Angilol 20mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Very slow heart rate (below 50 beats per minute) or fainting
- Difficulty breathing, wheezing, or chest tightness
- Sudden weight gain or swelling of ankles, feet, or legs
- Severe dizziness or light-headedness
- Unusual bruising or bleeding
- Yellowing of skin or eyes (jaundice)
- Severe abdominal pain or vomiting blood
- Confusion, hallucinations, or severe mood changes
If experiencing severe symptoms, call emergency services immediately.
What is angilol 20mg tablet used for?
This medicine is a beta-blocker containing propranolol 20 mg. It is used to treat high blood pressure, angina, migraine prevention, and anxiety. It works by slowing the heart rate and reducing the heart's workload. It must be taken exactly as prescribed and should not be stopped suddenly.
- Generic Name: Propranolol
- Manufacturer: Archicare Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 angilol 20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा प्रोप्रानोलोल 20 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसे बीटा-ब्लॉकर वर्ग की दवाओं में रखा जाता है। इसका उपयोग मुख्य रूप से उच्च रक्तचाप (हाई ब्लड प्रेशर), एंजाइना (सीने में दर्द), माइग्रेन के दौरे को रोकने, और चिंता के शारीरिक लक्षणों जैसे कंपन और तेज़ धड़कन को कम करने के लिए किया जाता है। यह दिल की धड़कन को धीमा करके और दिल पर पड़ने वाले दबाव को कम करके काम करती है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और डॉक्टर की सलाह के बिना इसे अचानक बंद नहीं करना चाहिए।
साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं जैसे थकान, हाथ-पैर ठंडे पड़ना, चक्कर आना, धड़कन धीमी होना, नींद में गड़बड़ी और सपने आना। कुछ लोगों को जी मिचलाना या पेट में परेशानी भी हो सकती है। ये आमतौर पर हल्के होते हैं और शरीर के सामान्य होने पर ठीक हो जाते हैं। लेकिन अगर ये लगातार बने रहें तो डॉक्टर से सलाह लें। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें बहुत धीमी धड़कन, सांस लेने में कठिनाई, बेहोशी, या दिल की विफलता के लक्षण शामिल हो सकते हैं। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। इसे चबाएं या तोड़ें नहीं, बल्कि पानी के साथ पूरा निगल लें। इसे भोजन के साथ या बिना भोजन के लिया जा सकता है, लेकिन भोजन के साथ लेने से पेट की परेशानी कम हो सकती है। इसे हर दिन एक ही समय पर लेने की कोशिश करें। इसे अचानक बंद न करें, क्योंकि इससे दिल की समस्या बढ़ सकती है। अगर आपको अस्थमा, मधुमेह, थायरॉइड या कोई हृदय रोग है, तो डॉक्टर को पहले बताएं। शराब का सेवन न करें क्योंकि इससे चक्कर और नींद आ सकती है। गाड़ी चलाते समय सावधानी बरतें जब तक आपको पता न चल जाए कि यह दवा आप पर कैसे असर करती है।
💊 angilol 20mg tablet Uses & Benefits
[{"condition":"Hypertension","description":"This medicine helps lower high blood pressure by reducing heart rate and cardiac output, thereby decreasing the workload on the heart.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"It reduces the frequency and severity of angina attacks by decreasing oxygen demand of the heart muscle.","evidence":"Well-established"},{"condition":"Migraine prophylaxis","description":"This medicine is used to prevent migraine headaches by modulating vascular and neuronal activity.","evidence":"Well-established"},{"condition":"Essential tremor","description":"It helps reduce involuntary shaking by blocking beta receptors in the peripheral nervous system.","evidence":"Well-established"},{"condition":"Anxiety with somatic symptoms","description":"This medicine can reduce symptoms such as rapid heartbeat, trembling, and sweating associated with anxiety.","evidence":"Moderate"},{"condition":"Post-myocardial infarction","description":"It is used after a heart attack to reduce the risk of recurrent cardiac events and improve survival.","evidence":"Well-established"},{"condition":"Thyrotoxicosis","description":"It helps control symptoms like rapid heart rate and tremor in patients with overactive thyroid.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Performance anxiety","description":"Sometimes prescribed off-label to reduce situational anxiety before public speaking or exams.","evidence":"Limited"},{"condition":"Akathisia","description":"May be used off-label to manage restlessness caused by antipsychotic medicines.","evidence":"Limited"},{"condition":"Infantile hemangioma","description":"Oral propranolol is used off-label in some settings for treating infantile hemangiomas, but this requires specialist supervision.","evidence":"Emerging"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris, Migraine, Essential tremor, Anxiety, Post-myocardial infarction, Thyrotoxicosis
📋 Drug Information
| Generic Name(s) | Propranolol |
| Brand Name | Arminol 10mg Tablet |
| Manufacturer | Archicare Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Beta blocker- Non selective |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking beta-adrenergic receptors, which are found in the heart, blood vessels, lungs, and other tissues. By blocking beta-1 receptors in the heart, it reduces heart rate, decreases the force of heart contractions, and lowers cardiac output, which helps lower blood pressure and reduce the heart's oxygen demand. Blocking beta-2 receptors in the blood vessels and lungs leads to constriction of blood vessels and can cause bronchospasm in susceptible individuals. In migraine prevention, the exact mechanism is not fully understood, but it is thought to involve modulation of blood vessel tone and neuronal activity. The blocking of beta receptors in the peripheral nervous system also helps reduce tremors and anxiety-related physical symptoms.
Mechanism Steps
💡 How to Take angilol 20mg tablet
Strength: This medicine is available as an immediate-release oral tablet containing 20 mg of propranolol.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. For hypertension, a common starting dose is 40 mg twice daily, which may be increased gradually. For angina, 10 to 20 mg three to four times daily is often used. For migraine prophylaxis, 20 to 40 mg two to three times daily may be prescribed. For anxiety, 10 to 40 mg per dose may be used. Always follow your doctor's prescription exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially bradycardia and hypotension. Start with a lower dose and titrate slowly. Regular monitoring of heart rate, blood pressure, and renal function is recommended. |
| Renal Impairment | In patients with renal impairment, dose adjustment may be necessary. Monitor closely for adverse effects. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, reduced metabolism can lead to increased drug levels. Dose reduction and close monitoring are recommended. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose varies by indication and patient factors. For hypertension, doses up to 320 mg per day have been used. For angina, up to 320 mg per day. For migraine prophylaxis, up to 240 mg per day. Always follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of angilol 20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Verapamil | Major | |
| Clonidine | Major | |
| Digoxin | Major | |
| Fluoxetine | Major | |
| Ibuprofen | Moderate | |
| Insulin | Moderate | |
| Warfarin | Moderate | |
| Levothyroxine | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Verapamil and diltiazem
- Clonidine
- Digoxin
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen, naproxen)
- Antidiabetic medicines (insulin, sulfonylureas)
- Thyroid medicines (levothyroxine)
- Warfarin
🍷 Alcohol Interaction
Alcohol can enhance the blood pressure-lowering and sedative effects of this medicine, leading to increased dizziness, drowsiness, and risk of fainting. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Asthma or severe chronic obstructive pulmonary disease","Second- or third-degree heart block","Uncontrolled heart failure","Severe bradycardia","Cardiogenic shock","Severe hypotension","Hypersensitivity to propranolol or any component of the formulation"]
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly, as it can worsen angina or precipitate a heart attack.","Use with caution in patients with diabetes, as it may mask symptoms of hypoglycemia.","May worsen symptoms of peripheral arterial disease.","Use with caution in patients with myasthenia gravis.","May cause or worsen depression.","Avoid in patients with pheochromocytoma unless alpha-blockade is established first.","Use with caution in patients with hepatic or renal impairment."]
🤱 Lactation Safety
This medicine is excreted in breast milk in small amounts. It is generally considered safe for breastfeeding mothers, but monitor the infant for signs of beta-blockade such as slow heart rate, poor feeding, or lethargy. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose of this medicine can cause severe bradycardia, hypotension, heart failure, bronchospasm, and hypoglycemia. If overdose is suspected, seek emergency medical attention immediately. Treatment is supportive and may include atropine for bradycardia, glucagon, vasopressors for hypotension, and beta-2 agonists for bronchospasm. Hemodialysis may be considered in severe cases.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless your doctor has told you to do so. Swallow it whole with a glass of water. You can take it with or without food, but taking it with food may help reduce stomach upset. Try to take it at the same time each day to maintain consistent levels in your body. Do not stop taking this medicine suddenly, as this can cause serious heart problems. If you need to stop, your doctor will reduce your dose gradually over time. Inform your doctor if you have asthma, diabetes, thyroid problems, or any heart condition before starting this medicine. This medicine can mask the symptoms of low blood sugar, so if you have diabetes, monitor your blood sugar levels regularly. Avoid drinking alcohol while taking this medicine, as it can increase dizziness and drowsiness. Be careful when driving or operating machinery until you know how this medicine affects you. If you are pregnant, planning to become pregnant, or breastfeeding, tell your doctor before taking this medicine. Keep all your medical appointments and follow-up tests as scheduled.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of this medicine, especially bradycardia and hypotension. Start with a lower dose and titrate slowly. Regular monitoring of heart rate, blood pressure, and renal function is recommended. Falls risk may be increased due to dizziness.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It may affect the fetus. Your doctor may switch you to a safer alternative or adjust the dose.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect heart rate and blood pressure during surgery. Do not stop the medicine without your doctor's advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth or affect blood pressure during dental procedures. Local anesthetics with epinephrine should be used with caution.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can reduce your heart rate and cause fatigue or dizziness. Avoid strenuous exercise until you know how the medicine affects you. Stay hydrated and avoid sudden changes in posture during exercise. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, fatigue, or drowsiness, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. It may also affect your ability to perform tasks requiring mental alertness. Discuss with your doctor if your work involves such activities.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you need to stop, your doctor will gradually reduce the dose over time to prevent rebound hypertension, angina, or heart attack. If you experience serious side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may require regular monitoring of heart rate, blood pressure, and renal and hepatic function. It can mask symptoms of hypoglycemia in diabetic patients. Some patients may develop tolerance or experience persistent side effects. Regular follow-up with your doctor is essential to adjust the dose and monitor for any complications. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can help manage hypertension and anxiety.
Evidence: Well-establishedCardioselective beta-blockers like metoprolol may have fewer side effects.
Evidence: Well-establishedAlternative class for hypertension and angina.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. If crossing time zones, adjust your dosing schedule gradually in consultation with your doctor. Store at room temperature and avoid leaving it in hot cars or direct sunlight. Check customs regulations for carrying prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 30 to 60 minutes after taking a dose. However, full therapeutic effects for conditions like hypertension may take several days to weeks.
A: No, you should not stop this medicine suddenly even if you feel better. Abrupt withdrawal can cause serious heart problems. Always consult your doctor before stopping.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine should be used during pregnancy only if clearly needed. Consult your doctor to weigh the benefits and risks.
A: It is advisable to avoid alcohol while taking this medicine as it can increase dizziness, drowsiness, and low blood pressure.
🤔 Common Patient Concerns
🔄 Substitutes for angilol 20mg tablet
View AllAlternative brands with exact same active ingredient:
-
peelar 20mg tabletPsycormedies ₹9.09 52.2% CHEAPER
-
biodral 20 tabletBiologic Psychotropics India Pvt Ltd ₹9.38 50.6% CHEAPER
-
prograin 20mg tabletPulse Pharmaceuticals ₹13.43 29.3% CHEAPER
-
davaindia propranolol 20mg tabletDavaindia Generic Pharmacy ₹15.00 21.1% CHEAPER
-
nigrain 20mg tabletTorrent Pharmaceuticals Ltd ₹15.42 18.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped as soon as blood pressure normalizes.
Fact: No, this medicine should not be stopped suddenly as it can cause rebound hypertension, angina, or heart attack. Always consult your doctor before stopping. - Myth: This medicine is safe for everyone with high blood pressure.
Fact: No, it is not safe for people with asthma, certain heart conditions, or severe COPD. It should only be taken under medical supervision. - Myth: This medicine can be taken with alcohol without any issues.
Fact: Alcohol can increase the side effects of this medicine, such as dizziness and low blood pressure. It is best to avoid alcohol.
🔄 Alternative Options
Generic Alternatives
- Propranolol 20 mg tablet (generic)
Brand Alternatives
- Angilol 20mg tablet