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Propranolol Hydrochloride 0.5 mg/mL Oral Suspension

Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, propranolol hydrochloride, is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration.

This formulation is primarily used to manage conditions such as hypertension, angina pectoris, and certain types of arrhythmias. It is also effective in treating essential tremor, preventing migraine headaches, and managing symptoms of anxiety.

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Propranolol Hydrochloride
Suspension
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Formula Information

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Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is a liquid medication formulated to provide precise dosing of propranolol, a non-selective beta-adrenergic antagonist. This suspension offers a homogeneous mixture, ensuring uniform distribution of the active ingredient in each dose. It is particularly beneficial for patients who have difficulty swallowing tablets or require tailored dosing regimens.

Propranolol is commonly used in the management of various cardiovascular conditions such as hypertension (high blood pressure), angina pectoris (chest pain due to heart-related issues), and arrhythmias (irregular heartbeats). It is also prescribed for the prevention of migraine headaches and to reduce the severity and frequency of migraines. By blocking beta-adrenergic receptors, propranolol decreases heart rate, myocardial contractility, and blood pressure, thus reducing the workload on the heart.

This 0.5 mg/mL oral suspension allows for flexible dosing adjustments, making it suitable for pediatric patients or individuals who need dose modifications based on their specific medical conditions and responses to therapy. The liquid form enables caregivers and healthcare providers to administer accurate doses that may not be achievable with standard tablet forms.

Patients using Propranolol Oral Suspension should be aware of possible side effects, including dizziness, fatigue, nausea, and bradycardia (slow heart rate). It is important to monitor for signs of hypotension (low blood pressure) and to report any unusual symptoms to a healthcare provider promptly. Propranolol may mask signs of hypoglycemia (low blood sugar) in diabetic patients, so regular monitoring of blood glucose levels is advised.

Healthcare professionals should consider contraindications such as bronchial asthma, severe bradycardia, and certain cardiac conditions before prescribing this medication. Caution is recommended when administering propranolol to patients with respiratory disorders, peripheral vascular disease, or hepatic and renal impairments. Drug interactions may occur with other antihypertensives, antiarrhythmics, or medications that affect hepatic enzyme activity.

For optimal effectiveness, the oral suspension should be stored at room temperature, away from excessive heat and moisture. Shake the bottle well before each use to ensure the medication is evenly dispersed. Use a medically approved measuring device or syringe to accurately measure each dose as prescribed by a healthcare provider.

If you have any questions, reach out to us.

Drug Interactions

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Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is a liquid dosage form in which propranolol, a non-selective beta-adrenergic receptor blocker, is uniformly dispersed throughout a liquid medium. This formulation is used to manage various cardiovascular conditions, including hypertension, angina pectoris, and arrhythmias, as well as other conditions such as migraine prophylaxis and essential tremor. While effective, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of propranolol when used in this form.

Concomitant use of propranolol with other antihypertensive agents, such as calcium channel blockers (e.g., verapamil, diltiazem), can lead to additive effects, potentially causing hypotension or bradycardia. Patients should be monitored closely for signs of excessive cardiovascular effects. Additionally, the combination with other beta-blockers is generally not recommended due to the risk of additive negative effects on heart rate and blood pressure.

Propranolol may interact with antiarrhythmic drugs like amiodarone or quinidine, which can enhance the negative inotropic and chronotropic effects of propranolol, leading to increased risk of bradycardia, heart block, or heart failure. Caution is advised, and dose adjustments may be necessary.

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen may reduce the antihypertensive effects of propranolol by inhibiting renal prostaglandin synthesis, which can lead to fluid retention and increased blood pressure. Patients should be advised to use NSAIDs cautiously and under medical supervision.

Concomitant use of propranolol with insulin or oral hypoglycemic agents may mask the symptoms of hypoglycemia, such as tachycardia. Patients with diabetes should be informed of this potential interaction and advised to monitor their blood glucose levels closely.

Propranolol can also interact with drugs that affect hepatic enzyme activity. For instance, cimetidine, a known CYP450 enzyme inhibitor, can increase propranolol plasma levels, enhancing its effects and potential side effects. Conversely, drugs like rifampin, which induce hepatic enzymes, may decrease propranolol levels, reducing its efficacy.

Alcohol consumption may enhance the hypotensive effect of propranolol, leading to increased risk of dizziness or fainting. Patients should be advised to limit alcohol intake while on this medication.

Patients and prescribers should be aware of these potential interactions and manage them appropriately to ensure the safe and effective use of Propranolol Hydrochloride 0.5 mg/mL Oral Suspension. If you have any questions or require further information, please reach out to us at Bayview Pharmacy.

How Does it Work

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Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, propranolol hydrochloride, in a uniform and easily administrable manner. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require precise dosing adjustments, such as pediatric or geriatric patients. The suspension ensures that the medication is evenly distributed throughout the liquid medium, allowing for consistent dosing with each administration.

Propranolol is a non-selective beta-adrenergic receptor blocker, commonly known as a beta-blocker. It works by inhibiting the action of certain natural chemicals in the body, such as epinephrine, on the heart and blood vessels. This action results in a decrease in heart rate, blood pressure, and strain on the heart. By reducing these parameters, propranolol is effective in treating a variety of cardiovascular conditions, including hypertension, angina pectoris, and certain types of arrhythmias. Additionally, it is used in the management of other conditions such as migraine prophylaxis, essential tremor, and anxiety.

In the context of hypertension, propranolol helps to lower blood pressure by reducing cardiac output and inhibiting renin release from the kidneys. For angina, it decreases myocardial oxygen demand by lowering heart rate and contractility, thus alleviating chest pain. In arrhythmias, propranolol stabilizes heart rhythm by slowing down electrical conduction in the heart. For migraine prevention, it is believed to work by stabilizing vascular tone and reducing the frequency and severity of migraine attacks. In cases of essential tremor, propranolol reduces the amplitude of tremors by blocking peripheral beta-adrenergic receptors. For anxiety, it mitigates physical symptoms such as tachycardia and palpitations by dampening the sympathetic nervous system response.

The oral suspension form of propranolol hydrochloride allows for flexible dosing, which is crucial for titrating the dose to achieve optimal therapeutic effects while minimizing side effects. This is particularly important in populations with varying metabolic rates or those who require gradual dose adjustments. The liquid form also facilitates administration in patients with swallowing difficulties or those who require enteral feeding.

Patients and prescribers should be aware that the effectiveness of propranolol can be influenced by factors such as liver function, as the drug is metabolized hepatically. It is important to follow the prescribed dosing regimen and consult with healthcare providers for any concerns or side effects. As with any medication, adherence to prescribed instructions and regular monitoring are key to achieving the desired therapeutic outcomes.

If you have any questions or need further information about Propranolol Hydrochloride 0.5 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Other Uses

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Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is primarily used for managing cardiovascular conditions such as hypertension, angina, and arrhythmias. However, this formulation has several other potential uses that may benefit patients with different medical needs. One notable use of propranolol is in the management of anxiety disorders, particularly performance anxiety or situational anxiety. By blocking the effects of adrenaline, propranolol can help reduce physical symptoms of anxiety such as rapid heartbeat, trembling, and sweating, providing a calming effect for patients facing stressful situations.

Additionally, propranolol has been used off-label for the prevention of migraine headaches. It is believed to work by stabilizing blood vessels in the brain, thereby reducing the frequency and severity of migraine attacks. Patients who suffer from frequent migraines may find this formulation beneficial as part of their preventive treatment regimen. Furthermore, propranolol has shown efficacy in treating essential tremor, a neurological disorder that causes involuntary and rhythmic shaking. By dampening the overactivity of the nervous system, propranolol can help alleviate the symptoms of tremor, improving the quality of life for affected individuals.

Propranolol is also sometimes used in the management of certain types of thyroid disorders, such as hyperthyroidism, where it helps control symptoms like rapid heart rate and anxiety until more definitive treatments take effect. In some cases, propranolol may be prescribed for patients with hypertrophic cardiomyopathy, a condition characterized by thickened heart muscle, to help improve heart function and reduce symptoms.

For prescribers considering this formulation for their patients, it is important to assess the individual needs and medical history of each patient, as propranolol may not be suitable for everyone, particularly those with asthma or certain heart conditions. Patients should be informed about the potential side effects, such as fatigue, dizziness, or gastrointestinal disturbances, and advised to report any adverse reactions. As always, if you have any questions or need further information about the use of Propranolol Hydrochloride 0.5 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in making informed decisions about their treatment options.

Frequently Asked Questions

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What is Propranolol Hydrochloride 0.5 mg/mL Oral Suspension?

Propranolol Hydrochloride 0.5 mg/mL Oral Suspension is a liquid dosage form where Propranolol is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

How should I store Propranolol Hydrochloride Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use. Do not freeze the suspension.

How do I measure the correct dose of Propranolol Hydrochloride Oral Suspension?

Use a proper measuring device, such as an oral syringe or a medicine cup, to ensure you are taking the correct dose. Do not use household spoons as they may not provide an accurate measurement.

Can I mix Propranolol Hydrochloride Oral Suspension with food or drinks?

It is generally recommended to take the suspension as directed by your healthcare provider. If you have difficulty taking it, consult your healthcare provider before mixing it with food or drinks.

What should I do if I miss a dose of Propranolol Hydrochloride Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Propranolol Hydrochloride Oral Suspension?

Common side effects may include dizziness, fatigue, and nausea. If you experience severe side effects such as difficulty breathing or swelling, seek medical attention immediately.

Can children take Propranolol Hydrochloride Oral Suspension?

Propranolol Hydrochloride Oral Suspension can be prescribed to children, but the dosage and administration should be determined by a healthcare provider based on the child's specific needs.

How does Propranolol Hydrochloride Oral Suspension work?

Propranolol works by blocking beta-adrenergic receptors, which helps to reduce heart rate, blood pressure, and strain on the heart, making it effective for treating various cardiovascular conditions.

Is it safe to take Propranolol Hydrochloride Oral Suspension during pregnancy?

If you are pregnant or planning to become pregnant, consult your healthcare provider before taking Propranolol. They will weigh the potential benefits and risks to determine if it is safe for you.

Can I drive or operate machinery while taking Propranolol Hydrochloride Oral Suspension?

Propranolol may cause dizziness or fatigue. If you experience these side effects, avoid driving or operating heavy machinery until you know how the medication affects you.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.