Armitol 40mg Tablet (Propranolol): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Difficulty breathing or wheezing
- Very slow heartbeat (below 50 beats per minute)
- Swelling of ankles or sudden weight gain
- Chest pain that worsens or is not relieved
- Yellowing of skin or eyes
- Unusual bruising or bleeding
If experiencing severe symptoms, call emergency services immediately.
What is mibeta sr 40 tablet used for?
This medicine is a beta-blocker containing propranolol 40 mg, used to treat high blood pressure, angina, heart rhythm problems, migraine prevention, and essential tremor. It works by slowing the heart rate and reducing the heart's workload.
- Generic Name: Propranolol (40mg)
- Manufacturer: Tas Med India Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 mibeta sr 40 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा प्रोप्रानोलोल 40 मिलीग्राम की एक टैबलेट है, जिसका उपयोग उच्च रक्तचाप, एनजाइना, दिल की धड़कन की समस्या, माइग्रेन की रोकथाम और आवश्यक कंपन के इलाज के लिए किया जाता है। यह दिल की धड़कन को धीमा करके और दिल पर दबाव कम करके काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें और अचानक बंद न करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, ठंडे हाथ-पैर, चक्कर आना, धीमी धड़कन और नींद में गड़बड़ी शामिल हैं। कुछ लोगों को मतली या पेट में परेशानी हो सकती है। गंभीर दुष्प्रभावों में सांस लेने में कठिनाई, बेहोशी या दिल की धड़कन बहुत धीमी होना शामिल है। ऐसा होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे दिल की समस्या बढ़ सकती है। अगर आपको अस्थमा, मधुमेह या दिल की बीमारी है, तो डॉक्टर को बताएं। शराब न पिएं। गाड़ी चलाने से बचें जब तक कि आपको इस दवा का असर पता न चल जाए। नियमित रूप से अपनी धड़कन और रक्तचाप की जांच कराएं।
💊 mibeta sr 40 tablet Uses & Benefits
[{"condition":"Hypertension","description":"Lowers blood pressure by reducing cardiac output and renin release, helping to prevent strokes and heart attacks.","evidence":"Well-established"},{"condition":"Angina pectoris","description":"Reduces the heart's oxygen demand by slowing heart rate and decreasing contractility, which relieves chest pain.","evidence":"Well-established"},{"condition":"Cardiac arrhythmias","description":"Controls rapid heart rhythms such as atrial fibrillation and ventricular tachycardia by blocking beta-adrenergic stimulation.","evidence":"Well-established"},{"condition":"Migraine prophylaxis","description":"Reduces the frequency and severity of migraine attacks through central and vascular effects.","evidence":"Well-established"},{"condition":"Essential tremor","description":"Helps reduce the amplitude of tremors by blocking peripheral beta-2 receptors in muscles.","evidence":"Well-established"},{"condition":"Performance anxiety","description":"Reduces symptoms like rapid heartbeat, sweating, and tremors in situational anxiety.","evidence":"Moderate"},{"condition":"Post-myocardial infarction","description":"Reduces the risk of recurrent heart attack and improves survival after a heart attack.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Thyrotoxicosis","description":"Used to control symptoms like rapid heart rate and tremor in hyperthyroidism.","evidence":"Moderate"},{"condition":"Akathisia","description":"May help reduce restlessness caused by antipsychotic medicines.","evidence":"Limited"},{"condition":"Infantile hemangioma","description":"Oral propranolol is used in specialized settings for treating severe hemangiomas in infants.","evidence":"Well-established"}]
Primary treatment for: Hypertension
Also treats: Angina pectoris, Cardiac arrhythmias, Migraine, Essential tremor, Post-myocardial infarction
📋 Drug Information
| Generic Name(s) | Propranolol (40mg) |
| Brand Name | mibeta sr 40 tablet |
| Manufacturer | Tas Med India Pvt Ltd |
| 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, away from direct sunlight 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 non-selectively blocking beta-1 and beta-2 adrenergic receptors. Blocking beta-1 receptors in the heart reduces heart rate, contractility, and conduction velocity, which lowers blood pressure and myocardial oxygen demand. Blocking beta-2 receptors in the lungs and blood vessels causes bronchoconstriction and vasoconstriction. It also reduces renin release from the kidneys, contributing to blood pressure reduction. In migraine prevention, it likely works by stabilizing neuronal membranes and modulating central adrenergic pathways.
Mechanism Steps
💡 How to Take mibeta sr 40 tablet
Strength: Immediate-release tablet, 40 mg
Dosage Information
| Adult Dosage | The usual starting dose for hypertension or angina is 40 mg two to three times daily, which may be increased gradually based on response. For migraine prophylaxis, 80 mg to 240 mg daily in divided doses is common. For essential tremor, 40 mg twice daily initially, up to 120 mg daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| 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. Start with lower doses and titrate slowly. Monitor heart rate and blood pressure closely. |
| Renal Impairment | Dose adjustment may be required in severe renal impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose reduction may be necessary in patients with hepatic impairment due to reduced metabolism. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose is 640 mg, but doses above 320 mg are rarely used. Individual dosing must be determined by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of mibeta sr 40 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 | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Verapamil and diltiazem
- Clonidine
- Digoxin
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
⚡ Moderate Interactions
- NSAIDs (e.g., ibuprofen)
- Insulin and oral antidiabetics
- Thyroid hormones
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can enhance the blood pressure-lowering effect and increase dizziness, drowsiness, and the risk of fainting.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Asthma or severe chronic obstructive pulmonary disease","Severe bradycardia (heart rate < 50 bpm)","Second- or third-degree heart block","Cardiogenic shock","Decompensated heart failure","Severe peripheral arterial disease","Hypersensitivity to propranolol"]
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly; taper gradually under medical supervision.","Use with caution in patients with diabetes, as it may mask hypoglycemia symptoms.","May worsen symptoms of Raynaud's phenomenon or peripheral vascular disease.","Can cause bronchospasm in patients with respiratory disease.","May affect thyroid function tests and mask symptoms of hyperthyroidism.","Use with caution in patients with myasthenia gravis.","May cause depression or worsen mood disorders."]
🤱 Lactation Safety
Propranolol is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but monitor the infant for bradycardia and lethargy. Consult your doctor before breastfeeding while on this medicine.
💊 Overdose Management
Overdose of this medicine can cause severe bradycardia, hypotension, heart failure, bronchospasm, and hypoglycemia. Treatment is supportive and may include atropine, glucagon, vasopressors, and cardiac pacing. Seek emergency medical attention immediately if overdose is suspected.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and do not change the dose or stop it suddenly on your own. If you have asthma, chronic obstructive pulmonary disease, diabetes, or heart failure, tell your doctor before starting this medicine. Check your pulse regularly, and inform your doctor if it becomes unusually slow. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine, as it can increase dizziness and low blood pressure. Keep all follow-up appointments so your doctor can monitor your heart rate, blood pressure, and overall response to treatment.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of this medicine. Start with lower doses and monitor heart rate and blood pressure closely. Risk of falls due to dizziness may be increased.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before conceiving. This medicine may be continued if needed, but close monitoring is required. It may affect fetal growth and cause neonatal bradycardia.
🏥 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 medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may interact with local anesthetics containing adrenaline, potentially causing severe hypertension. Your dentist may adjust the anesthetic used.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can reduce your exercise capacity and cause fatigue. Avoid strenuous activities until you know how it affects you. Stay hydrated and monitor your heart rate during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when starting treatment. Avoid driving or operating heavy machinery until you know how it affects you. It may also affect your ability to perform tasks requiring alertness.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects like wheezing, fainting, or very slow heartbeat, seek immediate medical attention. Your doctor will decide if and how to taper the dose.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored. It may cause fatigue, cold extremities, and reduced exercise tolerance. Regular monitoring of heart rate, blood pressure, and renal function is advised. Do not stop abruptly; taper gradually under medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can complement medicine for blood pressure and migraine.
Evidence: Well-establishedMay help with migraine and anxiety management.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Continue routine vaccinations as advised by your doctor.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, adjust dosing times gradually in consultation with your doctor. Check customs regulations for 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 reducing heart rate within 1-2 hours, but full blood pressure-lowering effects may take several days to weeks.
A: No, you should not stop this medicine suddenly. Your doctor will gradually reduce the dose to prevent rebound effects.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for mibeta sr 40 tablet
View AllAlternative brands with exact same active ingredient:
-
ranox 40mg tabletZeelab Pharmacy Pvt Ltd ₹6.00 88.6% CHEAPER
-
betabloc forte 40mg tabletUSV Ltd ₹9.35 82.2% CHEAPER
-
biodral 40 tabletBiologic Psychotropics India Pvt Ltd ₹14.00 73.4% CHEAPER
-
zopilar 40mg tabletVivid Labs Pvt Ltd ₹16.00 69.6% CHEAPER
-
arkaprop 40mg tabletRKG Pharma ₹17.33 67% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be stopped once blood pressure is normal.
Fact: This medicine controls blood pressure but does not cure it. Stopping suddenly can cause dangerous rebound hypertension or heart problems. - Myth: This medicine is safe for everyone with high blood pressure.
Fact: It is not safe for people with asthma, severe bradycardia, or heart block. - Myth: This medicine can be taken without a prescription.
Fact: This is a prescription medicine and must only be taken under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Propranolol 40 mg tablet (generic)
Brand Alternatives
- Armitol 40mg Tablet
- Provanol 40mg Tablet
- Inderal 40mg Tablet
- Ciplar 40mg Tablet
- Propranolol 40mg Tablet