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

Usual Pediatric Propranolol dosage for Hypertension: Children and Adolescents 1 to 17 years: Immediate release formulations: Initial: 1 to 2 mg/kg/day divided in 2 to 3 dosages/day; titrate dosage to effect. Maximum dosage: 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).

Usual Pediatric Propranolol dose for Arrhythmias: Oral: Children: Initial: 0.5 to 1 mg/kg/day in divided doses every 6 to 8 hours; titrate dosage upward every 3 to 5 days; usual dose: 2 to 4 mg/kg/day; higher doses may be needed; do not exceed 16 mg/kg/day. IV: Children: 0.01 to 0.1 mg/kg slow IV over 10 minutes; maximum dose: 1 mg (infants); 3 mg (children).

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Propranolol for Performance Anxiety: I have had anxiety a lot since high school and it has gotten worse in college. I have taken many different medicines for anxiety and this is by far the best fit for me. I didn't like how I had to take the other medicines everyday whether or not I felt anxious - Propranolol was great for me because my healthcare professional told me I could take it whenever I felt a little more anxiety than normal. I will take it in the morning if I wake up anxious and I have never had an anxiety attack or feelings of being anxious yet. I would highly suggest talking to your doctor about this medicine if anxiety is the issue.

Propranolol (Inderal LA) 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: 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 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.

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Sustained release: Initial dose: 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.

Usual Pediatric Propranolol (Inderal LA) dose for Hypertension: Children: Immediate release formulations: Initial: 0.5 to 1 mg/kg/day in divided dosages every 6 to 12 hours; increase gradually every 5 to 7 days. Usual dose: 1 to 5 mg/kg/day. Maximum dosage: 8 mg/kg/day

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Propranolol for Arrhythmia: Controls A-fibrillation but be careful about it dropping blood sugar. I felt extremely jittery, anxious, disoriented, and numbness in the hands and feet on a relatively small dose of Propranolol (20mg three times daily).

Propranolol (Inderal LA) for Migraine Prevention: I've been taking Propranolol 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 (Inderal LA) for Benign Essential Tremor: My tremors in my right hand were getting so bad I could hardly write my name. Stress would make the tremors even worse. Within 1 day of starting 80mg Propranolol the tremors had disappeared. It has been a huge benefit to my quality of life. I have been taking it daily for 6 months now and the tremors are now very minor in the worst case such as extreme stress.

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