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Drug Safety-related Labeling Changes (SrLC)

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INDERAL LA (NDA-018553)

(PROPRANOLOL HYDROCHLORIDE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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11/07/2023 (SUPPL-48)

Approved Drug Label (PDF)

5 Warnings and Precautions

WARNINGS

(Additions and/or revisions underlined)

Hypoglycemia

Beta-blockers may prevent early warning signs of hypoglycemia, such as tachycardia, and increase the risk for severe or prolonged hypoglycemia at any time during treatment, especially in patients with diabetes mellitus or children and patients who are fasting (i.e., surgery, not eating regularly, or are vomiting). If severe hypoglycemia occurs, patients should be instructed to seek emergency treatment.

Hypoglycemia has been reported in patients taking propranolol after prolonged physical exertion and in patients with renal insufficiency.


PRECAUTIONS

Information for Patients

Inform patients or caregivers that there is a risk of hypoglycemia when Inderal LA is given to patients who are fasting or who are vomiting. Monitor for symptoms of hypoglycemia.

Other

(propranolol hydrochloride extended-release capsules revised to read Inderal LA throughout labeling)

11/07/2023 (SUPPL-52)

Approved Drug Label (PDF)

5 Warnings and Precautions

WARNINGS

(Additions and/or revisions underlined)

Hypoglycemia

Beta-blockers may prevent early warning signs of hypoglycemia, such as tachycardia, and increase the risk for severe or prolonged hypoglycemia at any time during treatment, especially in patients with diabetes mellitus or children and patients who are fasting (i.e., surgery, not eating regularly, or are vomiting). If severe hypoglycemia occurs, patients should be instructed to seek emergency treatment.

Hypoglycemia has been reported in patients taking propranolol after prolonged physical exertion and in patients with renal insufficiency.


PRECAUTIONS

Information for Patients

Inform patients or caregivers that there is a risk of hypoglycemia when Inderal LA is given to patients who are fasting or who are vomiting. Monitor for symptoms of hypoglycemia.

Other

(propranolol hydrochloride extended-release capsules revised to read Inderal LA throughout labeling)