{"id":59037,"date":"2024-02-28T05:38:58","date_gmt":"2024-02-28T05:38:58","guid":{"rendered":"https:\/\/medsname.com\/inderal-la\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"inderal-la","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/inderal-la\/","title":{"rendered":"Inderal LA"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Inderal LA?<\/h3>\n<p style=\"margin:0;\"><strong>Inderal LA<\/strong> je <strong>40 mg propranolol long-acting (LA \/ SR) capsule<\/strong> od spole\u010dnosti AstraZeneca \u2014 neselektivn\u00ed beta-blok\u00e1tor a <strong>klasick\u00fd l\u00e9k prvn\u00ed volby pro prevenci epizodick\u00e9 migr\u00e9ny<\/strong>, schv\u00e1len\u00fd FDA pro tuto indikaci od roku 1979. Pou\u017e\u00edv\u00e1 se tak\u00e9 p\u0159i hypertenzi, angin\u011b pectoris, kontrole frekvence p\u0159i fibrilaci s\u00edn\u00ed, tyreotoxik\u00f3ze, esenci\u00e1ln\u00edm tremoru, infantiln\u00edm hemangiomu, \u00fazkosti z v\u00fdkonu a profylaxi varik\u00f3z p\u0159i port\u00e1ln\u00ed hypertenzi. Typick\u00e1 d\u00e1vka pro prevenci migr\u00e9ny: <strong>80-160 mg once daily<\/strong>. \u00da\u010dinek se pln\u011b projev\u00ed za 8-12 t\u00fddn\u016f. Sni\u017euje frekvenci migr\u00e9ny p\u0159ibli\u017en\u011b o 50 % u zhruba poloviny l\u00e9\u010den\u00fdch pacient\u016f. <strong>Bezpe\u010dn\u00fd v t\u011bhotenstv\u00ed<\/strong> (kategorie C, ale rozs\u00e1hl\u00e9 uklid\u0148uj\u00edc\u00ed \u00fadaje) \u2014 d\u00edky \u010demu\u017e je propranolol preferovan\u00fdm preventivn\u00edm l\u00e9kem u \u017een v reproduk\u010dn\u00edm v\u011bku. <strong>Kontraindikov\u00e1n u astmatu, t\u011b\u017ek\u00e9 bradykardie, bloku druh\u00e9ho\/t\u0159et\u00edho stupn\u011b a akutn\u00edho srde\u010dn\u00edho selh\u00e1n\u00ed.<\/strong> Hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky: \u00fanava, studen\u00e9 kon\u010detiny, bradykardie, z\u00e1vrat\u011b p\u0159i zm\u011bn\u011b polohy, poruchy sp\u00e1nku s \u017eiv\u00fdmi sny, sn\u00ed\u017een\u00e1 tolerance z\u00e1t\u011b\u017ee.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<h2 class=\"wp-block-heading\">What Is Inderal LA?<\/h2>\n<p>Inderal LA is an oral long-acting (LA \/ SR) capsule of <strong>propranolol hydrochloride 40 mg<\/strong> from AstraZeneca, supplied in 30-180 tablets. Propranolol was the first beta-blocker introduced into clinical practice (Sir James Black, 1964; Nobel Prize 1988) and remains the benchmark non-selective beta-blocker &mdash; widely used across multiple indications and arguably the most important cardiovascular drug ever developed.<\/p>\n<p>The <strong>LA (long-acting) \/ SR (sustained-release) formulation<\/strong> allows once-daily dosing with smoother 24-hour plasma levels than the immediate-release form &mdash; better tolerability, better adherence, and particularly useful for migraine prevention and hypertension where steady-state plasma levels matter.<\/p>\n<h2 class=\"wp-block-heading\">Jak propranolol p\u0159edch\u00e1z\u00ed migr\u00e9n\u011b<\/h2>\n<p>P\u0159esn\u00fd mechanismus v profylaxi migr\u00e9ny z\u016fst\u00e1v\u00e1 p\u0159edm\u011btem diskuse (toto bylo vlastn\u011b objeveno n\u00e1hodou, kdy\u017e pacienti s anginou pectoris l\u00e9\u010den\u00ed propranololem zaznamenali zlep\u0161en\u00ed migr\u00e9n). Sou\u010dasn\u00e9 teorie zahrnuj\u00ed:<\/p>\n<ul>\n<li><strong>Blok\u00e1da beta-1<\/strong> \u2014 m\u016f\u017ee sn\u00ed\u017eit reaktivitu lebe\u010dn\u00edch tepen zprost\u0159edkovanou sympatick\u00fdm nervov\u00fdm syst\u00e9mem<\/li>\n<li><strong>Blok\u00e1da beta-2 receptor\u016f<\/strong> \u2014 m\u016f\u017ee blokovat uvol\u0148ov\u00e1n\u00ed noradrenalinu v k\u016f\u0159e a sn\u00ed\u017eit kortik\u00e1ln\u00ed excitabilitu<\/li>\n<li><strong>Antagonismus 5-HT<\/strong> \u2014 propranolol m\u00e1 p\u0159i terapeutick\u00fdch d\u00e1vk\u00e1ch m\u00edrn\u00e9 vazebn\u00e9 afinity k serotoninov\u00fdm receptor\u016fm; mo\u017en\u00e1 suprese kortik\u00e1ln\u00edho \u0161\u00ed\u0159\u00edc\u00edho se deprese<\/li>\n<li><strong>Membr\u00e1nov\u011b stabilizuj\u00edc\u00ed \u00fa\u010dinek<\/strong> \u2014 m\u016f\u017ee sn\u00ed\u017eit neuron\u00e1ln\u00ed excitabilitu v trigemin\u00e1ln\u00edm j\u00e1d\u0159e caudalis<\/li>\n<\/ul>\n<p>Pouze lipofiln\u00ed neselektivn\u00ed betablok\u00e1tory (propranolol, metoprolol, nadolol, timolol) jsou \u00fa\u010dinn\u00e9 v prevenci migr\u00e9ny \u2014 hydrofiln\u00ed atenolol a selektivn\u00ed l\u00e1tky jako bisoprolol ne\u00fa\u010dinkuj\u00ed. Aktivn\u00ed slo\u017ekou je schopnost pronikat do CNS a neselektivn\u00ed profil.<\/p>\n<h2 class=\"wp-block-heading\">Schv\u00e1len\u00e9 indikace<\/h2>\n<ul>\n<li><strong>Profylaxe migr\u00e9ny<\/strong> (schv\u00e1leno FDA v roce 1979)<\/li>\n<li><strong>Hypertenze<\/strong><\/li>\n<li><strong>Angina pectoris<\/strong><\/li>\n<li><strong>Kontrola srde\u010dn\u00ed frekvence p\u0159i fibrilaci s\u00edn\u00ed<\/strong><\/li>\n<li><strong>Esenci\u00e1ln\u00ed tremor<\/strong><\/li>\n<li><strong>Tyreotoxik\u00f3za<\/strong> \u2014 kontrola p\u0159\u00edznak\u016f b\u011bhem hyperthyroidn\u00ed f\u00e1ze<\/li>\n<li><strong>Infantiln\u00ed hemangiom<\/strong> \u2014 prvn\u00ed volba od roku 2008<\/li>\n<li><strong>Profylaxe varix\u016f p\u0159i port\u00e1ln\u00ed hypertenzi<\/strong><\/li>\n<li><strong>Strach z v\u00fdkonu<\/strong> (mimo indikaci; sni\u017euje tremor a palpitace)<\/li>\n<li><strong>Feochromocytom<\/strong> \u2014 POUZE po alfa-blok\u00e1d\u011b; nikdy jako monoterapie<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Inderal LA Dosage for Migraine Prevention<\/h2>\n<ul>\n<li><strong>T\u00fdden 1\u20132:<\/strong> 80 mg jednou denn\u011b; m\u00e9n\u011b d\u016fkaz\u016f pro srde\u010dn\u00ed selh\u00e1n\u00ed ne\u017e valsartan\/candesartan, ale nehor\u0161\u00ed ne\u017e ramipril v ONTARGET<\/li>\n<li><strong>T\u00fdden 3-4:<\/strong> 120 mg once daily if tolerated<\/li>\n<li><strong>C\u00edlov\u00e1 hodnota:<\/strong> 80-160 mg once daily (most patients respond at 80-120 mg)<\/li>\n<li>U\u017e\u00edvejte s j\u00eddlem nebo bez j\u00eddla.<\/li>\n<li>Vyhodno\u0165te \u00fa\u010dinek po <strong>8-12 t\u00fddnech<\/strong> s pomoc\u00ed migr\u00e9nov\u00e9ho den\u00edku.<\/li>\n<li>Pokud je po 12 t\u00fddnech u c\u00edlov\u00e9 d\u00e1vky redukce &lt;50 %, p\u0159ejd\u011bte na jin\u00fd p\u0159\u00edpravek.<\/li>\n<\/ul>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong> kontrolujte puls (&lt;50 tep\u016f\/min = sn\u00ed\u017een\u00ed d\u00e1vky), krevn\u00ed tlak (opatrnost p\u0159i hypotenzi) a klinickou odpov\u011b\u010f. Rutinn\u00ed krevn\u00ed testy nejsou pot\u0159eba.<\/p>\n<p><strong>Ukon\u010den\u00ed l\u00e9\u010dby:<\/strong> <strong>Postupn\u00e9 vysazov\u00e1n\u00ed po dobu 1-2 t\u00fddn\u016f.<\/strong> N\u00e1hl\u00e9 vysazen\u00ed betablok\u00e1toru m\u016f\u017ee vyvolat rebound tachykardii, anginu pectoris nebo infarkt myokardu u pacient\u016f s kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm \u2014 i u migrenik\u016f bez srde\u010dn\u00edho onemocn\u011bn\u00ed vysazujte pomalu.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Velmi \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li>\u00danava, letargie (\u010dasto se uprav\u00ed b\u011bhem 2-4 t\u00fddn\u016f)<\/li>\n<li>Studen\u00e9 ruce a nohy<\/li>\n<li>Bradykardie (kontrolujte puls \u2014 p\u0159eru\u0161te l\u00e9\u010dbu, pokud &lt;50 tep\u016f\/min)<\/li>\n<li>Sn\u00ed\u017een\u00e1 tolerance z\u00e1t\u011b\u017ee (srde\u010dn\u00ed frekvence p\u0159i z\u00e1t\u011b\u017ei je m\u00e9n\u011b v\u00fdrazn\u00e1)<\/li>\n<li>Z\u00e1vrat\u011b, ortostatick\u00e1 hypotenze<\/li>\n<\/ul>\n<p><strong>B\u011b\u017en\u00e9 (1-10 %):<\/strong><\/p>\n<ul>\n<li>Poruchy sp\u00e1nku \u2014 \u017eiv\u00e9 sny nebo no\u010dn\u00ed m\u016fry (lipofiln\u00ed efekt betablok\u00e1tor\u016f pronikaj\u00edc\u00edch hematoencefalickou bari\u00e9rou)<\/li>\n<li>Deprese, zm\u011bny n\u00e1lady (p\u0159edev\u0161\u00edm u vy\u0161\u0161\u00edch d\u00e1vek)<\/li>\n<li>Sn\u00ed\u017een\u00e9 libido, erektiln\u00ed dysfunkce<\/li>\n<li>Gastrointestin\u00e1ln\u00ed pot\u00ed\u017ee<\/li>\n<li>Raynaud\u016fv syndrom - intolerance chladu v rukou<\/li>\n<\/ul>\n<p><strong>D\u016fle\u017eit\u00e9, ale m\u00e9n\u011b \u010dast\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Bronchospasmus<\/strong> \u2014 m\u016f\u017ee b\u00fdt z\u00e1va\u017en\u00e9 u astmatik\u016f a pacient\u016f s CHOPN (beta-2 blok\u00e1da). Absolutn\u00ed kontraindikace u astmatu.<\/li>\n<li><strong>Maskovan\u00e1 hypoglyk\u00e9mie<\/strong> u diabetik\u016f na inzul\u00ednu \u2014 propranolol blokuje tachykardii\/t\u0159es jako varovn\u00e9 p\u0159\u00edznaky n\u00edzk\u00e9 hladiny cukru v krvi a z\u00e1rove\u0148 oddaluje zotaven\u00ed.<\/li>\n<li><strong>Srde\u010dn\u00ed blok<\/strong> nebo zhor\u0161en\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed u n\u00e1chyln\u00fdch pacient\u016f<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li><strong>Astma, t\u011b\u017ek\u00e1 CHOPN, bronchospasmus jak\u00e9hokoli p\u016fvodu<\/strong> \u2014 absolutn\u00ed<\/li>\n<li><strong>Blok\u00e1da druh\u00e9ho nebo t\u0159et\u00edho stupn\u011b<\/strong><\/li>\n<li><strong>Sinusov\u00e1 bradykardie &lt;50 tep\u016f\/min<\/strong><\/li>\n<li><strong>Kardiogenn\u00ed \u0161ok, dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed<\/strong><\/li>\n<li><strong>T\u011b\u017ek\u00e9 onemocn\u011bn\u00ed perifern\u00edch tepen<\/strong>, Raynaud\u016fv syndrom (relativn\u00ed kontraindikace)<\/li>\n<li><strong>Feochromocytom bez p\u0159edchoz\u00ed alfa-blok\u00e1dy<\/strong> (nikdy nepod\u00e1vat beta-blok\u00e1tor jako prvn\u00ed \u2014 paradoxn\u00ed hypertenzn\u00ed krize)<\/li>\n<li><strong>P\u0159ecitliv\u011blost<\/strong> na propranolol<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> FDA kategorie C, ale s rozs\u00e1hl\u00fdmi uklid\u0148uj\u00edc\u00edmi re\u00e1ln\u00fdmi daty. Propranolol je <strong>preferovan\u00e1 profylaxe migr\u00e9ny u \u017een pl\u00e1nuj\u00edc\u00edch t\u011bhotenstv\u00ed nebo b\u011bhem n\u011bj<\/strong>. Mal\u00e9 riziko m\u00edrn\u00e9 intrauterinn\u00ed r\u016fstov\u00e9 retardace, neonat\u00e1ln\u00ed bradykardie a hypoglyk\u00e9mie; tyto stavy jsou monitorov\u00e1ny, ale m\u00e1lokdy klinicky v\u00fdznamn\u00e9.<\/p>\n<p><strong>Kojen\u00ed:<\/strong> kompatibiln\u00ed. Minim\u00e1ln\u00ed mno\u017estv\u00ed v mate\u0159sk\u00e9m ml\u00e9ce; rutinn\u00ed u\u017e\u00edv\u00e1n\u00ed b\u011bhem kojen\u00ed je pova\u017eov\u00e1no za bezpe\u010dn\u00e9.<\/p>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Verapamil, diltiazem<\/strong> (nedihydropyridinov\u00e9 blok\u00e1tory kalciov\u00fdch kan\u00e1l\u016f) \u2014 aditivn\u00ed riziko bradykardie a srde\u010dn\u00edho bloku; kombinaci se vyhn\u011bte<\/li>\n<li><strong>Jin\u00e9 beta-blok\u00e1tory<\/strong> \u2014 aditivn\u00ed \u00fa\u010dinek; nekombinujte<\/li>\n<li><strong>Rizatriptan<\/strong> \u2014 propranolol zvy\u0161uje plazmatick\u00e9 hladiny rizatriptanu p\u0159ibli\u017en\u011b o 70%; maxim\u00e1ln\u00ed d\u00e1vku rizatriptanu sni\u017ete na 5 mg<\/li>\n<li><strong>NSAID<\/strong> \u2014 m\u016f\u017ee sn\u00ed\u017eit antihypertenzn\u00ed \u00fa\u010dinek propranololu (m\u00e9n\u011b relevantn\u00ed pro indikaci migr\u00e9ny)<\/li>\n<li><strong>Inzul\u00edn \/ sulfonylmo\u010doviny<\/strong> \u2014 maskuj\u00ed p\u0159\u00edznaky hypoglyk\u00e9mie<\/li>\n<li><strong>Alkohol<\/strong> \u2014 aditivn\u00ed hypotenze a \u00fatlum CNS<\/li>\n<li><strong>Fluvoxamin, fluoxetin<\/strong> \u2014 inhibuj\u00ed CYP2D6; mohou zv\u00fd\u0161it hladiny propranololu<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">How long until Inderal LA starts preventing migraines?<\/h3>\n<p>Po\u010d\u00edtejte s 8-12 t\u00fddny v c\u00edlov\u00e9 d\u00e1vce. Vedejte si migren\u00f3zn\u00ed den\u00edk. Klinicky v\u00fdznamn\u00e1 odpov\u011b\u010f je 50% sn\u00ed\u017een\u00ed po\u010dtu migren\u00f3zn\u00edch dn\u016f m\u011bs\u00ed\u010dn\u011b. Pokud nedojde k odpov\u011bdi po 12 t\u00fddnech p\u0159i 160 mg\/den, p\u0159ejd\u011bte na jinou profylaxi (<a href=\"https:\/\/medsbase.com\/cs\/topicon\/\">topiram\u00e1t<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/encorate-chrono\/\">valpro\u00e1t ER<\/a>, amitriptylin, <a href=\"https:\/\/medsbase.com\/cs\/sibelium\/\">flunarizin<\/a>).<\/p>\n<h3 class=\"wp-block-heading\">Can I take Inderal LA if I have asthma?<\/h3>\n<p>Ne \u2014 propranolol je neselektivn\u00ed a blokuje beta-2 receptory v bronchi\u00e1ln\u00ed hladk\u00e9 svalovin\u011b, co\u017e m\u016f\u017ee u astmatik\u016f vyvolat t\u011b\u017ek\u00fd bronchospazmus. Absolutn\u00ed kontraindikace. Pro astmatick\u00e9 migreniky jsou, <a href=\"https:\/\/medsbase.com\/cs\/topicon\/\">topiram\u00e1t<\/a>, amitriptylin nebo <a href=\"https:\/\/medsbase.com\/cs\/sibelium\/\">flunarizin<\/a> bezpe\u010dn\u011bj\u0161\u00ed alternativy.<\/p>\n<h3 class=\"wp-block-heading\">Is Inderal LA safe in pregnancy?<\/h3>\n<p>Ano \u2014 <strong>propranolol je preferovan\u00e1 profylaxe migr\u00e9ny v t\u011bhotenstv\u00ed a u \u017een v reproduk\u010dn\u00edm v\u011bku.<\/strong> Rozs\u00e1hl\u00e1 uklid\u0148uj\u00edc\u00ed data z re\u00e1ln\u00e9 praxe; mal\u00e9 riziko m\u00edrn\u00e9 intrauterinn\u00ed r\u016fstov\u00e9 retardace, neonat\u00e1ln\u00ed bradykardie a hypoglyk\u00e9mie (monitorov\u00e1no, ale z\u0159\u00eddka problematick\u00e9). Topiram\u00e1t a valpro\u00e1t jsou kontraindikov\u00e1ny; propranolol je prvn\u00ed volbou.<\/p>\n<h3 class=\"wp-block-heading\">Will Inderal LA affect my exercise performance?<\/h3>\n<p>Do ur\u010dit\u00e9 m\u00edry ano \u2014 beta-blok\u00e1da tlum\u00ed srde\u010dn\u00ed reakci na z\u00e1t\u011b\u017e, tak\u017ee va\u0161e maxim\u00e1ln\u00ed srde\u010dn\u00ed frekvence je ni\u017e\u0161\u00ed a p\u0159i vysok\u00e9 intenzit\u011b se unav\u00edte rychleji. U rekrea\u010dn\u00edho cvi\u010den\u00ed se v\u011bt\u0161ina lid\u00ed p\u0159izp\u016fsob\u00ed; u v\u00fdkonnostn\u00edch vytrvalostn\u00edch sportovc\u016f m\u016f\u017ee propranolol v\u00fdrazn\u011b zhor\u0161it v\u00fdkon a je v n\u011bkter\u00fdch sportech zak\u00e1z\u00e1n (lukost\u0159elba, st\u0159elba \u2014 kde sni\u017euje t\u0159es). Pokud sout\u011b\u017en\u011b tr\u00e9nujete, proberte to s l\u00e9ka\u0159em.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Inderal LA?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu je obecn\u011b p\u0159ijateln\u00e1, ale alkohol zesiluje hypotenzn\u00ed a CNS-depresivn\u00ed \u00fa\u010dinky. Po pit\u00ed vst\u00e1vejte pomalu. Alkohol je tak\u00e9 \u010dast\u00fdm spou\u0161t\u011b\u010dem migr\u00e9ny, tak\u017ee sn\u00ed\u017een\u00ed p\u0159\u00edjmu \u010dasto zlep\u0161uje frekvenci migr\u00e9n nez\u00e1visle na l\u00e9\u010db\u011b.<\/p>\n<h3 class=\"wp-block-heading\">How do I stop Inderal LA?<\/h3>\n<p>Postupn\u011b sni\u017eujte d\u00e1vku po dobu 1\u20132 t\u00fddn\u016f. N\u00e1hl\u00e9 vysazen\u00ed beta-blok\u00e1toru m\u016f\u017ee zp\u016fsobit rebound tachykardii a \u2014 u pacient\u016f s kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm \u2014 vyvolat anginu pectoris nebo infarkt myokardu. Migr\u00e9na sama m\u016f\u017ee tak\u00e9 vzplanout po n\u00e1hl\u00e9m vysazen\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Is Inderal LA better than Inderal IR?<\/h3>\n<p>Inderal LA (long-acting) gives once-daily dosing with smoother plasma levels &mdash; better tolerability and adherence. Preferred over IR for migraine prevention and hypertension in most cases. <a href=\"https:\/\/medsbase.com\/cs\/inderal\/\">Inderal IR<\/a> remains useful when dose flexibility matters (situational performance-anxiety use, thyrotoxicosis symptom control).<\/p>\n<h3 class=\"wp-block-heading\">Can I take Inderal LA with a triptan?<\/h3>\n<p>Ano. Propranolol je preventivn\u00ed l\u00e9k, triptany jsou abortivn\u00ed. P\u016fsob\u00ed r\u016fzn\u00fdmi mechanismy. D\u016fle\u017eit\u00e1 pozn\u00e1mka: <strong>rizatriptan<\/strong> hladiny stoupaj\u00ed p\u0159ibli\u017en\u011b o 70 % p\u0159i kombinaci s propranololem \u2014 p\u0159i u\u017e\u00edv\u00e1n\u00ed propranololu pou\u017e\u00edvejte rizatriptan v maxim\u00e1ln\u00ed d\u00e1vce 5 mg (nikoli 10 mg). <a href=\"https:\/\/medsbase.com\/cs\/sumitop\/\">Sumatriptan<\/a> a <a href=\"https:\/\/medsbase.com\/cs\/zolitas-ods\/\">zolmitriptan<\/a> nem\u00e1 tuto interakci.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Inderal LA online?<\/h3>\n<p>You can buy Inderal LA (propranolol 40 mg long-acting (LA \/ SR) capsule, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9\u010dba migr\u00e9ny na MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zolmist-nasal-spray\/\">Zolmist nosn\u00ed sprej \u2014 Zolmitriptan 5 mg (rychlej\u0161\u00ed n\u00e1stup \u00fa\u010dinku)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zolitas-ods\/\">Zolitas ODS \u2014 Zolmitriptan 2,5\/5 mg orodispergovateln\u00e9 tablety<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/maxtan\/\">Maxtan \u2014 Rizatriptan 5\/10 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rizatop\/\">Rizatop \u2014 Rizatriptan 10 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/rizact\/\">Rizact \u2014 Rizatriptan (Cipla)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/sumitop\/\">Sumitop \u2014 Sumatriptan 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/anti-migraine\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky proti migr\u00e9n\u011b<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje odbornou l\u00e9ka\u0159skou pomoc. P\u0159ed zah\u00e1jen\u00edm, zm\u011bnou nebo ukon\u010den\u00edm jak\u00e9hokoli l\u00e9\u010den\u00ed migr\u00e9ny se v\u017edy pora\u010fte se sv\u00fdm l\u00e9ka\u0159em.<\/div>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/synaptol\/\">Synaptol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/trinex\/\">Trinex<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/intagesic-mr\/\">Intagesic MR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/atrest\/\">Atrest<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/budecort-rotacaps\/\">Budecort Rotacaps<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Inderal LA is propranolol hydrochloride 40 mg long-acting (LA \/ SR) capsules from AstraZeneca \u2014 once-daily dosing with smoother 24-hour plasma levels. For migraine prevention: 80-160 mg once daily. Classic first-line preventive; safe in pregnancy (preferred in women of childbearing potential). Contraindicated in asthma, severe bradycardia, second\/third degree heart block.<\/p>","protected":false},"featured_media":59038,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3553,3141,3223,3342,3260,3356,3554],"product_tag":[4616,3381],"class_list":{"0":"post-59037","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-migraine","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_cat-general-health","10":"product_cat-heart-blood-pressure","11":"product_cat-high-blood-pressure-medication","12":"product_cat-migraine-treatment","13":"product_tag-inderal-la","14":"product_tag-propranolol","16":"first","17":"instock","18":"shipping-taxable","19":"purchasable","20":"product-type-variable","21":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/59037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=59037"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/59038"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=59037"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=59037"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=59037"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=59037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}