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You may need to stop using the medicine for a short time. Do not skip dosages or stop using Propranolol without first talking to your doctor. You may need to use less and less before you stop the medication completely.

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.

You should not use this medication if you are allergic to Propranolol (Inderal LA), 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: 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 (Inderal LA). 10-20mg one hour before any event stops any anxiety symptoms, very good and would recommend.

Propranolol 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 Migraine Prevention: I have been on this medication for the past 2 months and absolutely see a remarkable difference. I've gone from a headache a week to one slight one in 2 months.

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Martin H. Fischer: Half the modern drugs could well be thrown out the window, except that the birds might eat them.

Ville Valo: I've got asthma. When I was 17 I forgot to take my medication and was taken to a hospital for almost two weeks. After that I've taken better care of my illness.

Sydney J. Harris: Those obsessed with health are not healthy; the first requisite of good health is a certain calculated carelessness about oneself.

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

Usual Adult Propranolol (Inderal LA) dose for Myocardial Infarction: 180 to 240 mg/day in 3 to 4 divided doses.

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 (Inderal LA) therapy should be discontinued. Sustained release: Initial dose: 80 mg orally once a day. Maintenance dose: 160 to 240 mg once a day.

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Propranolol (Inderal LA) for Benign Essential Tremor: I had struggled with Benign Essential Tremor for about 7 years (post-trauma), with shaky hands, stuttered speech, etc. For years I was given Valium or Xanax to treat it. In an effort to make a career change, I asked my healthcare professional to find a non-narcotic solution. In short, after seeing a neurologist I was prescribed propranolol and I'm free of almost all symptoms with less side effects and the negative stigma of being prescribed a benzo.

Propranolol for Performance Anxiety: I am actually a physician (weird I know), and always had a problem with anxiety. At one point, it was truly affecting my life. I could cope and work, but like many of us, constantly had the fear of "panicking" or "losing control." It started to affect my work, so I actually became a patient and asked my health care professional for some help. I've never had trouble dealing with the stress mentally, but the physical symptoms just drove me crazy and made the anxiety worse. I'd get shaky, warm, uncomfortable, etc., etc. On THE FIRST DAY I took 10mg, my life changed. Every single negative body symptom I experienced was gone. My confidence came back and honestly, I'm a better physician because of it. Simply amazing.

Propranolol for Migraine Prevention: Propranolol was a miracle medicine for me. It prevented migraines with common triggers. The only migraines it was unable to prevent were those triggered by bad weather and hormones.

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