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If you miss a dose of Propranolol (Inderal LA) and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dosage and go back to your regular dosing schedule. Do not take 2 doses at once.

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.

Cardiovascular: Bradycardia; congestive heart failure; intensification of AV block; hypotension; paresthesia of hands; thrombocytopenic purpura; arterial insufficiency, usually of the Raynaud type.

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Propranolol for Migraine Prevention: After suffering with migraines 30 years, Propranolol (Inderal LA) gave me a pain-free life! It was the best I've ever felt! However, after several wonderful months, I began to get so dehydrated that it caused intense migraines and E.R. visits for re-hydration. Had to stop taking it because of dehydration side effect. Beware of dehydration while taking this drug.

Propranolol (Inderal LA) for Migraine Prevention: This drug changed my life. Before Propranolol (Inderal LA) I had headaches of some degree almost daily. Severe migraines 3-4 times monthly. I have been on a daily dosage of 2 capsules of 160 mg for about 4 years. No more migraines. I never had any side effects. It has truly given me my life back. My health care professional started me on a lesser dosage initially, always monitoring blood pressure, any side effects, number/severity of headaches while gradually finding correct dosage that worked for me.

Propranolol (Inderal LA) for Migraine Prevention: I have had classic migraines for 25 years. For the last 15 I have been using Propranolol as a preventative. For the first 10 years it reduced the number and severity of my migraines significantly from 1 or 2, 2 day long attacks to a cluster once or twice a year. Over the last few years more frequent migraine like headaches have been developing as often as 3 or 4 a fortnight (without aura or vomiting) leading me to seek new prevention options. However, I'm fearful of discontinuing Propranolol (Inderal LA) incase the more severe classic migraines return and disrupt my work even more than the headaches do. I think every migraine sufferer who can use it should give Propranolol a go. I haven't had any problems with side effects in all these years.

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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.

Use Propranolol as directed by your health care professional. Take Propranolol by mouth with or without food. Ask your health care provider any questions you may have about how to use Propranolol.

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Propranolol (Inderal LA) for Performance Anxiety: Have suffered with performance anxiety and panic attacks for years. Most of the time I use diazepam (Valium) to calm me down, but at times when I need to use my brain eg. interviews, public speaking, etc. I use Propranolol. 10-20mg one hour before any event stops any anxiety symptoms, very good and would recommend.

Propranolol (Inderal LA) for Performance Anxiety: I had severe anxiety and had difficulty, in training classes, at work until I started taking this medication. Propranolol has allowed me to stay calm through the most frustrating situations. It is an amazing treatment.

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