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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy

Promotil TR 40 Capsule is used alone or together with other medicines to treat high blood pressure (hypertension), heart-related chest pain (angina), heart rhythm disorder (arrhythmia), and to prevent symptoms of migraine headache and tremors (fits). It contains propranolol, which plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in our bodies. This lowers the blood pressure and helps reduce the risk of stroke, heart attack, other heart problems, or kidney problems in the future. It may cause common side effects, such as feeling dizzy or exhausted, cold hands or feet, difficulty sleeping, and nightmares.

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Whats That

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Composition :

PROPRANOLOL-40MG

Manufacturer/Marketer :

Torrent Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

NPPA :

Regulated

About Promotil TR 40 Capsule

Promotil TR 40 Capsule is used alone or together with other medicines to treat high blood pressure (hypertension), chest pain (angina), irregular heartbeat(arrhythmia), migraines, and tremors.

Promotil TR 40 Capsule contains propranolol, which helps relax your blood vessels by blocking certain natural chemicals in the body, which lowers blood pressure and reduces the risk of stroke, heart attack, heart problems, or kidney damage.

In certain instances, Promotil TR 40 Capsule may result in typical adverse effects like fatigue or lightheadedness, cold hands or feet, difficulty falling asleep, or even weird dreams. These are typically minor side effects that resolve on their own. However, if they persist or cause you significant discomfort, make sure to speak with your physician.

Take Promotil TR 40 Capsule orally, with or without food, or as directed by your doctor. Swallow the whole with a glass of water; do not crush, chew, or break it. It is advised not to take more than the recommended dose of Promotil TR 40 Capsule .

Do not stop taking Promotil TR 40 Capsule without talking to your doctor. Stopping it suddenly can cause changes in your heart rhythm and blood pressure. This may lead to chest pain or even a heart attack. Also, avoid taking Promotil TR 40 Capsule if you have a very slow heartbeat, asthma, a serious heart condition (like sick sinus syndrome), or a heart blockage. It should also not be given to children who weigh less than 4.5 pounds or are under 12 years of age.

Uses of Promotil TR 40 Capsule

Promotil TR 40 Capsule is used in the treatment of high blood pressure (Hypertension), chest pain (Angina), prevention of migraines, and anxiety. The detailed uses of Promotil TR 40 Capsule are as follows:

  • Hypertension Management: Promotil TR 40 Capsule is primarily prescribed to lower high blood pressure, reducing the risk of heart-related complications.
  • Angina Pectoris Treatment: Promotil TR 40 Capsule helps alleviate chest pain (angina) caused by inadequate blood flow to the heart.
  • Heart Rhythm Regulation: Promotil TR 40 Capsule is effective in managing certain irregular heartbeats, aiding in the stabilization of heart rhythm.
  • Migraine Prevention: Promotil TR 40 Capsule is often used to prevent migraines, decreasing the frequency and severity of attacks.
  • Anxiety and Performance Anxiety Relief: Promotil TR 40 Capsule is utilized to manage anxiety and can effectively reduce physical symptoms of performance anxiety, such as a rapid heart rate.

Directions for Use

  • Promotil TR 40 Capsule can be taken with or without food as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Promotil TR 40 Capsule as a whole with a glass of water.
  • Do not crush, break, or chew it.

Medicinal Benefits

  • Promotil TR 40 Capsule works by blocking two types of receptors in the body: beta-1 and beta-2 receptors.
  • Promotil TR 40 Capsule blocks beta-1 receptors in the heart, which slows down the heartbeat and makes the heart pump with less force. This helps lower blood pressure and reduce chest pain associated with heart problems (angina).
  • Promotil TR 40 Capsule can also improve a person’s ability to exercise without discomfort if they have angina.
  • By blocking beta-2 receptors in the lungs and blood vessels, Promotil TR 40 Capsule helps lower blood pressure even more. This can reduce the risk of serious health problems like stroke, heart attack, heart failure, and kidney damage.
  • Promotil TR 40 Capsule is often used along with thiazide diuretics (water pills) and other medications to manage high blood pressure more effectively.
  • Promotil TR 40 Capsule also helps to reduce symptoms of essential tremor (involuntary shaking) and can prevent migraine headaches.
  • Promotil TR 40 Capsule can be used to treat symptoms of an overactive thyroid (thyrotoxicosis) and is sometimes given together with thyroid medications.

How Promotil TR 40 Capsule Works

Promotil TR 40 Capsule plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in your body. This lowers your blood pressure and helps reduce your risk of a stroke, a heart attack, other heart problems, or kidney problems in the future. This medicine needs to be taken regularly to be effective.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Promotil TR 40 Capsule
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

What if I have taken an overdose of Promotil TR 40 Capsule

Do not take more than the prescribed dose of Promotil TR 40 Capsule as it may cause serious adverse effects such as slow heart rate, trembling, dizziness, seizures (fits), or difficulty breathing. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

  • Promotil TR 40 Capsule should not be used if you have cardiogenic shock (where the heart cannot pump enough blood to the body), in people with heart failure, or if you have a very slow heartbeat, asthma, a serious heart condition like sick sinus syndrome, or heart block.
  • Do not stop taking Promotil TR 40 Capsule suddenly without talking to your doctor, as it may lead to chest pain, heart rhythm changes, or a heart attack. Your doctor will reduce your dose of Promotil TR 40 Capsule gradually to prevent these effects.
  • Promotil TR 40 Capsule should not be given to children who weigh less than 4.5 pounds or are under 12 years old.
  • Before starting Promotil TR 40 Capsule , tell your doctor if you have any muscle disorders like myasthenia gravis or rhabdomyolysis; breathing problems such as COPD, bronchitis, or emphysema; diabetes; low blood pressure; depression; or a history of heart failure, liver or kidney disease, a thyroid disorder, or an adrenal gland tumor like pheochromocytoma.
  • Promotil TR 40 Capsule can hide signs of low blood sugar, so careful monitoring is important for diabetic patients.
  • Promotil TR 40 Capsule may worsen circulation problems such as Raynaud’s syndrome, so inform your doctor if you have circulation problems.
  • If you are taking blood thinners like warfarin, your doctor may ask you to regularly check your prothrombin time to avoid bleeding risks.
  • If you are pregnant, planning to become pregnant, or breastfeeding, tell your doctor before taking Promotil TR 40 Capsule , as it may affect your baby.

Drug-Drug Interactions

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PropranololIobenguane (131i)
Severe

Drug-Drug Interactions

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How does the drug interact with Promotil TR 40 Capsule:
Coadministration of thioridazine with Promotil TR 40 Capsule may increase the blood levels of thioridazine and cause an irregular heart rhythm that may be serious.

How to manage the interaction:
Although there is an interaction between Promotil TR 40 Capsule and thioridazine, they can be taken together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, and shortness of breath contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
PropranololIobenguane (131i)
Severe
How does the drug interact with Promotil TR 40 Capsule:
Coadministration of iobenguane (131i) and Promotil TR 40 Capsule may interfere with the effects of iobenguane I-131 in treating your condition.

How to manage the interaction:
Although there is a possible interaction between Promotil TR 40 Capsule and Iobenguane (131i), you can take these medicines together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Promotil TR 40 Capsule:
Using Promotil TR 40 Capsule together with Theophylline makes the Promotil TR 40 Capsule less effective in controlling blood pressure, and it also increases the effects of theophylline

How to manage the interaction:
Although taking Promotil TR 40 Capsule together with Theophylline can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult your doctor if you experience nausea, vomiting, sleeplessness, tremors, restlessness, irregular heartbeats, or difficulty breathing. Do not stop using any medication without consulting a doctor.
How does the drug interact with Promotil TR 40 Capsule:
Using Promotil TR 40 Capsule together with terbutaline may reduce the benefits of both medications, since they have opposing effects in the body. In addition, Promotil TR 40 Capsule can sometimes cause breathing problems.

How to manage the interaction:
Although taking Promotil TR 40 Capsule together with Terbutaline can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Promotil TR 40 Capsule:
Co-administration of Epinephrine with Promotil TR 40 Capsule may cause severe high blood pressure and reduced heart rate.

How to manage the interaction:
Taking Epinephrine with Promotil TR 40 Capsule can result in an interaction, but it can be taken if your doctor has advised it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Promotil TR 40 Capsule:
Using Promotil TR 40 Capsule together with salmeterol may reduce the benefits of both medications, since they have opposing effects in the body. In addition, Promotil TR 40 Capsule can sometimes cause breathing problems.

How to manage the interaction:
Although taking Promotil TR 40 Capsule together with Salmeterol can result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Promotil TR 40 Capsule:
Using fingolimod with Promotil TR 40 Capsule can cause an excessive lowering of heart rate and can lead to other heart problems.

How to manage the interaction:
Although taking Promotil TR 40 Capsule together with Fingolimod can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult your doctor immediately if you experience lightheadedness, fainting, shortness of breath, chest pain, or heart palpitations. Do not stop using any medicines without consulting a doctor.
How does the drug interact with Promotil TR 40 Capsule:
Coadministration of rivastigmine with Promotil TR 40 Capsule can cause an abnormally slow heart rate and low blood pressure.

How to manage the interaction:
Although taking Promotil TR 40 Capsule together with Rivastigmine can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, consult your doctor if you experience lightheadedness, dizziness, fainting, or irregular heartbeat. Do not discontinue any medicine without consulting a doctor.
How does the drug interact with Promotil TR 40 Capsule:
Co-administration of Clonidine and Promotil TR 40 Capsule may lower blood pressure and slower heart rate.

How to manage the interaction:
Although there is a possible interaction between Clonidine and Promotil TR 40 Capsule, you can take these medicines together if prescribed by your doctor. However, if you experience headaches, slow heartbeat, dizziness, or feeling like you might pass out, contact your doctor.
PropranololBitolterol
Severe
How does the drug interact with Promotil TR 40 Capsule:
Using Promotil TR 40 Capsule together with bitolterol may reduce the benefits of both medications, since they have opposing effects in the body. In addition, Promotil TR 40 Capsule can sometimes cause breathing problems.

How to manage the interaction:
Taking Promotil TR 40 Capsule with Bitolterol together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Keep your weight under control with a BMI of 19.5-24.9.
  • Regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help lower your raised blood pressure by about 5 mmHg.
  • Option for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
  • Limit sodium chloride (table salt) intake in your daily diet to 2300 mg per day, or less than 1500 mg, which is ideal for most adults.
  • If you are taking alcohol, then only one serving for women and two for men is advisable.
  • Quitting smoking is the best strategy to lower the risk of heart disease.
  • Avoid chronic stress, as it can raise your blood pressure. Try to enjoy and spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Monitor your blood pressure daily, and if there is too much fluctuation, immediately contact your doctor.
  • Including heart-healthy omega-3 fatty acid-containing food drinks in your daily diet. You can also use low-fat cooking oils like olive oil, soybean oil, canola oil, and coconut oil to help lower your elevated blood pressure.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Unsafe

You are recommended not to consume alcohol along with Promotil TR 40 Capsule to avoid unpleasant side-effect of low blood pressure causing dizziness or drowsiness.

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Pregnancy

Consult your doctor

Promotil TR 40 Capsule is not recommended during pregnancy unless your doctor considers it essential. Your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Breast Feeding

Consult your doctor

Small amounts of Promotil TR 40 Capsule passess into the breast milk. However which is not enough to cause any problems to your baby. But, still it is advisable to contact your doctor before breastfeeding your baby.

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Driving

Caution

Promotil TR 40 Capsule is unlikely to affect your ability to drive or to operate machinery. However, some people may occasionally feel dizzy or tired when taking Promotil TR 40 Capsule . so, drive only if you are alert.

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Liver

Caution

Promotil TR 40 Capsule to be taken with caution, especially if you have a history of liver diseases/conditions.

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Kidney

Caution

Promotil TR 40 Capsule to be taken with caution, especially if you have a history of kidney diseases/conditions.

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Children

Unsafe

The safety and efficacy of Promotil TR 40 Capsule in children have not been established. Promotil TR 40 Capsule is not recommended in children unless prescribed by a child specialist.

Have a query?

FAQs

Promotil TR 40 Capsule is used to treat high blood pressure (hypertension), heart-related chest pain (angina), heart rhythm disorder (arrhythmia) and prevent symptoms of migraine headache and tremors (fits).

Promotil TR 40 Capsule plays a vital role in relaxing our blood vessels by blocking the action of certain natural substances in your body. This lowers your blood pressure and helps reduce your risk of a stroke, a heart attack, other heart problems, or kidney problems in the future.

It is advised to continue your medicine even after your blood pressure is under control or becomes normal as blood pressure can shot up any time. If you have any discomfort, please consult your doctor immediately.

If you forget to take Promotil TR 40 Capsule at any time, take it as soon as you remember, then continue to take it at the usual times. Do not take a double dose to make up for a forgotten dose.

Yes, drowsiness is a common side effect of propranolol. It's often more noticeable when you first start taking the medication. As your body adjusts, this drowsiness usually subsides. If the drowsiness is significantly affecting your daily life or causing you concern, it's important to discuss it with your doctor. They may be able to adjust your dosage or recommend other strategies to help manage this side effect.

If you are trying to conceive or are already pregnant, speak with your doctor about the benefits and risks of taking propranolol. Propranolol is regarded to be safe during pregnancy, although it may impact your baby's growth later on.

No, it does not belong to diuretic class. Propranolol belongs to a group of medicines called beta blockers.

Promotil TR 40 Capsule normally begins functioning after a few hours. Propranolol may take up to a week to take action in people with heart disease or high blood pressure. You may not see any difference, but that does not mean it is not effective. It's critical to continue taking your medication unless your doctor advises.

Propranolol exposure is associated with an elevated risk of asthma hospitalization in vulnerable patients, which appears to vary depending on dose and duration of exposure.

If you forget to take your Promotil TR 40 Capsule , take it as soon as you remember unless it is almost time for your next dose. If it is almost time for your next dose, simply skip the missed dose and take your next dose at the regular time. Never take two doses at the same time, and never take an additional dose to compensate for a missed one.

If you stop taking propranolol suddenly, you may develop serious cardiac issues such as angina (chest pain), a heart attack, or an irregular heartbeat. Your doctor would most likely wish to gradually reduce your dose over a period of 1 to 2 weeks.

It's usually prescribed for high blood pressure and other heart problems, but it can also help with the physical symptoms of anxiety, like sweating and shaking. However, it should be used only if prescribed by the healthcare professional.

To get the most benefit from Promotil TR 40 Capsule , it's important to maintain a healthy lifestyle. Eat a balanced diet, exercise regularly, manage stress, and limit alcohol and smoking. By following these tips, you can help control your blood pressure and improve your overall health.

Promotil TR 40 Capsule is widely acknowledged to be an effective treatment for high blood pressure (hypertension).

Do not take more than the prescribed dose of Promotil TR 40 Capsule as it may cause overdose. The signs and symptoms of overdose may include slow heart rate, trembling, dizziness, seizures (fits) or difficulty breathing. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Promotil TR 40 Capsule is not suitable for everyone. To make sure it's safe for you, tell your doctor before starting to take propranolol if you have any medical conditions or taking any medications.

Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the blood pressure-lowering effects of propranolol. If you take these medications together, your doctor should check your blood pressure. They may need to adjust your propranolol dose.

The common side-effects of Promotil TR 40 Capsule are dizzy or exhausted, cold hands or feet, difficulty sleeping, and nightmares. Most of these side effects fade away gradually over time without the need for medical intervention. However, consult your doctor if you experience these side effects frequently.

Country of origin

India

Manufacturer/Marketer address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India.
Other Info - PRO0247

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