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Usual Adult Propranolol dosage for Arrhythmias: Oral: 10 to 30 mg 3 to 4 times a day, before meals and at bedtime. IV: 1 to 3 mg at a rate not exceeding 1 mg/min. Sufficient time should be allowed for the drug to reach the site of action even when a slow circulation is present. A second dosage may be given after 2 minutes. Thereafter, additional drug should not be given in less than 4 hours. Additional Propranolol (Inderal LA) should not be given when the desired alteration in rate and/or rhythm is achieved.

Usual Adult Propranolol dosage 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 dosage 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 dosage: 640 mg/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.

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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.

Propranolol (Inderal LA) for Benign Essential Tremor: This medicine has completely changed my life. I am basically tremor free, and have been on the medicine for over 6 years now. My shaking was completely uncontrollable prior to the medicine and I can definitely tell within a half a day if I forget to take it. Lately I am noticing dizzy and light headedness, I normally have low Blood Pressure and am wondering if it has dropped too low now.

Propranolol (Inderal LA) 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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Ralph Nader: Addiction should never be treated as a crime. It has to be treated as a health problem. We do not send alcoholics to jail in this country. Over 500,000 people are in our jails who are nonviolent drug users.

Quentin Crisp: Health consists of having the same diseases as one's neighbors.

Jean Paul: For sleep, riches and health to be truly enjoyed, they must be interrupted.

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Gastrointestinal: Nausea, vomiting, epigastric distress, abdominal cramping, diarrhea, constipation, mesenteric arterial thrombosis, ischemic colitis.

FDA pregnancy category C. It is not known whether Propranolol (Inderal LA) will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Propranolol can pass into breast milk and may harm a nursing baby. Do not use Propranolol (Inderal LA) without telling your health care professional if you are breast-feeding a baby.

Propranolol works by decreasing the action of pacemaker cells and slowing certain impulses in the heart.

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Propranolol for Performance Anxiety: Helped with social anxiety a great deal. This is a non selective block so won't hold down the pulse as much as atenolol but that's good for us runners/joggers who have to be very careful with beta blockers. Propranolol (Inderal LA) is actually better than atenolol for tremors/tics one might get if you have social anxiety. I dose 20-30 mg and it helps a lot. A life saver for me.

Propranolol 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 Thyrotoxicosis: Propranolol (Inderal LA) brought my heart rate down from 180 to 65 within 24 hours. I've been on it for 2 weeks, had no side effects, and feel much improved.

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