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If you miss a dose of Propranolol and are taking it regularly, take it as soon as possible. If it is almost time for your next dosage, skip the missed dose and go back to your regular dosing schedule. Do not take 2 dosages at once.

If you are being treated for high blood pressure, keep using Propranolol even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Propranolol (Inderal LA) is excreted into human milk. Adverse effects in the nursing infant are not reported, and are unlikely. The manufacturer recommends caution be used when administering Propranolol to nursing women.

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Propranolol (Inderal LA) for Performance Anxiety: Helped with social anxiety a great deal. This is a non selective block so won't hold down the pulse as much as atenolol but that's good for us runners/joggers who have to be very careful with beta blockers. Propranolol (Inderal LA) is actually better than atenolol for tremors/tics one might get if you have social anxiety. I dose 20-30 mg and it helps a lot. A life saver for me.

Propranolol (Inderal LA) for Migraine Prevention: I suffered 2 severe migraines every month. I was at my wits end trying to deal with them as all the medications had failed miserably. Propranolol was my last hope and thankfully it works beautifully. I truly feel as though I have my life back. I can plan events in advance and I no longer have to go to work with a migraine! Amazing!

Propranolol for Migraine Prevention: I suffered from Migraines with increasing frequency from about 6 years old. When I was about 14 I started to get them four or five times a month. At 15 I had a constant Migraine; I would black out and faint every time I stood up, I couldn't sleep or eat. At points I just wanted to die. It never went away and a long list of pain killers and other medications failed to work. Propranolol (Inderal LA) stops them almost completely. I still get them every couple of months, but that is not so much of a problem.

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Usual Adult Propranolol dose for Arrhythmias: Oral: 10 to 30 mg 3 to 4 times a day, before meals and at bedtime. IV: 1 to 3 mg at a rate not exceeding 1 mg/min. Sufficient time should be allowed for the drug to reach the site of action even when a slow circulation is present. A second dose may be given after 2 minutes. Thereafter, additional drug should not be given in less than 4 hours. Additional Propranolol (Inderal LA) should not be given when the desired alteration in rate and/or rhythm is achieved.

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 dosage 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 (Inderal LA) for Benign Essential Tremor: It worked great in the beginning, but within a few months lost its effectiveness, and I needed more and more to get the same effect. I also felt like I was addicted to it. It was the first thing I went for in the morning.

Propranolol 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.

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 doctor 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.

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