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- $Unique_ID{BRK03294}
- $Pretitle{}
- $Title{pindolol}
- $Subject{Visken Sandoz Beta-adrenergic blocking agent pindolol high blood
- pressure beta blockers nerve impulses pathways}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- pindolol
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Visken (Sandoz)
-
- TYPE OF DRUG
-
- Beta-adrenergic blocking agent
-
- INGREDIENT
-
- pindolol
-
- DOSAGE FORM
-
- Tablets (5 mg and 10 mg)
-
- STORAGE
-
- Pindolol should be stored at room temperature in a tightly closed,
- light-resistant container.
-
- USES
-
- Pindolol is used to treat high blood pressure. It belongs to a group of
- medicines known as beta-adrenergic blocking agents or, more commonly, beta
- blockers. These drugs work by controlling nerve impulses along certain nerve
- pathways.
-
- TREATMENT
-
- This medicine can be taken with a glass of water, with meals, immediately
- following meals, or on an empty stomach (depending on your doctor's
- instructions). Try to take the medication at the same time(s) each day.
- Try not to miss any doses of this medicine. If you do miss a dose, take
- the missed dose as soon as possible, unless it is within eight hours (if you
- are taking this medicine once a day) or within four hours (if you are taking
- this medicine more than once a day) of your next scheduled dose. In that
- case, do not take the missed dose at all; just return to your regular dosing
- schedule. Do not double the next dose.
- Pindolol does not cure high blood pressure, but it will help to control
- the condition as long as you take it.
-
- SIDE EFFECTS
-
- Minor.
-
- Anxiety; constipation; decreased sexual ability; diarrhea; difficulty in
- sleeping; drowsiness; dryness of the eyes, mouth, and skin; headache; nausea;
- tiredness; or weakness. These effects should disappear as you adjust to the
- drug.
- To relieve constipation, increase the amount of fiber in your diet (fresh
- fruits and vegetables, salads, bran, and whole-grain breads) unless your
- doctor directs you to do otherwise.
- If you are extra-sensitive to the cold, be sure to dress warmly during
- cold weather.
- Plain, nonmedicated eye drops (artificial tears) may help to relieve eye
- dryness.
- Sucking on ice chips or chewing sugarless gum helps to relieve mouth or
- throat dryness.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about cold hands
- or feet (due to decreased blood circulation to skin, fingers, and toes),
- confusion, dizziness, fever and sore throat, hair loss, hallucinations,
- light-headedness, mental depression, nightmares, numbness or tingling of the
- fingers or toes, rapid weight gain (three to five pounds within a week),
- reduced alertness, skin rash, swelling, unusual bleeding or bruising, or
- wheezing or difficulty in breathing.
-
- INTERACTIONS
-
- Pindolol interacts with a number of other types of drugs:
- 1. Indomethacin, aspirin, or other salicylates may decrease the
- blood-pressure-lowering effects of the beta blockers.
- 2. Concurrent use of beta blockers and calcium channel blockers
- (diltiazem, nifedipine, or verapamil) or disopyramide can lead to heart
- failure or very low blood pressure.
- 3. Cimetidine and oral contraceptives (birth control pills) can increase
- the blood concentrations of pindolol, which can result in greater side
- effects.
- 4. Side effects may also be increased when beta blockers are taken with
- clonidine, digoxin, epinephrine, phenylephrine, phenylpropanolamine,
- phenothiazine tranquilizers, prazosin, or monoamine oxidase (MAO) inhibitors.
- At least 14 days should separate use of a beta blocker and the use of an MAO
- inhibitor.
- 5. Beta blockers may antagonize (work against) the effects of
- theophylline, aminophylline, albuterol, isoproterenol, metaproterenol, and
- terbutaline.
- 6. Beta blockers can also interact with insulin or oral antidiabetic
- agents, raising or lowering blood sugar levels or masking the symptoms of low
- blood sugar.
- 7. The concurrent use of pindolol and reserpine can have additive
- blood-pressure-lowering effects.
- 8. The action of beta blockers may be increased if they are used with
- chlorpromazine, furosemide, or hydralazine.
- 9. Alcohol, barbiturates, and rifampin can decrease the blood
- concentrations of pindolol, which can result in a decrease in effectiveness.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking, especially any listed above.
-
- WARNINGS
-
- * Before starting to take this drug, it is important to tell your doctor
- if you have ever had unusual or allergic reactions to any beta-blocking
- medication (acebutolol, atenolol, betaxolol, carteolol, esmolol, labetalol,
- metoprolol, nadolol, penbutolol, propranolol, or timolol).
- * Tell your doctor if you now have or if you have ever had allergies,
- asthma, hay fever, eczema, slow heartbeat, bronchitis, diabetes mellitus,
- emphysema, heart or blood vessel disease, kidney disease, liver disease,
- thyroid disease, or poor circulation in the fingers or toes.
- * You may want to check your pulse while taking this medication. If your
- pulse is much slower than your usual rate (or if it is less than 50 beats per
- minute), check with your doctor. A pulse rate that is too slow may cause
- circulation problems.
- * This medicine may affect your body's response to exercise. Make sure
- you discuss with your doctor a safe amount of exercise for your medical
- condition.
- * It is important that you do not stop taking this medicine unless you
- first check with your doctor. Some conditions may become worse when the
- medicine is stopped suddenly, and the danger of a heart attack is increased in
- some patients. Your doctor may want you to reduce gradually the amount of
- medicine you take before stopping completely. Make sure that you have enough
- medicine on hand to last through vacations, holidays, and weekends.
- * Before having surgery or any other medical or dental treatment, tell
- your physician or dentist that you are taking pindolol. Often, this
- medication will be discontinued 48 hours prior to any major surgery.
- * Pindolol can cause dizziness, drowsiness, light-headedness, or
- decreased alertness. Exercise caution while driving a car or using
- potentially dangerous machinery.
- * While taking this medicine, do not use any over-the-counter
- (nonprescription) allergy, asthma, cough, cold, sinus, or diet preparations
- unless you first check with your pharmacist or doctor. Some of these
- medicines can result in high blood pressure if taken in conjunction with a
- beta blocker.
- * Be sure to tell your doctor if you are pregnant. Animal studies have
- shown that some beta blockers can cause problems in pregnancy when used at
- very high doses. Adequate studies have not been conducted in humans, but
- there has been some association between beta blockers used during pregnancy
- and low birth weight, as well as breathing problems and slow heart rate in
- newborn infants. However, other reports have shown no effects on newborn
- infants. Also, tell your doctor if you are breast-feeding. Although pindolol
- has not been shown to cause problems in breast-fed infants, some of the
- medicine may pass into breast milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-