Patient was educated on contraindications for using Inderal as follows: Inderal use is contraindicated in individuals with history of asthma, COPD, and with any other respiratory issues resulting in episodes of difficulty breathing. Inderal is mainly metabolized in the liver. If liver function is deficient, the metabolism of Inderal can suffer. This can lead to increased blood levels of the medication for longer periods of time, resulting in toxicity and severe side effects. So, this [...]

Patient was educated on contraindications for using Inderal as follows: Avoid using Inderal along with any other medications that can cause slowdown of heart rate, such as, calcium channel blockers. Using them together can result in extreme slowdown of heart rate and can present an emergency. Exercise extreme caution using Inderal in patients with compromised cardiac muscle function, such as, individuals with history of myocardial infarction or cardiomyopathy, as Inderal further reduces the cardiac muscle [...]

Patient was educated on the side effects of using Inderal as follows: Reduced work performed by the heart can result in reduced blood volume pumped out of heart. This can result in backup of blood in the peripheral and pulmonary circulations. Backup of blood in peripheral circulation can present as edema in extremities with consequent swelling. Backup of blood in pulmonary circulation can result in pulmonary edema and shortness of breath. Edema and fluid accumulation [...]

Patient was educated on the side effects of using Inderal as follows: Symptoms of hypotension can occur secondary to reduced heart rate and reduced force of contraction of heart muscle. This can reduce blood supply to the vital organs, such as, brain and result in symptoms such as, dizziness, headache, and feeling lightheaded. Blood supply to the peripheries can decrease secondary to reduced force of contraction of heart muscle, resulting in cold extremities. Reduced blood [...]

Patient was educated on precautions to be exercised while taking Inderal as follows: Inderal use is contraindicated in individuals with abnormally slow heart rates, such as, in individuals with damaged natural pacemaker of the heart. Inderal use is contraindicated in individuals with history of asthma, COPD, and with any other issues resulting in episodes of difficulty breathing.  Report to your doctor regarding any symptoms of exacerbation of shortness of breath and any episodes of asthma, [...]