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Sustained release: Initial dosage: 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.

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 doses/day; titrate dose to effect. Maximum dose: 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).

Central Nervous System: Light-headedness; mental depression manifested by insomnia, lassitude, weakness, fatigue; catatonia; visual disturbances; hallucinations; vivid dreams; an acute reversible syndrome characterized by disorientation for time and place, short-term memory loss, emotional lability, slightly clouded sensorium, and decreased performance on neuropsychometrics. For immediate release formulations, fatigue, lethargy, and vivid dreams appear dosage related.

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Propranolol 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.

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 for Performance Anxiety: I used this before giving a speech at my brothers wedding along with small amount of alcohol. I gave a speech there that I had been worried about from the day he told me he was engaged (1 year prior). I wrote the speech months in advance and thought about it daily. I am a very outgoing person, but do have performance anxiety/public speaking anxiety pretty bad. I think I took 40mg prior to the speech. The alcohol did help as well, but I believe the propranolol was responsible. I gave a KILLER speech and everyone was laughing hysterically. I didn't feel one single ounce of anxiety, not even for a split second. The seconds leading up to the speech were also calm.

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Sydney Smith: A comfortable house is a great source of happiness. It ranks immediately after health and a good conscience.

Anthony Weiner: Do you know what the overhead is of the Medicare system? One-point-zero-five percent. Do you know what - private insurance is 30 percent in overhead and profits? Given a choice how I'm going to improve health care, I'm going to take it away from private insurance profits and overhead. Wouldn't you?

Friedrich Nietzsche: When a man is ill his very goodness is sickly.

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Propranolol (Inderal LA) is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

Seek medical attention right away if any of these severe side effects occur: severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; disorientation; fever with aching and sore throat; hallucinations; memory loss; mental or mood changes; numbness or tingling of the hands; persistent or severe vision changes; red, swollen, blistered or peeling skin; severe dizziness; shortness of breath or wheezing; sudden unusual weight gain; swelling of the hands, ankles, or feet, unusual bruising; unusually slow heartbeat; very cold or blue fingers or toes.

Propranolol 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 Migraine Prevention: I have taken Propranolol now for a few months. I have noticed that my migraines are down to 2-4 a month. I was 5-6 a week. I was using the max dosage of Imitrex and still not getting any relief. Don't get me wrong. I love my Imitrex and can't live without it. Propranolol has improved a lot of my headaches. At first I hated Inderal because I hated the idea of feeling slow and tired all the time. Now if I forget to take it my coworkers notice immediately! I get very agitated and nauseous when I have a headache to begin with and I slur my words. I want candies loaded with dyes and I get a manic-like hyperactive speech. I feel better now than I did in May. I still feel the migraines I don't feel their attacks.

Propranolol (Inderal LA) for Migraine Prevention: This drug changed my life. Before Propranolol (Inderal LA) I had headaches of some degree almost daily. Severe migraines 3-4 times monthly. I have been on a daily dosage of 2 capsules of 160 mg for about 4 years. No more migraines. I never had any side effects. It has truly given me my life back. My healthcare professional started me on a lesser dosage initially, always monitoring blood pressure, any side effects, number/severity of headaches while gradually finding correct dosage that worked for me.

Propranolol (Inderal LA) for Migraine Prevention: I was on Propranolol (Inderal LA) for about 18 months and went from approximately 20 migraines a month to five. Unfortunately a side effect I developed was cough-variant asthma. Made several visits to the health care professional regarding the cough and his suggested that it might be asthma and put me on a daily inhaler. I did some research as I did not want to take a drug to relieve a condition caused by another drug. The side effect was not listed on my Propranolol literature, but I found it as a cause for cough-variant asthma. I had to switch to verapamil, which is not quite as effective for my headaches, but my cough is gone.

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