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Usual Pediatric Propranolol dose for Thyrotoxicosis: Neonates: Oral: 2 mg/kg/day in divided dosages every 6 to 12 hours; occasionally higher dosages may be required. Adolescents: Oral: 10 to 40 mg/dose every 6 hours.
Gastrointestinal: Nausea, vomiting, epigastric distress, abdominal cramping, diarrhea, constipation, mesenteric arterial thrombosis, ischemic colitis.
Propranolol works by decreasing the action of pacemaker cells and slowing certain impulses in the heart.
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Propranolol for Migraine Prevention: I initially used Propranolol (Inderal LA) to assist with "stage fright" for large work presentations (it lowers heart rhythm and so reduces the signs of nervousness). I noticed while taking it that I had fewer headaches and migraines, so my healthcare professional recommended I continue with it. I have now been using a low dosage of Propranolol (Inderal LA) for around 4-5 years. It has reduced the frequency of migraines from around a 8-10 a year to 3-4 a year. Headaches have been reduced from several a week, to one every couple of weeks. I have experimented with reducing the dosage and frequency however that has resulted in a return of migraines. The main side effect I have noticed is colder extremities (hands and feet). I assume this is due to the poorer circulation caused by Propranolol.
Propranolol for Benign Essential Tremor: Aside from a slight decrease in circulation, cold feet/hands occasionally... Propranolol has significantly enhanced my quality of life.
Propranolol (Inderal LA) for Migraine Prevention: I had been on the 80mg for 6yrs but started getting 3 migraines a week again, so healthcare professional doubled my dosage to 160mg. I think they are very good, still get the occasional migraine.
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Karen Carpenter: I feel like the health industry is getting nothing but stronger every day.
Friedrich Nietzsche: Not necessity, not desire - no, the love of power is the demon of men. Let them have everything - health, food, a place to live, entertainment - they are and remain unhappy and low-spirited: for the demon waits and waits and will be satisfied.
Patrick Henry: Perfect freedom is as necessary to the health and vigor of commerce as it is to the health and vigor of citizenship.
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You may need to stop using the medicine for a short time. Do not skip dosages or stop using Propranolol (Inderal LA) without first talking to your doctor. You may need to use less and less before you stop the medication completely.
FDA pregnancy category C. It is not known whether Propranolol will harm an unborn baby. Tell your health care professional if you are pregnant or plan to become pregnant while using this medication. Propranolol (Inderal LA) can pass into breast milk and may harm a nursing baby. Do not use Propranolol (Inderal LA) without telling your healthcare professional if you are breast-feeding a baby.
For regular (short-acting) Propranolol: Take the missed dosage as soon as you remember. Skip the missed dosage if your next dose is less than 4 hours away.
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Propranolol (Inderal LA) 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 (Inderal LA) was great for me because my health care 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 healthcare professional about this medicine if anxiety is the issue.
Propranolol (Inderal LA) for Performance Anxiety: I get situational panic attacks in high stress meetings or interviews - these started a few years ago. My healthcare professional prescribed me 10mg of Propranolol (Inderal LA) to take 10-30 minutes before meetings, speeches, etc. This calms me down, stops me worrying about the possibility to have a panic attack, and makes me a much calmer person. Having a pill on me at all times in case the situation arises has given me such confidence that I won't have an attack now that I rarely get them anymore.
Propranolol (Inderal LA) for Performance Anxiety: I have struggled with public speaking my entire life. This is truly a miracle medicine for me. I like the fact that I do not have to take it everyday...only for specific events which are typically scheduled in advance. I would still prefer no medication but have been very happy with the results from Propranolol.
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