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Usual Adult Propranolol dose for Aortic Stenosis: 20 to 40 mg orally 3 to 4 times a day, before meals and at bedtime. Sustained release: 80 to 160 mg orally once a day.

Seek medical attention right away if any of these severe side effects occur: severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; disorientation; fever with aching and sore throat; hallucinations; memory loss; mental or mood changes; numbness or tingling of the hands; persistent or severe vision changes; red, swollen, blistered or peeling skin; severe dizziness; shortness of breath or wheezing; sudden unusual weight gain; swelling of the hands, ankles, or feet, unusual bruising; unusually slow heartbeat; very cold or blue fingers or toes.

Propranolol (Inderal LA) is used to treat tremors, angina (chest pain), hypertension (high blood pressure), heart rhythm disorders, and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the severity and frequency of migraine headaches.

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Propranolol for Performance Anxiety: I used this before giving a speech at my brothers wedding along with small amount of alcohol. I gave a speech there that I had been worried about from the day he told me he was engaged (1 year prior). I wrote the speech months in advance and thought about it daily. I am a very outgoing person, but do have performance anxiety/public speaking anxiety pretty bad. I think I took 40mg prior to the speech. The alcohol did help as well, but I believe the propranolol was responsible. I gave a KILLER speech and everyone was laughing hysterically. I didn't feel one single ounce of anxiety, not even for a split second. The seconds leading up to the speech were also calm.

Propranolol (Inderal LA) for Arrhythmia: Controls A-fibrillation but be careful about it dropping blood sugar. I felt extremely jittery, anxious, disoriented, and numbness in the hands and feet on a relatively small dose of Propranolol (20mg three times daily).

Propranolol for Migraine Prevention: I just started this medicine a month ago. Am I AMAZED. I had tried almost every migraine medication out there and nothing worked very well. I went from having 15-20 migraines a month (some lasting for days) to now about 1 per week. I am just so relieved! The only thing is, I do notice some side effects. I am on antidepressants for depression and anxiety, and my health care professional did say it can sometimes make depression or moods worse. I also get some shortness of breath or wheezing a bit, which I might have to talk to my doctor about. But I'm scared she is going to say I have to stop the Propranolol. I would rather have the other effects than the awful debilitating migraine pain. (I lost my job over my migraines, too).

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Samuel Butler: The worst thing that can happen to a man is to lose his money, the next worst his health, the next worst his reputation.

Albert Schweitzer: Every patient carries her or his own doctor inside.

Anna Quindlen: I would even go to Washington, which is saying something for me, just to glimpse Jane Q. Public, being sworn in as the first female president of the United States, while her husband holds the Bible and wears a silly pill box hat and matching coat.

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For extended-release Propranolol (Inderal LA LA, InnoPran XL and others): Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 8 hours away.

Usual Adult Propranolol dosage for Benign Essential Tremor: Initial dose: 40 mg orally twice a day. Maintenance dosage: 120 to 320 mg/day. Optimum reduction of essential tremor is usually achieved with a dose of 120 mg/day. Occasionally, it may be necessary to administer 240 to 320 mg/day.

Do not skip dosages or stop using Propranolol (Inderal LA) without first talking to your healthcare professional. You may need to use less and less before you stop the medication completely.

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Propranolol for High Blood Pressure: Propranolol (Inderal LA) works well with hardly any side effects. One good side effect is that it stops severe headaches if you happen to have those with your high blood pressure.

Propranolol (Inderal LA) for Benign Essential Tremor: It worked great in the beginning, but within a few months lost its effectiveness, and I needed more and more to get the same effect. I also felt like I was addicted to it. It was the first thing I went for in the morning.

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 health care professional and anyone that put up with me before Propranolol (Inderal LA). HIGHLY recommend it.

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