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Propranolol Hydrochloride 20 mg Capsules (Gluten Free)

FDA-approved generic
Dose form
Capsules
Active ingredients
Propranolol Hydrochloride

Propranolol Hydrochloride 20 mg Capsules (Gluten Free) are solid dosage forms composed of two gelatin or vegetarian shells that enclose the medication. This formulation allows for convenient and easy swallowing, providing a precise dosage of the active ingredient.

These capsules are used in the management of various conditions, including hypertension, angina pectoris, and certain types of arrhythmias.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Propranolol Hydrochloride
Capsules
66fd7b0bdc31c32733aec9f2
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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Propranolol Hydrochloride 20 mg Capsules (Gluten Free) are a solid dosage form designed for convenient administration and precise dosing of the active ingredient, propranolol hydrochloride. Each capsule consists of two gelatin or vegetarian shells that enclose the medication, ensuring easy swallowing and optimal bioavailability.

Propranolol hydrochloride is a non-selective beta-adrenergic receptor blocker widely used in the management of various cardiovascular conditions. It works by blocking the action of epinephrine and norepinephrine on beta receptors, which results in decreased heart rate, myocardial contractility, and blood pressure. Additionally, propranolol is utilized in the management of migraines, essential tremor, and certain forms of anxiety due to its ability to reduce sympathetic nervous system activity.

This gluten-free formulation is particularly beneficial for patients with celiac disease or gluten sensitivities, as it eliminates the risk of gluten-related adverse effects. By compounding the medication without gluten-containing excipients, we ensure that sensitive patients can safely receive their prescribed therapy without compromise.

For prescribers, this formulation offers flexibility in dosing and administration, especially for patients who may require a specific dosage not readily available commercially or those who have difficulty swallowing tablets. The capsule form allows for customized dosing regimens and can be an essential option in personalized patient care.

Patients prescribed this medication should adhere strictly to their dosing schedule as directed by their healthcare provider. It is important to take propranolol consistently, either with or without food, to maintain steady plasma levels. Abrupt discontinuation should be avoided, as it may lead to rebound hypertension or exacerbation of angina symptoms.

Common side effects may include fatigue, dizziness, lightheadedness, or gastrointestinal discomfort. Patients should be advised to monitor their response to the medication and report any persistent or severe adverse effects to their healthcare provider promptly.

If you have any questions, reach out to us.

Drug Interactions

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Propranolol Hydrochloride 20 mg Capsules, formulated as gluten-free solid dosage forms, are designed to provide a precise dosage of the active ingredient, propranolol, enclosed within gelatin or vegetarian shells for convenient and easy swallowing. Propranolol is a non-selective beta-adrenergic receptor blocker commonly used to manage various cardiovascular conditions, including hypertension, angina pectoris, and arrhythmias, as well as other conditions such as migraine prophylaxis and essential tremor.

When considering the use of Propranolol Hydrochloride 20 mg Capsules, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Propranolol can interact with a wide range of medications, leading to either increased or decreased effects of propranolol or the co-administered drugs. Patients and prescribers should be vigilant about these interactions to optimize therapeutic outcomes and minimize adverse effects.

Concomitant use of propranolol with other antihypertensive agents, such as calcium channel blockers (e.g., verapamil, diltiazem), can lead to additive effects on blood pressure and heart rate, potentially resulting in bradycardia, hypotension, or heart block. Therefore, careful monitoring of cardiovascular parameters is recommended when these drugs are used together. Additionally, combining propranolol with other beta-blockers or antiarrhythmic agents may enhance the risk of adverse cardiac effects.

Propranolol may also interact with medications that affect liver enzymes responsible for drug metabolism, such as CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) and inducers (e.g., rifampin, phenytoin). Inhibitors can increase propranolol plasma concentrations, heightening the risk of adverse effects, while inducers may decrease its effectiveness. Dose adjustments may be necessary when these drugs are co-administered.

Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce the antihypertensive effects of propranolol by promoting sodium and water retention. Patients using NSAIDs concurrently with propranolol should have their blood pressure monitored regularly to ensure adequate control. Furthermore, the use of propranolol with insulin or oral hypoglycemic agents may mask the symptoms of hypoglycemia, such as tachycardia, necessitating close monitoring of blood glucose levels in diabetic patients.

Alcohol consumption can potentiate the hypotensive effects of propranolol, leading to increased dizziness or fainting. Patients should be advised to limit alcohol intake while on propranolol therapy. Additionally, caution is advised when propranolol is used with central nervous system depressants, such as benzodiazepines or opioids, as it may enhance their sedative effects.

Patients and prescribers should also be aware of the potential interaction between propranolol and thyroid medications. Propranolol can mask the clinical signs of hyperthyroidism, such as tachycardia, and abrupt withdrawal in patients with hyperthyroidism may precipitate a thyroid storm. Therefore, any changes in thyroid medication should be closely monitored.

It is essential for patients to inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to assess for potential interactions. Prescribers should evaluate the risk-benefit profile of propranolol in the context of the patient's overall medication regimen. If you have any questions or need further information, please reach out to us at Bayview Pharmacy.

How Does it Work

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Propranolol Hydrochloride 20 mg Capsules are a solid dosage form designed to deliver a precise amount of the active ingredient, propranolol hydrochloride, in a convenient and easy-to-swallow format. These capsules are composed of two gelatin or vegetarian shells that enclose the medication, ensuring that each dose is consistent and reliable. The formulation is gluten-free, making it suitable for patients with gluten sensitivities or celiac disease.

Propranolol is a non-selective beta-adrenergic receptor blocker, commonly known as a beta-blocker. It works by blocking the action of certain natural chemicals in the body, such as epinephrine, on the heart and blood vessels. This action helps to reduce heart rate, blood pressure, and strain on the heart. It is also used in the management of other conditions such as migraine prophylaxis, essential tremor, and certain types of anxiety.

When a patient ingests the capsule, the gelatin or vegetarian shell dissolves in the stomach, releasing the propranolol hydrochloride. The active ingredient is then absorbed into the bloodstream through the gastrointestinal tract. Once in the bloodstream, propranolol exerts its therapeutic effects by competitively inhibiting beta-adrenergic receptors, which are part of the sympathetic nervous system. This inhibition leads to a decrease in heart rate and cardiac output, as well as a reduction in the release of renin from the kidneys, which collectively contribute to lowering blood pressure and reducing the workload on the heart.

For prescribers, it is important to consider the patient's overall health status, including any existing medical conditions and concurrent medications, as propranolol can interact with other drugs and may not be suitable for individuals with certain conditions such as asthma or severe bradycardia. The 20 mg dosage allows for flexibility in titrating the dose to achieve the desired therapeutic effect while minimizing potential side effects. Patients should be advised to take the medication as prescribed and to report any adverse effects or concerns to their healthcare provider.

If you have any questions about Propranolol Hydrochloride 20 mg Capsules or how they may be used to treat specific conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need.

Other Uses

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Propranolol Hydrochloride 20 mg Capsules, available in a gluten-free formulation, are primarily used for managing conditions such as hypertension, angina, and certain types of arrhythmias. However, this versatile medication has several other potential uses that may benefit patients with different health concerns. One of the notable off-label uses of propranolol is in the management of anxiety, particularly performance anxiety or situational anxiety, where it helps mitigate the physical symptoms such as rapid heartbeat and tremors. This can be particularly beneficial for individuals who experience anxiety in specific situations like public speaking or performing on stage.

Additionally, propranolol has been used in the treatment of migraine prophylaxis. By reducing the frequency and severity of migraine attacks, it can significantly improve the quality of life for individuals who suffer from chronic migraines. Another interesting application of propranolol is in the management of essential tremor, a neurological disorder that causes involuntary and rhythmic shaking. Propranolol can help reduce the amplitude of the tremors, providing relief to patients and improving their ability to perform daily tasks.

Propranolol is also sometimes used in the treatment of certain types of thyroid conditions, such as thyrotoxicosis, where it helps manage symptoms like rapid heart rate and anxiety associated with excessive thyroid hormone levels. Furthermore, it has been explored for use in the treatment of infantile hemangiomas, where it can help reduce the size and coloration of these benign vascular tumors in infants.

For prescribers considering propranolol for these alternative uses, it is important to evaluate the individual patient's health profile and potential contraindications, such as asthma or certain heart conditions, as propranolol can exacerbate these issues. Patients should be informed about the potential side effects, which may include fatigue, dizziness, or gastrointestinal discomfort, and should be advised to report any adverse reactions to their healthcare provider promptly.

As with any medication, the decision to use propranolol for off-label purposes should be made in consultation with a healthcare professional, taking into account the specific needs and medical history of the patient. If you have any questions or need further information about the use of Propranolol Hydrochloride 20 mg Capsules, please reach out to us at Bayview Pharmacy. We are here to assist both patients and prescribers in making informed decisions about their healthcare options.

Frequently Asked Questions

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What is Propranolol Hydrochloride 20 mg used for?

Propranolol Hydrochloride 20 mg is commonly used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions as prescribed by a healthcare provider. It can also be used to prevent migraines and improve survival after a heart attack.

Are these capsules gluten-free?

Yes, these Propranolol Hydrochloride 20 mg capsules are formulated to be gluten-free, making them suitable for individuals with gluten sensitivities or celiac disease.

What are the benefits of using capsules as a dosage form?

Capsules provide a convenient and easy way to swallow medication, ensuring a precise dosage of the active ingredients. They are composed of two gelatin or vegetarian shells that enclose the medication, which can help mask the taste and odor of the drug.

Can I take Propranolol Hydrochloride 20 mg capsules with food?

Propranolol can be taken with or without food. However, it is important to take it consistently in the same manner each time to maintain even levels of the medication in your body. Follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose?

If you miss a dose of Propranolol Hydrochloride 20 mg, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Propranolol Hydrochloride 20 mg?

Common side effects may include dizziness, tiredness, nausea, and sleep disturbances. If you experience severe side effects such as difficulty breathing, swelling, or an irregular heartbeat, seek medical attention immediately.

How should I store Propranolol Hydrochloride 20 mg capsules?

Store the capsules at room temperature, away from light and moisture. Keep them out of reach of children and pets. Do not store them in the bathroom to avoid exposure to humidity.

Can I open the capsules and take the medication inside?

It is generally recommended to swallow the capsules whole to ensure proper dosage and effectiveness. Opening the capsules may alter the release and absorption of the medication. Consult your healthcare provider if you have difficulty swallowing capsules.

Is it safe to take Propranolol Hydrochloride 20 mg during pregnancy?

If you are pregnant or planning to become pregnant, consult your healthcare provider before taking Propranolol. The medication should only be used if clearly needed and prescribed by a healthcare professional, as it may have potential risks during pregnancy.

Can I drink alcohol while taking Propranolol Hydrochloride 20 mg?

It is advisable to limit alcohol consumption while taking Propranolol, as alcohol can increase the risk of side effects such as dizziness and drowsiness. Discuss with your healthcare provider for specific recommendations based on your condition.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Propranolol Hydrochloride 20 mg Capsules (Gluten Free)
Capsules
90 capsules
controlled

Take 1 capsule by mouth

Twice daily