Propranolol: Uses, Dosage & Side Effects

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Propranolol is a beta-blocker that affects the blood circulation in the heart. This medicine is commonly used to treat angina hypertension, heart rhythm disorder, and other circulatory conditions. It is also used to treat heart diseases.

Information about Propranolol:

It should not be used if the patient is allergic to it and have serious heart problem, sinus syndrome, slow heart rate, asthma severe circulation problem. This drug can also cause fainting. It should be used in the way your doctor prescribed and the directions written on the prescription label should be followed by the patient. It should not to be used in small or large doses and also not for longer duration than prescribed. This drug is not recommmended to the infants whose weight is  less than 4.5 pounds.

Dosage pattern of Propranolol:

Adult dose

For Hypertension:

Immediate release: The minimum dose is about 40mg to be taken orally 2 times per day in single or divided doses

Sustained release: The minimum dose is about 80mg to be taken orally per day

XL sustained release: The minimum dose is about 80mg orally once a day at bed time

Maximum dose: 640mg orally per day, to be taken on doctor’s advice.

For Angina pectoris:

Immediate release: The minimum dose is about 80-320mg to be taken orally 2 times per day in single or divided doses

Sustained release: The minimum dose is about 80mg to be taken orally per day

XL sustained release: The minimum dose is about 80mg orally once a day at bed time

Maximum dose: 320mg per day, is taken on doctor’s advice.

For Arrhythmias:

Immediate release: The minimum dose is about 10-30mg orally 3-4times a day before meals at bed time

IV: The minimum dose is about 1-3mg at a rate not exceeding 1mg/min

For Myocardial infarction:

Initial dose: The minimum dose is about 40mg orally 3times a day for 1 month

Maintenance dose: The minimum dose is about 180-240mg orally per day once a day in divided doses

Maximum dose: 240mg orally per day, to be taken on doctor’s advice.

For Congestive heart failure:

The minimum dose is about 25mg to be taken orally once in a day

Use: This medicine is used for treating a patient suffering from Heart failure (class II or III).

Pediatric dose:

Initial dose: The minimum dose is about 1mg/kg to be taken orally once in a day

Maximum dose: The minimum dose is about 2mg/kg to be taken orally once in a day or else as prescribed by the doctor.

Before giving any medicine to the children it is highly recommended to consult your doctor, in order to avoid the side effects.

Propranolol overdose:

The overdose of Propranolol is fatal and consult your doctor immediately if you experience or see the below listed any of the symptoms.

Overdose symptoms:

  • Tightness in chest
  • Difficulty in breathing
  • Body aches
  • Loss of vision
  • Unconsciousness
  • Very drowsy or sleepy
  • Bluish color
  • Stopping of heart

Propranolol Side effects:

Severity: major

  • Sweating
  • Confusion
  • Chest pain
  • Tiredness
  • Shortness of breath
  • Dizziness
  • Double vision
  • Extreme fatigue
  • Difficulty in speaking
  • Decreased urine output
  • Dilated neck veins
  • Headache
  • Night blindness

Severity: minor

  • Dry mouth
  • Feeling sad
  • Irritability
  • Nightmares
  • Sneezing
  • Tiredness
  • Trouble sleeping
  • Trouble concentration
  • Sensitivity towards sun
  • Hair loss
  • Bone pain

Propranolol: brand names, price list

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