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Usual Pediatric Propranolol (Inderal LA) dosage for Hypertension: Children and Adolescents 1 to 17 years: Immediate release formulations: Initial: 1 to 2 mg/kg/day divided in 2 to 3 dosages/day; titrate dose to effect. Maximum dosage: 4 mg/kg/day up to 640 mg/day; sustained release formulation may be dosed once daily. (National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents).
Sustained release: Initial dosage: 80 mg orally once a day. Dosage should be gradually increased at 3 to 7 day intervals. The average optimal dosage appears to be 160 mg/day.
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 dose related.
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Propranolol (Inderal LA) for Benign Essential Tremor: My health care professional had me on a regular dosage of Propranolol (Inderal LA), and Valium as a back up if needed. This was working fine. When I went in for my annual visit and said everything was as usual, no better but no worse, she changed me to primidone. I am on my 3rd month of this and feel like a basketcase. Vertigo, stomach problems, vision problems, memory problems.
Propranolol (Inderal LA) for High Blood Pressure: i have anxiety induced high blood pressure. At first it didn't do anything for me, however I wasn't taking it at the right time of day. It works wonders when taken at night before bed. Extended release takes 4-5 hours to start working and much longer for peak levels in blood. I now take it at around 10PM and am really calm the next day.
Propranolol for Migraine Prevention: My neurologist had me try many different medications for migraines including Amitriptyline, Topamax and Cymbalta. I was not comfortable with taking medications that are meant to help individuals with seizure disorders and depression. In addition, these medications did not stop the migraines and I experienced many side effects including nausea and decreased appetite. Then I tried Propranolol, a low dosage medication used to lower blood pressure, paired with B2. My migraines are now fewer and less severe. I still keep Imitrex with me wherever I go to tackle a migraine but I have found that Propranolol (Inderal LA) was the most successful medication that I have tried. Just be sure to take it as recommended. I hope that it helps other migraine sufferers.
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Paul Cezanne: My age and health will never allow me to realize the dream of art I've been pursuing all my life.
Author Unknown: Eat right, exercise regularly, die anyway.
Charles Caleb Colton: No company is preferable to bad. We are more apt to catch the vices of others than virtues, as disease is far more contagious than health.
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Usual Adult Propranolol (Inderal LA) dosage for Pheochromocytoma: Preoperatively: 60 mg/day orally in divided dosages for 3 days prior to surgery, concomitantly with an alpha-adrenergic blocking agent. Management of Inoperable Tumor: 30 mg/day orally in divided dosages.
Usual Adult Propranolol dose for Migraine Prophylaxis: Initial dose: 80 mg/day orally in divided doses. Maintenance dose: 160 to 240 mg/day. The dosage may be increased gradually to achieve optimum migraine prophylaxis. If a satisfactory response is not obtained within 4 to 6 weeks after reaching the maximum dose, Propranolol therapy should be discontinued. Sustained release: Initial dosage: 80 mg orally once a day. Maintenance dose: 160 to 240 mg once a day.
For regular (short-acting) Propranolol: Take the missed dosage as soon as you remember. Skip the missed dosage if your next dosage is less than 4 hours away.
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And of course some more experiences about Propranolol drug from some patients:
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Propranolol only takes a matter of minutes until you feel it "kick in" and slow you down. Watch out for the first time, it's like somebody hits your brakes! I've been on it for 5 years now and the extended release capsule (160 mg) lasts right at 24 hours on me. Only big side effect I have is short breath sometimes and impotency at first. After a few months my body adjusted, I feel normal. Don't miss a pill though, or you'll feel your heart race and a little anxious. Benefits outweigh risks.
Propranolol for Migraine Prevention: Since I've been taking Propranolol I've not had a migraine except the first year when I had 2 very light ones. I've had no side effects and have cut my dosage to 3 a week.
Propranolol for Performance Anxiety: Fantastic, I have not observed any side-effects. I have had anxiety all my life in association with bipolar II. Propranolol (Inderal LA) helps me with performance anxiety such as giving presentations, or if I have a stressful job ahead of me it allows me to remain calm so that I can carry out the tasks.
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