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Hemangeol and Liver disease

Result of checking the interaction of drug Hemangeol and disease Liver disease for safety when used together.

Check result:
Hemangeol <> Liver disease
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Propranolol is primarily metabolized by the liver. Patients with liver disease may be at greater risk for adverse effects from propranolol due to decreased drug clearance. Therapy with propranolol should be administered cautiously in patients with liver disease. Dosage adjustments may be necessary.

References:
  • George CF, Orme ML, Buranapong P, et al "Contribution of the liver to overall elimination of propranolol." J Pharmacokinet Biopharm 4 (1976): 17-27
  • Silber BM, Holford NH, Riegelman S "Dose-dependent elimination of propranolol and its major metabolites in humans." J Pharm Sci 72 (1983): 725-32
  • "Product Information. Inderal (propranolol)." Wyeth-Ayerst Laboratories, Philadelphia, PA.
  • Sotaniemi EA, Anttila M, Pelkonen RO, et al "Plasma clearance of propranolol and sotalol and hepatic drug-metabolizing enzyme activity." Clin Pharmacol Ther 26 (1979): 153-61
  • Jones DB "Propranolol disposition in cirrhosis ." Gut 26 (1985): 865
  • Routledge PA, Shand DG "Clinical pharmacokinetics of propranolol." Clin Pharmacokinet 4 (1979): 73-90
  • Arthur MJ, Tanner AR, Patel C, et al "Pharmacology of propranolol in patients with cirrhosis and portal hypertension." Gut 26 (1985): 14-9
  • Pessayre D, Lebrec D, Descatoire V, et al "Mechanism for reduced drug clearance in patients with cirrhosis." Gastroenterology 74 (1978): 566-71
  • Walle T, Walle K, Mathur RS, Palesch YY, Conradi EC "Propranolol metabolism in normal subjects: association with sex steroid hormones." Clin Pharmacol Ther 56 (1994): 127-32
  • Branch RA, Shand DG "Propranolol disposition in chronic liver disease: a physiological approach." Clin Pharmacokinet 1 (1976): 264-79
  • Watson RG, Bastain W, Larkin KA, et al "A comparative pharmacokinetic study of conventional propranolol and long acting preparation of propranolol in patients with cirrhosis and normal controls." Br J Clin Pharmacol 24 (1987): 527-35
Hemangeol

Generic Name: propranolol

Brand Name: Hemangeol, Inderal LA, Inderal XL, InnoPran XL, Inderal, InnoPran XL

Synonyms: n.a.

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