazine, cimetidine. Bradycardia with catecholamine-depleting drugs. Antagonized by NSAIDs, barbiturates, rifampin, phenytoin. May increase cardiac effects of calcium channel blockers, digitalis, lidocaine. Potentiates theophylline, antipyrine, lidocaine. May block epinephrine. May interfere with glaucoma screening tests.
Adverse Reactions
Heart failure, hypotension, bronchospasm, bradycardia, heart block, fatigue, dizziness, depression, GI upset, skin reactions (eg, rash, Stevens-Johnson syndrome, urticaria), pharyngitis, agranulocytosis.
How Supplied
Tabs 60mg—100
10mg, 20mg, 40mg, 80mg—100, 5000
LA—100
Additional Resources
Related Prescribing Note