Indever 40 is a prescription medication containing Propranolol Hydrochloride, a non-selective beta-blocker. It is primarily used to treat high blood pressure, heart-related chest pain (angina), and irregular heart rhythms. Additionally, it is widely utilized for the prevention of migraine headaches and the management of performance anxiety and essential tremors. Produced by Beximco Pharmaceuticals Ltd., Indever 40 works by blocking the action of epinephrine (adrenaline) on the heart and blood vessels, thereby slowing the heart rate and reducing the workload on the heart.
What is Indever 40 Used For?
Indever 40 mg tablets are prescribed for a wide range of cardiovascular and neurological conditions:
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Hypertension (High Blood Pressure): To lower blood pressure and prevent long-term complications like stroke or heart failure.
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Angina Pectoris: For the long-term management of chest pain caused by reduced blood flow to the heart.
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Arrhythmias: To control irregular heartbeats and stabilize the heart rate.
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Migraine Prophylaxis: To reduce the frequency and severity of migraine attacks.
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Essential Tremors: To help control involuntary shaking of the hands or body.
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Anxiety Management: To control physical symptoms of anxiety, such as a racing heart or sweating, particularly in social or performance situations.
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Hyperthyroidism: To manage symptoms like a fast heart rate associated with an overactive thyroid.
Key Reminder: Indever 40 is a maintenance medication and should not be used to treat an acute migraine attack already in progress. For technical details on its non-selective beta-blocking mechanism, you can review Propranolol on DrugBank.
Dosage
Dosage for Indever 40 varies significantly depending on the condition being treated and the patient’s response. General guidelines include:
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Hypertension: Typically 40 mg taken twice or three times daily.
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Angina & Arrhythmia: Generally 40 mg taken two to three times daily.
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Migraine & Tremors: Often starts at 40 mg two to three times daily, which may be adjusted by a physician.
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Note: Always take the tablet at the same time each day. Do not stop taking Indever 40 abruptly, as this can cause a sudden rise in blood pressure or chest pain.
Common Side Effects
While Indever 40 is effective, it can cause several common side effects as the body adjusts:
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Fatigue or tiredness
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Cold hands or feet (due to reduced peripheral blood flow)
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Dizziness or lightheadedness
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Sleep disturbances or vivid dreams
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Slow heart rate (Bradycardia)
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Nausea or stomach upset
Important Warnings & Precautions
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Asthma/COPD: Strictly avoid or use with extreme caution if you have a history of asthma or reactive airway disease.
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Diabetes: Propranolol can mask the symptoms of low blood sugar (hypoglycemia), such as a rapid heartbeat.
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Pregnancy/Breastfeeding: Use during pregnancy only if clearly needed and prescribed by a specialist. It is excreted in breast milk; consult your doctor if nursing.
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Heart Block: Not for use in patients with certain types of heart block or cardiogenic shock.
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Surgical Procedures: Inform your surgeon or anesthesiologist that you are taking Indever 40, as it can interact with anesthetics. Detailed safety data is available via NCBI StatPearls.
Indever 40 vs. Tenormin 50: Key Differences and Usage
While both are beta-blockers, Indever (Propranolol) is non-selective, whereas Tenormin (Atenolol) is cardio-selective, meaning they interact with different receptors.
| Feature | Indever 40 (Propranolol) | Tenormin 50 (Atenolol) |
| Drug Class | Non-selective Beta-blocker | Cardio-selective Beta-blocker |
| Primary Use | Migraine, Tremors, Anxiety, BP | High BP & Post-Heart Attack |
| CNS Penetration | High (crosses blood-brain barrier) | Low |
| Common Frequency | 2 to 3 times daily | Once daily |
| Unit Price | ৳3.50 | ৳5.00 – ৳7.00 |
Indever 40 (February 2026 Update)
The following table provides the updated pricing for the Indever range manufactured by Beximco Pharmaceuticals Ltd.
| Product Name | Strength | Unit Price (BDT) | Strip Price |
| Indever 40 | 40 mg | ৳3.50 | ৳35.00 (10 Tabs) |
| Indever 10 | 10 mg | ৳1.50 | ৳15.00 (10 Tabs) |
Indever 40 Alternative Brands & Prices
If Indever 40 is unavailable, several high-quality alternatives containing Propranolol Hydrochloride are available in Bangladesh as of early 2026.
| Brand Name | Company Name | Price per Unit (BDT) |
| Propnal 40 | Square Pharmaceuticals | ৳3.50 |
| Servolol 40 | Incepta Pharmaceuticals | ৳3.50 |
| Pranolol 40 | Aristopharma Ltd. | ৳3.00 |
| Betacap 40 | Opsonin Pharma | ৳3.00 |
| Carditol 40 | Eskayef (SK+F) | ৳3.50 |
| Pranol 40 | ACME Laboratories | ৳3.50 |
| Anxitol 40 | Drug International | ৳3.00 |
| Avlocard 40 | ACI Limited | ৳3.50 |
| Prolor 40 | Renata PLC | ৳3.50 |
| Angilol 40 | Healthcare Pharma | ৳3.50 |
Frequently Asked Questions (FAQ) About Indever 40
Q: What is the Indever 40 mg price in Bangladesh?
As of February 2026, the retail price for Indever 40 is ৳3.50 per tablet. A full strip of 10 tablets costs ৳35.00.
Q: What are the Indever 40 side effects?
Common side effects include cold hands and feet, tiredness, dizziness, and sleep disturbances. A significantly slow heart rate is also a known effect.
Q: What is Indever 40 used for?
It is used for high blood pressure, angina, irregular heartbeats, migraine prevention, essential tremors, and the physical symptoms of anxiety.
Q: What is the recommended Indever 40 dose?
The dose varies by condition but is often 40 mg taken 2 to 3 times daily. Your doctor will decide the exact dose for you.
Q: Is Indever 40 good for a cough?
No, Indever 40 is a heart and nerve medication and has no effect on a cough. In fact, it should be avoided if you have an asthma-related cough.
Q: What does Indever 40 do?
It blocks the effects of adrenaline on your heart. This slows your heart rate and makes it beat with less force, which lowers blood pressure and helps prevent chest pain.
Q: Does Indever 40 make you sleepy?
Some people feel very tired or fatigued while taking it. While it doesn’t always make you “sleepy” like a sedative, the fatigue can feel similar.
Q: Is Propranolol (Indever) high risk?
It is generally safe for most, but “high risk” for people with asthma or serious heart blocks. Abruptly stopping the medication is also risky.
Q: Is Indever 40 safe during pregnancy?
It should only be used during pregnancy if the benefit outweighs the risk to the baby. It can affect the baby’s growth and heart rate, so it must be supervised by a doctor.
Disclaimer: This is educational information only (updated February 2026). Not a substitute for professional medical advice. Always consult a qualified physician before starting/stopping any medication.
