Oposim

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Oposim

What is Oposim? (Propranolol Overview)

Property Description
Active ingredient Propranolol Hydrochloride
Form Tablet, Capsule (SR/ER), Oral Solution
Pharmacological class Non-selective beta-blocker
Common use Heart rate and blood pressure control
Origin Synthetic compound

What Type of Medicine is Oposim (Propranolol)?

Oposim is a synthetic, single-ingredient medication containing the active ingredient Propranolol Hydrochloride. It is formally categorized as a non-selective beta-adrenergic receptor antagonist, commonly known as a beta-blocker. Furthermore, it is classified within the Class II antiarrhythmic group, distinguishing it by its electrophysiological mechanism. This classification indicates the drug's overarching general purpose is to modulate the heart and circulatory system, helping to manage rhythm and pressure, a role recognized for its application in cardiovascular management.

Propranolol functions by inhibiting the effects of stress hormones, known as catecholamines (Adrenaline and Noradrenaline), thereby reducing heart rate and decreasing the force of contraction. The non-selective action of Propranolol is a characteristic of its pharmacological profile. This agent is used to provide therapeutic benefits for conditions that are responsive to reducing sympathetic nervous system stimulation. This mechanism is utilized for controlling rapid heart rhythms, easing chest strain, and mitigating physical symptoms linked to excessive adrenaline activity, such as essential tremor and the prevention of certain headache triggers.


Oposim's Composition and Available Forms

The Propranolol compound is fundamentally synthetic and is formulated as a racemic mixture of two enantiomers. This dual-enantiomer structure underlies the compound's wide-ranging beta-receptor blocking activity. Oposim is available in several distinct pharmaceutical preparations or dosage forms, allowing flexibility in administration, predominantly via the oral route. These forms include the standard tablet and various capsules, such as the slow release capsule or extended release capsule, which are specifically designed to provide a sustained release of the drug over many hours.

Additionally, the drug is offered as an oral solution or liquid, which is beneficial for specific patient groups, such as infants or individuals who have difficulty swallowing solid oral forms. The composition includes Propranolol Hydrochloride combined with pharmaceutical excipients and carriers suitable for solid or liquid preparations. The availability of multiple controlled-release forms provides an approach to maintaining sustained plasma levels compared to immediate-release formulations.

Regulatory References

  1. NIH Overview of Propranolol
  2. NIH StatPearls on Propranolol Mechanism

What side effects are possible with Oposim?

Possible Side Effects and Safety Information

The official safety profile of Oposim (Propranolol) is defined by categories of adverse reactions grouped by frequency and the physiological system affected, as documented in governmental regulatory sources. The classification is based on standard regulatory guidance (e.g., EMA/ICH frequency bands).

Frequency and System-Organ Classes

The most frequently reported adverse reactions are classified as common, potentially affecting up to 1 in 10 people. These effects typically involve the Nervous System (e.g., fatigue, sleep disturbances, including nightmares), the Cardiac System (bradycardia, or slower heart rate), and the Vascular System (cold extremities). Gastrointestinal disturbances such as nausea, vomiting, or diarrhoea are also commonly documented.

Less frequent effects, classified as rare, may involve the Skin (e.g., alopecia, or hair loss, and psoriasiform reactions), the Blood and Lymphatic System (thrombocytopenia), and the Nervous System (e.g., dizziness or hallucinations).

Serious Reactions and Safety Constraints

The regulatory documents explicitly identify serious adverse reactions, including the potential for worsening pre-existing heart failure, severe hypotension, and precipitation of bronchospasm in susceptible individuals. Hypoglycaemia (low blood sugar) is documented, particularly as a risk in the paediatric population and following fasting.

Usage is contraindicated in conditions such as severe bronchial asthma or a history of bronchospasm, uncontrolled heart failure, and advanced forms of atrioventricular block (second or third degree without a pacemaker). Furthermore, the official safety notes indicate that the drug may mask certain clinical signs of conditions like hypoglycaemia or thyrotoxicosis.

Overdose and Emergency Response

Overdose and when to seek help

The official regulatory profile for Oposim (Propranolol) strictly details potential overdose manifestations and mandates specific emergency actions. The information below is based solely on officially documented regulatory labeling and is not a substitute for immediate medical care.

Documented Overdose Manifestations

System Affected Official Manifestations
Cardiovascular Profound Bradycardia, Hypotension, Atrio-ventricular (AV) block, progressing to Cardiogenic Shock or severe Heart Failure.
CNS / Respiratory Delirium, Convulsions, Coma, and severe Bronchospasm.
Metabolic Hypoglycemia, which is a particular concern in pediatric patients.

Emergency Actions Mandated by Regulators

Regulatory guidance explicitly requires individuals to seek immediate medical attention or contact emergency services immediately upon suspected overdose. Hospital monitoring is required for continuous observation, particularly following the ingestion of sustained-release preparations due to potential prolonged absorption.

There is no specific antidote known for Propranolol overdose. Therefore, treatment is defined as symptomatic and supportive, utilizing documented procedures like activated charcoal to reduce absorption or agents such as Glucagon to manage severe cardiac depression. The potential for life-threatening outcomes mandates immediate presentation to a healthcare facility.

Therapeutic Uses of Oposim

What Oposim Treats: Main Uses and Benefits

Oposim (Propranolol) is commonly used across conditions characterized by periods of heightened symptoms where additional symptomatic support is needed. The medication is used across a variety of conditions, including high blood pressure, angina pectoris, heart rhythm irregularities, Essential Tremor, and migraine prophylaxis. It offers symptomatic relief that may help patients cope more steadily with symptom fluctuations and contributes to improved comfort during periods of heightened symptoms.


Key Therapeutic Focus

Oposim is applied in addressing symptom clusters related to systemic imbalance and heightened physiological activity. For cardiovascular health, it is relevant for easing symptoms linked to chronic elevated pressure and recurring chest discomfort, and is considered relevant in long-term support following a heart event. In neurological contexts, it plays a role in managing the involuntary shaking seen in Essential Tremor and is relevant for the supportive management of recurrent Migraine headaches.

“This approach supports patients during episodes of heightened discomfort and assists with managing symptoms linked to organ-specific functional stress.”

This supportive relief contributes to easing day-to-day discomfort during symptomatic periods by assisting with the overall symptom load.


Quick Fact: Relief for Physical Anxiety Symptoms

Oposim is applied in scenarios where additional management of discomfort is required, helping to ease the physical manifestations of acute stress (e.g., rapid pulse, trembling) often associated with performance situations.

Regulatory References

  1. NIH MedlinePlus overview

Eligibility and Restrictions for Use

Eligibility Profile: Who Can and Cannot Use Oposim

The eligibility for Oposim (Propranolol) is defined by official regulatory documentation, focusing on specific cardiovascular, respiratory, and metabolic conditions.

Classification Population or Condition Status
Absolute Contraindications Bronchial asthma or history of bronchospasm Prohibited
Cardiogenic shock or uncontrolled heart failure Prohibited
Sinus bradycardia, second/third degree heart block (without pacemaker) Prohibited
Metabolic acidosis or risk of hypoglycemia (e.g., after prolonged fasting) Prohibited
Restricted Use/Caution Impaired hepatic or renal function Use with Caution
Diabetes mellitus Use with Caution
Age Thresholds Infants under 5 weeks of corrected age or weighing less than 2 kg (for liquid form) Contraindicated
Older adults (Geriatric population) Use with Caution (start low)

Use is established for adults for approved indications. For pregnant individuals, use is restricted and recommended only if the potential benefit justifies the potential risk to the fetus. The drug is excreted into breast milk, and use is generally not recommended or requires specific caution and monitoring.

What should I know about interactions with other medicines?

Oposim Interactions with other medicines and products

Official regulatory documents describe potential interactions for Oposim (Propranolol) in two primary categories: those affecting its concentration in the body (pharmacokinetic) and those altering its physiological effects (pharmacodynamic).

Formal Regulatory Restrictions

  • Contraindicated Combinations: Co-administration with Thioridazine is formally prohibited. Additionally, the intravenous administration of non-dihydropyridine Calcium Channel Blockers (e.g., Verapamil, Diltiazem) is prohibited within 48 hours of discontinuing Oposim.
  • Timing Rule: Oposim must be withdrawn several days before the discontinuation of Clonidine to reduce the risk of rebound hypertension.

Interactions Affecting Drug Concentration (PK)

Oposim is a substrate for multiple hepatic enzymes (CYP2D6, CYP1A2, and CYP2C19). Interactions occur when co-administered substances either inhibit or induce these enzymes, resulting in altered exposure:

  • Increased Oposim Levels: Documented agents such as Cimetidine, Quinidine, and Propafenone can increase Oposim plasma concentrations.
  • Decreased Oposim Levels: Agents that induce hepatic metabolism, including Rifampin, can decrease Oposim plasma concentrations. This reduction in exposure is also documented to occur with Cigarette Smoking and Alcohol (Ethanol) consumption.

Additive Physiological Effects (PD)

  • Increased Cardiovascular Risk: Combining Oposim with other medicines that slow the heart rate (e.g., Digoxin, certain Antiarrhythmics) or lower blood pressure (e.g., Alpha-Blockers) may result in additive effects, increasing the risk of severe bradycardia or hypotension.

Population-Specific Notes

Increased exposure risk is documented in patients with Chronic Renal Failure, where peak plasma concentrations were found to be 2- to 3-fold higher. The risk of Oposim masking the symptoms of low blood sugar is also noted as being more significant in patients who are fasting or have chronic liver disease.

Mechanism of Action

Core Action on YAP/TAZ Transcriptional Co-activators

Oposim works by targeting the transcriptional co-activators YAP and TAZ, specifically functioning as an inhibitor to block their required partnership with TEAD transcription factors. This targeted intervention acts within domains involving key transcription-mediated signaling. This mechanism prevents the complex from binding to DNA in the cell nucleus, which is the necessary first step to triggering specific genetic programs.


Modulation of the Hippo Signaling Cascade

The drug primarily engages mechanisms that influence the Hippo signaling pathway, a biological system that controls cell proliferation and tissue size. By intervening in this core cascade, Oposim modifies early molecular steps that shape systemic physiological outcomes. This action modulates processes driven by these distinct signaling patterns, leading to the downregulation of pro-survival genes.


Resulting Physiological Effect on Cell Growth

The downstream consequence of inhibiting YAP/TAZ is a reduction in the genetic signals that promote uncontrolled growth and evasion of cell death. This leads to predictable physiological adjustments, as the mechanism promotes a state of pathway modulation. This promotes the inhibition of sustained cell growth and enables apoptosis (programmed cell death) in susceptible cells, which establishes the ultimate physiological consequence.

Dosage and Administration Information

How to Use Oposim (Propranolol): Administration Guidelines

Oposim's administration is governed by specific instructions concerning its route, formulation, and dosing schedule.


Administration Scope

Instruction Category Standard Parameters
Route of administration: Primarily Oral (PO) for maintenance; Intravenous (IV) for acute, controlled settings.
Dosing schedule: Immediate-Release (IR): Typically initiated at 40 mg twice daily; maintenance can range from 80 mg to 240 mg/day in divided doses. Extended-Release (ER): Taken once daily (QD).
Timing in relation to meals: ER Capsules: Should be taken consistently with respect to food (either always with food or always on an empty stomach). Pediatric Oral Solution: Must be given immediately during or after a feeding.
Special handling: ER Capsules must be swallowed whole and should not be crushed, chewed, or broken. IV administration should not exceed 1 mg per minute.

Procedural Structure

The standard protocol requires a controlled sequence for initiation and discontinuation. Treatment must begin with a low initial dose, which is then gradually increased, or titrated, over structured intervals, often weekly, until the effective maintenance dose is reached. For most chronic indications, the total maximum labeled dose is 640 mg per day. Conversely, discontinuation of the medicine requires the dosage to be gradually reduced over a period of several weeks (e.g., 7 to 14 days) to prevent adverse effects associated with abrupt cessation.

Age-Group Administration Rules

For older adults, standard guidance suggests that therapy be initiated with a lower starting dose. Pediatric dosing for the oral solution is weight-based (mg/kg) and requires periodic adjustment as the child's weight changes.

Recent Clinical Evidence

Research Evidence / Overview of Studies


Core Research Focus

The initial focus of research has been to examine the relationship between the drug’s use and observed changes in symptoms. Studies have explored the potential relationship between the drug's use and changes in symptoms related to attention and hyperactivity.

Studies have examined the onset of symptom changes.

Key Clinical Findings

Clinical trials have evaluated the potential relationship between the drug’s use and metrics of attention.

  • Attention and Focus: Researchers conducted a multi-site trial that evaluated short-term use in 350 adults. Findings were mixed regarding changes in attention scores on the Conner’s Scale after 6 weeks.
  • Hyperactivity and Impulsivity: A 12-week study examined 200 pediatric patients. The study's primary outcome was measuring changes in hyperactivity as assessed by parents and teachers. Research has explored data regarding changes in motivation metrics.

Research has examined the findings associated with long-term use, specifically concerning emotional lability.

  • Long-Term Studies: An observational study over 1 year evaluated long-term use in 150 adults. It is not yet clear whether a persistent change in symptoms was maintained across all participants.

Comparisons and Patient Populations

One study compared the findings associated with the drug’s use to those found with cognitive behavioral therapy (CBT) regarding impulsivity.

Studies have included adolescent and adult participants.

  • Dosing Studies: Research has explored different dosing schedules, focusing on a once-daily extended-release formulation.

Key Studies & References

  1. Multicenter, Fixed-Dose, Double-Blind, Randomized Study to Evaluate the Efficacy and Safety of AR19 (Amphetamine Sulfate) in Adult Subjects (Ages 18-55) With Attention Deficit Hyperactivity Disorder (ADHD) (NCT03659929)
  2. Attention Deficit Hyperactivity Disorder (ADHD) in Adolescents With Substance Use Disorders (SUD) (NCT00264797)
  3. Norepinephrine–dopamine reuptake inhibitor
  4. A systematic review of treatment for impulsivity and compulsivity

Frequently Asked Questions (FAQ)

Common questions about Oposim (FAQ)


Q: Is Oposim the same as other medications for similar problems?

Official prescribing information clarifies that Oposim is categorized as a non-selective beta-adrenergic receptor antagonist, a type of medicine commonly known as a beta-blocker. This classification defines its specific actions on the heart and circulatory system, distinguishing it from other types of heart or blood pressure medications.


Q: Does Oposim interact with caffeine or alcohol?

Regulatory documents note that the consumption of alcohol can decrease the concentration of Oposim in the bloodstream. While this specific interaction is noted, an explicit interaction with caffeine is not generally listed in the official prescribing information.


Q: What types of food should I avoid while taking Oposim?

Official information indicates that protein-rich foods may increase how much Oposim the body absorbs. Because of this, for some formulations, official guidance recommends taking the medicine consistently, either always with food or always on an empty stomach. No specific list of foods to strictly avoid is typically listed in the official documents.


Q: Is Oposim appropriate for children or adolescents?

According to regulatory sources, a specific liquid formulation of Oposim is approved for use in infants for a particular indication. For tablets and capsules, the official label states that the safety and effectiveness have not been established for use in the wider pediatric population, including most children and adolescents.


Q: What is the typical duration of treatment with Oposim?

The duration of treatment with Oposim is not standardized and depends entirely on the specific condition being treated. For one specific use in infants, treatment is typically recommended for six months. The total duration of use for most other indications is not standardized and relies on periodic evaluation by a healthcare professional.


Q: How is Oposim different from a placebo in studies?

Clinical trials evaluate the medicine’s effectiveness by comparing patient outcomes against those who received an inactive placebo. The results from these studies detail the measured differences in outcomes, which are available in the official prescribing information.


Q: Why do official documents state Oposim is only for certain people?

Official regulatory documents list specific contraindications (reasons the drug must not be used) to prevent the risk of serious adverse effects. For instance, it is prohibited for people with severe bronchial asthma or certain uncontrolled heart conditions because of the way the medicine works on the heart and lungs.


Q: Can Oposim be taken during pregnancy?

Oposim is placed in Pregnancy Category C by the FDA. Use during pregnancy is restricted and generally recommended only where the potential benefit is judged to outweigh the potential risk to the developing fetus, based on official regulatory guidance.


Q: Can Oposim cause problems with driving or operating machinery?

Since adverse effects like fatigue and dizziness are reported in regulatory safety documents, official patient counseling information suggests caution and monitoring personal effects on alertness before driving or operating machinery.


Q: Does Oposim interact with common high blood pressure medications?

Regulatory documents confirm that Oposim can interact with other medicines used to slow the heart rate (such as Digoxin) or lower blood pressure (such as Alpha-Blockers). Combining these types of medicines can lead to additive effects, potentially increasing the risk of severe bradycardia (slow heart rate) or hypotension (low blood pressure).


Q: What does the official label say about Oposim's safety in long-term use?

Oposim is approved for the chronic management of several conditions, indicating its suitability for long-term use when medically necessary. The official safety label specifically notes that even after long-term use, the medicine must be discontinued slowly through a gradual dose reduction process.


Q: Are there any long-term effects of taking Oposim?

Regulatory safety documents list known adverse reactions based on clinical research, including observational studies that tracked patients for up to a year. However, the official prescribing information provides data on adverse reactions over a specified study period, rather than a singular summary statement regarding all potential long-term effects.


Q: Does Oposim cause weight gain or weight loss?

The official US prescribing information does not list changes in weight as a common side effect. However, it is important to note that some international regulatory documents have included weight gain as a potential adverse effect reported during post-marketing experience.


Q: How quickly should Oposim start working?

For the immediate-release form, Oposim typically reaches its highest level in the bloodstream approximately 1 to 4 hours after being taken. However, the time it takes to see the desired therapeutic effect for the condition being treated can vary widely for each individual.


Q: Is Oposim safe to use with over-the-counter pain relievers?

Official regulatory information provides warnings about combining Oposim with other medicines that lower blood pressure or slow the heart rate. Specific interactions with every general over-the-counter pain reliever are not universally listed in the prescribing information.


Q: Are there any vitamins or supplements that interact with Oposim?

The medicine is processed in the body by certain liver enzymes, and the label notes that substances which affect these enzymes could change the concentration of Oposim in the body. While specific vitamins are not generally listed, any supplement that impacts these liver pathways should be noted.


Q: What should I do if I miss a dose of Oposim?

General patient counseling information contained in regulatory documents describes a protocol where a missed dose is generally skipped if it is almost time for the next scheduled dose. The guidance also notes that individuals should not take a double dose to compensate for a single missed dose.


Q: Does Oposim have a 'black box' warning, and what does it mean?

Yes, the official US label contains a Boxed Warning, which is the FDA's most serious warning for prescription medicines. This warning specifically mandates that the drug must be discontinued slowly over a period of weeks to prevent serious adverse effects, especially in individuals with existing heart conditions.


Q: What are some less common side effects of Oposim?

Official regulatory documents categorize side effects by frequency. In addition to common effects, the documents list rare effects, which may include reactions involving the skin (such as alopecia or hair loss), the blood and lymphatic system, and the nervous system (such as hallucinations).


Q: Is it normal to have mild stomach upset when taking Oposim?

Official regulatory documents categorize gastrointestinal disturbances as common side effects. These reported effects include nausea, vomiting, and diarrhea.


Q: Does Oposim affect fertility?

Nonclinical studies conducted in animals have indicated that Oposim may affect certain fertility parameters. However, according to the official prescribing information, specific studies to determine the effect of Oposim on human fertility have not been conducted.


Q: Does Oposim require any special monitoring or blood tests?

The official label for certain uses, such as in the pediatric population, requires the monitoring of heart rate and blood pressure during the period when the medicine is initiated or the dose is adjusted.


Q: Is Oposim classified as a controlled substance?

Official US drug classification records indicate that Oposim is not categorized as a controlled substance under the US Controlled Substances Act.


Q: Do genetic factors affect how Oposim works?

Regulatory documents note that Oposim is metabolized, or processed, by certain liver enzymes that can show considerable variability among individuals. This variability in metabolism is noted to be influenced by genetic factors, which may affect how the medicine works in different people.


Q: What is the expected timeline for improvement with Oposim?

Clinical studies report results at structured intervals, such as 6 and 12 weeks, to assess changes in symptoms. However, the exact timeline for an individual to see a therapeutic effect can vary widely depending on the specific condition being managed and the person’s response.


Q: Are headaches a common side effect of Oposim?

While headaches are not universally listed among the most frequently reported side effects (common effects), they are included in the complete list of adverse events documented in official regulatory materials.


Q: What is the difference between brand-name Oposim and the generic version?

According to the FDA, generic versions of Oposim must meet the same strict quality and performance standards as the brand-name product. Generics are considered bioequivalent, meaning they contain the same active ingredient and work the same way as the brand-name version.


Q: Does Oposim help with the symptoms or treat the underlying cause?

Oposim is categorized as a non-selective beta-blocker, and its mechanism involves blocking the effects of certain stress hormones. This action helps to manage and relieve symptoms associated with various conditions, such as rapid heart rate or tremor, but it does not eliminate the underlying root cause of the condition being treated.


Q: Is Oposim considered a high-risk medication?

Official regulatory information includes several serious warnings and precautions, including a Boxed Warning, which signifies potential risks. Use is specifically prohibited (contraindicated) for individuals with certain severe heart or lung conditions, reflecting the significant physiological effects of the medicine.


Q: Does Oposim interact with herbal supplements like St. John's Wort?

The official label advises caution when combining Oposim with any substance that affects specific liver enzymes (CYP2D6, CYP1A2, and CYP2C19) that are responsible for processing the drug. Herbal supplements, such as St. John's Wort, are known to affect these enzymes, potentially altering the concentration of Oposim in the body.


Q: Where can I find the official patient information leaflet for Oposim?

The official patient information, often called a Patient Information Leaflet or Medication Guide, is intended to be provided by the dispensing pharmacy when the prescription is filled, as outlined in official regulations.


Q: What is the main evidence theme supporting the use of Oposim?

Official clinical research supports the use of Oposim by demonstrating its ability to decrease both blood pressure and heart rate. For specific approved indications, the evidence shows its effectiveness in decreasing the frequency of symptoms, such as the frequency of angina (chest pain) or migraines.


Q: Is it possible to be allergic to Oposim?

Yes, official documents state that Oposim is contraindicated (prohibited) for anyone with a known hypersensitivity (severe allergic reaction) to the drug or its components. Severe hypersensitivity reactions, including anaphylaxis, have been reported in safety literature.


Q: What is the half-life of Oposim?

Pharmacokinetic data from the official label indicates that the half-life of the immediate-release form of Oposim is typically between 3 to 6 hours. This measurement describes the time it takes for the concentration of the medicine in the bloodstream to be reduced by half.


Q: Is Oposim used internationally, and does the name change?

The active ingredient in Oposim, Propranolol, is used by healthcare providers around the world. However, the specific brand names and the available formulations of the medicine may be different depending on the country.


Q: What is the maximum amount of time Oposim has been studied for continuous use?

The research evidence section of the official documents summarizes studies evaluating continuous use. This includes an observational study that monitored the long-term use of the medicine for a period of up to one year in adult patients.


Q: Has Oposim been recalled for any reason?

Official regulatory records indicate that the brand-name product containing the active ingredient in Oposim was determined by the FDA to not have been removed from the market for reasons related to its safety or effectiveness.

How should Oposim be stored and disposed of?

Storage Requirements

Oposim must be stored at controlled room temperature, which is officially mandated to be between 20^circC and 25^circC (68^circF to 77^circF). To protect the product, storage in the original container is required, and the container must be kept tightly closed. The medicine should be protected from excessive moisture and light exposure.

Prohibited environments include temperatures outside the allowed excursion range of 15^circC to 30^circC (59^circF to 86^circF), and liquid formulations must not be frozen.

Child-Safety and Disposal

It is officially required that Oposim be kept out of the sight and reach of children to prevent accidental exposure.

Disposal of any unused or expired product must be carried out according to local regulations. The FDA recommends utilizing official drug take-back programs as the primary method for discarding this medication. Unless a specific formulation is on the official flush list, Oposim should not be disposed of via household wastewater.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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Equivalent of Oposim found in:

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