Syprol Oral Solution 50mg / 5ml

SYPROL 50mg/5ml Oral Solution

• Read all of this leaflet carefully before you start taking this medicine.


• Keep this leaflet. You may need to read it again.


• If you have further questions, ask your doctor or your pharmacist.


• This medicine has been prescribed only for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.


• If any of the side effects listed below become serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet

• 1. What is Syprol Oral Solution and what it is used for


• 2. Before you take Syprol Oral Solution


• 3. How to take Syprol Oral Solution


• 4. Possible side effects


• 5. How to store Syprol Oral Solution


• 6. Further information

What is Syprol Oral Solution and what it is used for

Syprol Oral Solution contains propranolol hydrochloride. This belongs to a group of medicines called beta-blockers.

Syprol Oral Solution can be used for:

• high blood pressure


• symptoms of chest pain (angina)


• protection against further heart attacks - if you have already had one


• thickened heart muscle – also called ‘hypertrophic cardiomyopathy’


• problems affecting the beat of your heart (arrhythmias, tachycardia).

It can also be used for:

• severe headaches (migraine)


• shaking (tremors)


• stress (anxiety)


• an overactive thyroid gland – also called ‘thyrotoxicosis’


• bleeding in the food pipe (oesophagus). This happens when the blood pressure is high in your liver


• high blood pressure caused by a tumour on the adrenal gland. This is called 'phaeochromocytoma'.

Before you take Syprol Oral Solution

Do not take Syprol Oral Solution if:

• you are allergic (hypersensitive) to propranolol or any of the other ingredients in this liquid (see section 6: Further information)
  
  An allergic reaction can include a rash, itching or shortness of breath


• you have ever had asthma or wheezing


• you have heart problems such as heart failure which is not under control, heart block, slow or uneven heart beats, low blood pressure or very poor circulation


• you have not been eating (fasting) for a long period of time or if your blood has become too acidic (metabolic acidosis)


• you have high blood pressure caused by a tumour on the adrenal gland which has not been treated. This is called 'phaeochromocytoma'


• you have or sometimes get low blood sugar ('hypoglycaemia'). This can happen if you are not eating well, have long-term liver disease or have diabetes


• you have chest pain that happens when you are resting rather than during exercise (called 'prinzmetals angina').

Do not take Syprol Oral Solution if any of the above apply to you. If you are not sure, talk to your doctor before taking Syprol Oral Solution.

Take special care with Syprol Oral Solution

Before you take Syprol Oral Solution tell your doctor if:

• you have heart failure which is being treated


• circulation problems or other heart problems (such as angina or heart attacks)


• you have liver problems (such as cirrhosis) or kidney problems


• you have allergic reactions to things like insect bites


• you have diabetes. This is because Syprol may interfere with your body’s reaction to low blood sugar


• you have an overactive thyroid gland – also called 'thyrotoxicosis'.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

In particular tell your doctor or pharmacist if you are taking any of the following medicines:

• medicines for diabetes


• medicines used to treat anxiety and depression as well as more serious mental health problems such as chlorpromazine, thioridazine, fluvoxamine, imipramine or MAOIs such as phenelzine and diazepam


• medicines for uneven heart beats such as disopyramide, quinidine, propafenone, lidocaine, flecainaide


• medicines for chest pain (angina) or high blood pressure such as verapamil, nifedipine, diltiazem, nisoldipine, nicardipine, isradipine, lacidipine


• medicines used to treat high blood pressure such as hydralazine, captopril (ACE inhibitors), furosemide and other water tablets (diuretics), losartan and candersatan, diazoxide, doxazosin, guanethidine, moxisylyte, monoxidine, nitrates such as glyceryl trinitrate and isosorbide dinitrate and methyldopa.


• medicines for stimulating the heart such as adrenaline


• medicines for pain and inflammation including arthritis such as ibuprofen or indomethacin


• steroids used to reduce swelling such as prednisolone and dexamethasone


• medicines used to treat myasthenia gravis such as neostigmine


• medicines used to relax muscles such as baclofen and tizanidine


• medicines to help you sleep or to treat epilepsy known as barbiturates such as phenobarbital


• medicines used to treat parkinsons disease such as levodopa


• ergotamine, dihydroergotamine and rizatrapin – used for migraine


• digoxin and warfarin - used for heart failure


• cimetidine – used for too much stomach acid


• rifampicin - used for tuberculosis


• theophylline – used for asthma


• mefloquine - used to prevent malaria


• aldesleukin - used for kidney cancer


• alprostadil – used to help men get or keep an erection or to test for erection problems


• oestrogens - used in hormone replacement therapy (HRT)


• clonidine - used for high blood pressure and migraine. You must not stop taking clonidine unless your doctor tells you to. If you have to stop taking it, your doctor will tell you how to do it.

Operations and Tests

Tell your doctor, dentist or nurse you are taking Syprol Oral Solution if:

• you are going to have an operation or an anaesthetic


• you are going to have any blood or urine tests.

Taking Syprol Oral Solution with food and drink

Do not drink alcohol while taking Syprol Oral Solution. This is because alcohol can change the way the Syprol works.

Pregnancy and Breast-feeding

Talk to your doctor before taking this medicine if you are pregnant, planning to become pregnant or are breast-feeding.

Driving and using machines

Syprol is not likely to affect you being able to drive or use any tools or machines. However, sometimes you may feel dizzy or tired while taking Syprol. If this happens, do not drive or use any tools or machines and tell your doctor.

Important information about what is in Syprol Oral Solution

This medicine contains:

• Methyl and propyl parahydroxybenzoates. These may cause an allergic reaction (the allergy may happen some time after starting the medicine)


• Liquid maltitol. If your doctor has told you that you cannot tolerate some sugars, see your doctor before taking this medicine


• A colour, sunset yellow E110. Some people are allergic to these colours.

How to take Syprol Oral Solution

Taking this medicine

Take this medicine as your doctor or pharmacist has told you. Look on the label and ask the doctor or pharmacist if you are not sure.

• This medicine contains 50mg of propranolol in each 5ml


• Take this medicine by mouth


• Do not stop taking this medicine unless your doctor tells you to stop.

Adults

The usual doses range from 30mg - 320mg daily depending on what condition you are taking the medicine for.

Children

Your doctor will decide on the amount of Syprol to give to your child based on their weight.

Elderly

Your doctor will decide how much Syprol Oral Solution to give you.

If you take more Syprol Oral Solution than you should

Talk to your doctor or go to a hospital straight away.

If you forget to take Syprol Oral Solution

Do not take a double dose to make up for forgotten doses. Take your next dose as soon as you remember. Then go on as before.

If you stop taking Syprol Oral Solution

Keep taking this medicine until your doctor tells you to stop. You may have to stop taking this medicine gradually. Your doctor will help you do this.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Possible side effects

Like all medicines, Syprol Oral Solution can cause side effects although not everybody gets them.

If you get any of the following side effects, see a doctor straight away:

• any kind of skin rash, flaking skin, boils or sore lips and mouth. You could also notice sudden wheezing, fluttering or tightness of the chest or collapse.
  
  This may mean you are having an allergic reaction to Syprol Oral Solution


• if you develop asthma or breathing problems.

If you get any of the following side effects, stop taking Syprol Oral Solution and see your doctor as soon as possible:

• slow heart beats, heart failure getting worse (signs include being breathless or swollen ankles), feeling dizzy or light-headed when standing quickly


• dizziness and fainting, worsening of breathing (called 'heart block')


• poor circulation getting worse. This can lead to cramp-like pains in the lower leg


• low blood sugar (hypoglycaemia) in children or elderly who do not have diabetes (signs include weakness, headache, feeling hungry, visual disturbances and mood changes)


• bruising more easily or purplish marks on the skin


• muscle weakness and a disease of the muscles (called ‘myasthenia gravis’) getting worse.

Tell your doctor if you get any of these side effects:

• feeling confused or dizzy


• changes in your mood


• mental illness where a person loses touch with reality (psychoses)


• strange sounds and visions (hallucinations)


• nightmares, tiredness or difficulty sleeping


• feeling cold, tingling or numbness and spasm in the fingers and toes


• feeling sick, stomach ache, diarrhoea


• thinning of the hair


• skin rash, worsening of skin problem called 'psoriasis'


• dry eyes, changes in your sight.

If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

How to store Syprol Oral Solution

• Keep out of the reach and sight of children


• Do not store above 25°C. Do not refrigerate or freeze


• Take back to the pharmacy 3 months after you first open it


• Do not use after the expiry date (month, year) stated on the label and carton


• If it is out of date or you no longer want it, take it back to the pharmacy


• Do not use Syprol Oral Solution if you notice anything wrong with the medicine. Talk to your pharmacist.

Further information

What Syprol Oral Solution contains

The active ingredient is propranolol hydrochloride. The other ingredients are citric acid, methyl and propyl parahydroxybenzoate (E218 and E216), propylene glycol (E1520), liquid maltitol (E965), orange/tangerine flavour (including ethanol (0.12%v/v) and butylhydroxyanisole (E320)), colouring E110 and purified water.

What Syprol Oral Solution looks like and contents of the pack

A bright orange liquid which smells of orange/tangerine.

It comes in a brown glass bottle holding 150ml of solution.

Marketing Authorisation Holder and Manufacturer

Rosemont Pharmaceuticals Ltd

Yorkdale Industrial Park

Braithwaite Street

Leeds

LS11 9XE

UK

This leaflet was last approved in August 2009.

P0477