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Usual Pediatric Propranolol dosage for Arrhythmias: Oral: Children: Initial: 0.5 to 1 mg/kg/day in divided dosages every 6 to 8 hours; titrate dosage upward every 3 to 5 days; usual dosage: 2 to 4 mg/kg/day; higher doses may be needed; do not exceed 16 mg/kg/day. IV: Children: 0.01 to 0.1 mg/kg slow IV over 10 minutes; maximum dosage: 1 mg (infants); 3 mg (children).
For extended-release Propranolol (Inderal LA) (Inderal LA LA, InnoPran XL and others): Take the missed dose as soon as you remember. Skip the missed dose if your next dosage is less than 8 hours away.
You should not use this medication if you are allergic to Propranolol, if you have asthma, a slow heart rate, or a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker). If you need surgery, tell the surgeon ahead of time that you are using Propranolol.
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Propranolol for Performance Anxiety: I have had anxiety a lot since high school and it has gotten worse in college. I have taken many different medicines for anxiety and this is by far the best fit for me. I didn't like how I had to take the other medicines everyday whether or not I felt anxious - Propranolol was great for me because my health care professional told me I could take it whenever I felt a little more anxiety than normal. I will take it in the morning if I wake up anxious and I have never had an anxiety attack or feelings of being anxious yet. I would highly suggest talking to your healthcare professional about this medicine if anxiety is the issue.
Propranolol for Arrhythmia: I started taking this several months ago and aside from the partial loss in some sexual stimulation, some itchiness/shaky/light-headedness - this has restored my life. I was a bundle of problems before with a very erratic heart beat, stress off the charts and other depressive symptoms. A BIG thank you to my doctor and anyone that put up with me before Propranolol (Inderal LA). HIGHLY recommend it.
Propranolol for High Blood Pressure: Lowered blood pressure but, caused severe hair loss (I saw clumps of hair in drain after every shower) and depression! I have since learned that this 'side effect' is known as 'beta-blocker blues'. However, my M.D. switched me to Tenormin (another beta-blocker) which did NOT have these side effects.
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Seth Rogen: I'm actually way more funny now, because I'm hungry... If comedy comes from pain, I should be funnier now than I ever was.
Clara Schumann: My health may be better preserved if I exert myself less, but in the end doesn't each person give his life for his calling?
Jean Paul: For sleep, riches and health to be truly enjoyed, they must be interrupted.
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Usual Adult Propranolol dosage for Myocardial Infarction: 180 to 240 mg/day in 3 to 4 divided doses.
Central Nervous System: Light-headedness; mental depression manifested by insomnia, lassitude, weakness, fatigue; catatonia; visual disturbances; hallucinations; vivid dreams; an acute reversible syndrome characterized by disorientation for time and place, short-term memory loss, emotional lability, slightly clouded sensorium, and decreased performance on neuropsychometrics. For immediate release formulations, fatigue, lethargy, and vivid dreams appear dosage related.
Usual Adult Propranolol (Inderal LA) dose for Hypertension: Initial dose: 40 mg orally twice a day or 80 mg sustained release once a day, whether used alone or added to a diuretic. The dose should be administered at bedtime (approximately 10 PM). Maintenance dosage: 120 to 240 mg/day or 120 to 160 mg/day of sustained release. Maximum dose: 640 mg/day.
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Propranolol (Inderal LA) for Migraine Prevention: This medicine has helped my migraines significantly. I had been having 4-5 migraine attacks per week and now am down to 1 or 2 every few weeks. Some weeks I don't have any. A huge relief. I had migraines for years. Missed work, severe pain and this medicine is a huge relief. I do feel tired and sluggish and may be related to this medicine but I don't know for sure. I will take that side effect over the pain of a migraine any day.
Propranolol (Inderal LA) for Performance Anxiety: I have been suffering from pretty bad anxiety when faced with meeting new people, going to a job interview, going on the streets. Everything from pounding heart, tense body, breath being tight, pressure on the chest, having a feeling of wanting to run away from normal situations. Today I took Propranolol for the first time, and so far it seems to have killed this feeling totally. First it felt like it completely emotionally numbed me, but as the hours have gone by (about 4 hours now), its all good now. Still feeling relaxed but a bit lazy.
Propranolol (Inderal LA) for High Blood Pressure: I work nights so I took my 2nd dosage of the day at 1am. By the time I saw the healthcare professional at 8am, my blood pressure was 160/110. It doesn't work for me. I get no benefit, and most of the side effects.
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