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Propranolol milk to maternal plasma ratios as high as 1.5 are reported. While no adverse effects in the nursing infant are reported, experts advise monitoring the infant for signs and symptoms of beta-blockade and to schedule feedings at least three hours after maternal Propranolol administration.

You may take Propranolol with or without food, but take it the same way each time. Take the medicine at the same time each day. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

Usual Adult Propranolol dose 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 dose 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.

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

FDA pregnancy category C. It is not known whether Propranolol (Inderal LA) will harm an unborn baby. Tell your healthcare professional 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 without telling your doctor if you are breast-feeding a baby.

Usual Pediatric Propranolol dose for Hypertension: Children and Adolescents 1 to 17 years: Immediate release formulations: Initial: 1 to 2 mg/kg/day divided in 2 to 3 doses/day; titrate dose to effect. Maximum dose: 4 mg/kg/day up to 640 mg/day; sustained release formulation may be dosaged once daily. (National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents).

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Propranolol for Migraine Prevention: I've been taking Propranolol (Inderal LA) for almost 2 years now, and I've had one headache in that time frame. Previously used to get 2 a week. It has changed my life.

Propranolol for Migraine Prevention: Propranolol has definitely helped with my migraine prevention. I started getting migraines when I was 13. Now late 20s I am finally migraine free besides the odd one I get due to hormones or when really stressed out! I reduced to taking 40mg in the morning rather than 40mg morning and night and have found the migraines still stay away. The only side effects I've had was nightmares initially, that soon went after a couple months. I get very cold hands and feet, sometimes in warm weather my feet are still cold! I also feel slightly more tired/sleepy but its worth it compared to the regular migraines I was experiencing beforehand.

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