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    Prophylaxis 80 mg/day PO divided q6-8hr initially; may be increased by 20-40 mg/day every 3-4 weeks; not to exceed 160-240 mg/day divided q6-8hr Inderal LA: 80 mg/day PO; maintenance: 160-240 mg/day Withdraw therapy if satisfactory response not seen after 6 weeks Hemangeol: Indicated for treatment of proliferating hemangioma requiring systemic therapy Initiate treatment at aged 5 weeks to 5 months Starting dose: 0.6 mg/kg (0.15 m L/kg) PO BID for 1 week, THEN increase dose to 1.1 mg/kg (0.3 m L/kg) BID; after 2 more weeks, increase to maintenance dose of 1.7 mg/kg (0.4 m L/kg) BID PO: 0.5-1 mg/kg/day divided q6-8hr; may be increased every 3-7 days; usual range: 2-6 mg/kg/day; not to exceed 16 mg/kg/day or 60 mg/day IV: 0.01-0.1 mg/kg over 10 minutes; repeat q6-8hr PRN; not to exceed 1 mg for infants or 3 mg for children PO: 1 mg/kg/day divided q6hr; after 1 week, may be increased by 1 mg/kg/day to maximum of 10-15 mg/kg/day if patient refractory; allow 24 hours between dosing changes IV: 0.01-0.2 mg/kg over 10 minutes; not to exceed 5 mg Immediate-release: 40 mg PO q12hr initially, increased every 3-7 days; maintenance: 80-240 mg PO q8-12hr; not to exceed 640 mg/day Inderal LA: 80 mg/day PO initially; maintenance: 120-160 mg/day; not to exceed 640 mg/day Inno Pran XL: 80 mg/day PO initially; may be increased every 2-3 weeks until response achieved; maintenance: not to exceed 120 mg/day PO Consider lower initial dose PO: 10 mg q6-8hr; may be increased every 3-7 days IV: 1-3 mg at 1 mg/min initially; repeat q2-5min to total of 5 mg Once response or maximum dose achieved, do not give additional dose for at least 4 hours Aggravated congestive heart failure Bradycardia Hypotension Arthropathy Raynaud phenomenon Hyper/hypoglycemia Depression Fatigue Insomnia Paresthesia Psychotic disorder Pruritus Nausea Vomiting Hyperlipidemia Hyperkalemia Cramping Bronchospasm Dyspnea Pulmonary edema Respiratory distress Wheezing Allergic: Hypersensitivity reactions, including anaphylactic/anaphylactoid; agranulocytosis, erythematous rash, fever with sore throat Skin: Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, urticaria Musculoskeletal: Myopathy, myotonia May exacerbate ischemic heart disease after abrupt withdrawal Hypersensitivity to catecholamines has been observed during withdrawal Exacerbation of angina and, in some cases, myocardial infarction occurrence after abrupt discontinuance When discontinuing long-term administration of beta blockers (particularly with ischemic heart disease), gradually reduce dose over 1-2 weeks and carefully monitor If angina markedly worsens or acute coronary insufficiency develops, reinstate beta-blocker administration promptly, at least temporarily (in addition to other measures appropriate for unstable angina) Warn patients against interruption or discontinuance of beta-blocker therapy without physician advice Because coronary artery disease is common and may be unrecognized, slowly discontinue beta-blocker therapy, even in patients treated only for hypertension Asthma, COPD Severe sinus bradycardia or 2°/3° heart block (except in patients with functioning artificial pacemaker) Cardiogenic shock Uncompensated congestive heart failure Hypersensitivity Overt heart failure Sick sinus syndrome without permanent pacemaker Do not use Inno Pran XL in pediatric patients Long-term beta blocker therapy should not be routinely discontinued before major surgery; however, the impaired ability of the heart to respond to reflex adrenergic stimuli may augment the risks of general anesthesia and surgical procedures Use caution in bronchospastic disease, cerebrovascular insufficiency, congestive heart failure, diabetes mellitus, hyperthyroidism/thyrotoxicosis, liver disease, renal impairment, peripheral vascular disease, myasthenic conditions Sudden discontinuance can exacerbate angina and lead to myocardial infarction Use in pheochromocytoma Increased risk of stroke after surgery Hypersensitivity reactions, including anaphylactic and anaphylactoid reactions, have been reported Cutaneous reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, and urticaria, have been reported Exacerbation of myopathy and myotonia has been reported Less effective than thiazide diuretics in black and geriatric patients May worsen bradycardia or hypotension; monitor HR and BP Avoid beta blockers without alpha1-adrenergic receptor blocking activity in patients with prinzmetal variant angina; unopposed alpha-1 adrenergic receptors may worsen anginal symptoms May induce or exacerbate psoriasis; cause and effect not established Prevents the response of endogenous catecholamines to correct hypoglycemia and masks the adrenergic warning signs of hypoglycemia, particularly tachycardia, palpitations, and sweating May cause or worsen bradycardia or hypotension Pregnancy category: C; intrauterine growth retardation, small placentas, and congenital abnormalities reported, but no adequate and well-controlled studies conducted Lactation: Use is controversial; an insignificant amount is excreted in breast milk Nonselective beta adrenergic receptor blocker; competitive beta1 and beta2 receptor inhibition results in decreases in heart rate, myocardial contractility, myocardial oxygen demand, and blood pressure Class 2 antidysrhythmic Bioavailability: 30-70% (food increases bioavailability) Onset: Hypertension, 2-3 wk; beta blockade, 2-10 min (IV) or 1-2 hr (PO) Duration: 6-12 hr (immediate release); 24-27 hr (extended release) Peak plasma time: 1-4 hr (immediate release); 6-14 hr (extended release) Solution: Most common solvents Additive: Dobutamine, verapamil Syringe: Inamrinone, milrinone Y-site: Alteplase, fenoldopam, gatifloxacin, heparin, hydrocortisone, sodium succinate, inamrinone, linezolid, meperidine, milrinone, morphine, potassium chloride, propofol, tacrolimus, tirofiban, vitamins B and C IV administration rate should not exceed 1 mg/min IV dose is much smaller than oral dose Give by direct injection into large vessel or into tubing of free-flowing compatible IV solution Continuous IV infusion generally is not recommended The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. metoprolol precautions Propranolol hydrochloride 40 mg, film coated tablet Each tablet contains 40 mg Propranolol hydrochloride. Note: Diameter of the tablet 9.0 mm The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses. An adequate response in migraine is usually seen in the range 80 to 160 mg/day and in angina and essential tremor in the range 120 to 240 mg/day. Film-coated tablet 40 mg: White to off-white round, biconvex film-coated tablets imprinted with 'AL' on one side and a score line on the other side. • Long-term prophylaxis against myocardial reinfarction after recovery from acute myocardial infarction • Hypertrophic obstructive cardiomyopathy. Angina, migraine and essential tremor The starting dose is 40 mg two to three times daily, increasing by the same amount at weekly intervals according to the patient response. Adults: Hypertension Initially 40 mg two or three times daily, which may be increased by 80 mg per day at weekly intervals according to response. With concurrent diuretic or other antihypertensive drugs a further reduction of blood pressure is obtained. • Hyperthyroidism and thyrotoxicosis • Phaeochromocytoma (with an alpha-blocker). • Prophylaxis of upper gastrointestinal bleeding in patients with portal hypertension and oesophageal varices. Arrhythmias, , hypertrophic obstructive cardiomyopathy and thyrotoxicosis A dosage range of 10 to 40 mg three or four times a day usually achieves the required response. Post myocardial infarction: Treatment should start between days 5 and 21 after myocardial infarction, with an initial dose of 40mg four times a day for two or three days. In order to improve compliance, the total daily dosage may thereafter be given as 80mg twice a day.

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    Weight gain can occur as a side effect of some beta blockers, especially the older ones, such as atenolol Tenormin and metoprolol Lopressor, Toprol-XL. levitra before and after PROPRANOLOL International Programme on Chemical Safety Poisons Information Monograph 441 Pharmaceutical 1. NAME 1.1 Substance Propranolol 1.2. Propranolol Cardiovascular learn about side effects, dosage, special precautions, and more on MedlinePlus

    Patricia Nevins is a registered nurse with nearly 20 years of nursing experience. She obtained her Master of Science in nursing with a focus in education from the University of Phoenix. Nevins shares her passion for healthy living through her roles as educator, nursing consultant and writer. View Full Profile Propranolol can cause sleep disturbances, drowsiness, fatigue, lightheadedness, vertigo, and fainting. Central nervous system side effects can be intense, with some patients experiencing psychosis, depression, confusion, agitation, vivid dreams, visual hallucinations, delusions and organic brain syndrome (decreased mental function, which is reversible). Visual disturbances, dry eyes and conjunctivitis can be experienced while taking propranolol. Ringing in the ears or hearing loss is also possible, and patients might also experience nasal congestion. Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). It is also used to prevent angina (chest pain), migraine headaches, and to improve survival after a heart attack. Propranolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure. High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure.

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  4. Inderal propranolol hydrochloride is a beta-adrenergic receptor blocking agent. Infants exposed to Inderal during pregnancy may have low birth weight, low.

    • Common Side Effects of Inderal Propranolol Drug Center - RxList
    • Propranolol Cardiovascular MedlinePlus Drug Information
    • Propranolol Side Effects, Dosage, Uses, and More - Healthline

    May 7, 2012. Here are 13 drugs that could cause you to gain weight. such as Tenormin, Lopressor metoprolol, and Inderal propranolol, can expand the. order generic viagra by phone Mentions, but reason I insisted on change over ten years ago is about 8 lb weight gain. Definetly helps GAD! propranolol inderal is real good for anxiety. I am starting on propranolol for anxiety. wondering if anyone is taking this and if they have had a side effect of weight gain. Answer this question.

     
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    Many people who take antidepressants notice ringing in their ears or “tinnitus.” This tinnitus is usually temporary, and can be a result of changes in levels of neurotransmitters such as serotonin. In other cases, the tinnitus may emerge as a result of an ototoxic reaction that a person has to a specific antidepressant. Ototoxicity is a medical term used to characterize inner ear damage resulting from pharmacological treatments. Ototoxic reactions are typically rare and only occur in a minority of individuals treated with antidepressants. They may occur after long-term treatment or as the result of an interaction with another medication. In any event, if you are experiencing ringing in your ear and believe that it may be a result of your antidepressant medication, it is best to seek immediate medical attention – preferably from an ENT specialist. Additionally, it should be noted that in some cases antidepressants can cause hypersensitivity to sounds and make people more likely to notice preexisting tinnitus. SSRI and Tinnitus Audiology valacyclovir in pregnancy Medications that cause tinnitus Katherine Bouton Sertraline induced tinnitus - forum - Tinnitus - Action on Hearing.
     
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