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Adverse effects of propranolol

Sertraline - pedia Prophylaxis 80 mg/day PO divided q6-8hr initially; may be increased by 20-40 mg/day every 3-4 weeks; not to exceed 160-240 mg/day divided q6-8hr Inderal LA: 80 mg/day PO; maintenance: 160-240 mg/day Withdraw therapy if satisfactory response not seen after 6 weeks Hemangeol: Indicated for treatment of proliferating hemangioma requiring systemic therapy Initiate treatment at aged 5 weeks to 5 months Starting dose: 0.6 mg/kg (0.15 m L/kg) PO BID for 1 week, THEN increase dose to 1.1 mg/kg (0.3 m L/kg) BID; after 2 more weeks, increase to maintenance dose of 1.7 mg/kg (0.4 m L/kg) BID PO: 0.5-1 mg/kg/day divided q6-8hr; may be increased every 3-7 days; usual range: 2-6 mg/kg/day; not to exceed 16 mg/kg/day or 60 mg/day IV: 0.01-0.1 mg/kg over 10 minutes; repeat q6-8hr PRN; not to exceed 1 mg for infants or 3 mg for children PO: 1 mg/kg/day divided q6hr; after 1 week, may be increased by 1 mg/kg/day to maximum of 10-15 mg/kg/day if patient refractory; allow 24 hours between dosing changes IV: 0.01-0.2 mg/kg over 10 minutes; not to exceed 5 mg Immediate-release: 40 mg PO q12hr initially, increased every 3-7 days; maintenance: 80-240 mg PO q8-12hr; not to exceed 640 mg/day Inderal LA: 80 mg/day PO initially; maintenance: 120-160 mg/day; not to exceed 640 mg/day Inno Pran XL: 80 mg/day PO initially; may be increased every 2-3 weeks until response achieved; maintenance: not to exceed 120 mg/day PO Consider lower initial dose PO: 10 mg q6-8hr; may be increased every 3-7 days IV: 1-3 mg at 1 mg/min initially; repeat q2-5min to total of 5 mg Once response or maximum dose achieved, do not give additional dose for at least 4 hours Aggravated congestive heart failure Bradycardia Hypotension Arthropathy Raynaud phenomenon Hyper/hypoglycemia Depression Fatue Insomnia Paresthesia Psychotic disorder Pruritus Nausea Vomiting Hyperlipidemia Hyperkalemia Cramping Bronchospasm Dyspnea Pulmonary edema Respiratory distress Wheezing Allergic: Hypersensitivity reactions, including anaphylactic/anaphylactoid; agranulocytosis, erythematous rash, fever with sore throat Skin: Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, urticaria Musculoskeletal: Myopathy, myotonia May exacerbate ischemic heart disease after abrupt withdrawal Hypersensitivity to catecholamines has been observed during withdrawal Exacerbation of angina and, in some cases, myocardial infarction occurrence after abrupt discontinuance When discontinuing long-term administration of beta blockers (particularly with ischemic heart disease), gradually reduce dose over 1-2 weeks and carefully monitor If angina markedly worsens or acute coronary insufficiency develops, reinstate beta-blocker administration promptly, at least temporarily (in addition to other measures appropriate for unstable angina) Warn patients against interruption or discontinuance of beta-blocker therapy without physician advice Because coronary artery disease is common and may be unrecognized, slowly discontinue beta-blocker therapy, even in patients treated only for hypertension Asthma, COPD Severe sinus bradycardia or 2°/3° heart block (except in patients with functioning artificial pacemaker) Cardiogenic shock Uncompensated congestive heart failure Hypersensitivity Overt heart failure Sick sinus syndrome without permanent pacemaker Do not use Inno Pran XL in pediatric patients Long-term beta blocker therapy should not be routinely discontinued before major surgery; however, the impaired ability of the heart to respond to reflex adrenergic stimuli may augment the risks of general anesthesia and surgical procedures Use caution in bronchospastic disease, cerebrovascular insufficiency, congestive heart failure, diabetes mellitus, hyperthyroidism/thyrotoxicosis, liver disease, renal impairment, peripheral vascular disease, myasthenic conditions Sudden discontinuance can exacerbate angina and lead to myocardial infarction Use in pheochromocytoma Increased risk of stroke after surgery Hypersensitivity reactions, including anaphylactic and anaphylactoid reactions, have been reported Cutaneous reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, erythema multiforme, and urticaria, have been reported Exacerbation of myopathy and myotonia has been reported Less effective than thiazide diuretics in black and geriatric patients May worsen bradycardia or hypotension; monitor HR and BP Avoid beta blockers without alpha1-adrenergic receptor blocking activity in patients with prinzmetal variant angina; unopposed alpha-1 adrenergic receptors may worsen anginal symptoms May induce or exacerbate psoriasis; cause and effect not established Prevents the response of endogenous catecholamines to correct hypoglycemia and masks the adrenergic warning sns of hypoglycemia, particularly tachycardia, palpitations, and sweating May cause or worsen bradycardia or hypotension Pregnancy category: C; intrauterine growth retardation, small placentas, and congenital abnormalities reported, but no adequate and well-controlled studies conducted Lactation: Use is controversial; an insnificant amount is excreted in breast milk Nonselective beta adrenergic receptor blocker; competitive beta1 and beta2 receptor inhibition results in decreases in heart rate, myocardial contractility, myocardial oxygen demand, and blood pressure Class 2 antidysrhythmic Bioavailability: 30-70% (food increases bioavailability) Onset: Hypertension, 2-3 wk; beta blockade, 2-10 min (IV) or 1-2 hr (PO) Duration: 6-12 hr (immediate release); 24-27 hr (extended release) Peak plasma time: 1-4 hr (immediate release); 6-14 hr (extended release) Solution: Most common solvents Additive: Dobutamine, verapamil Syringe: Inamrinone, milrinone Y-site: Alteplase, fenoldopam, gatifloxacin, heparin, hydrocortisone, sodium succinate, inamrinone, linezolid, meperidine, milrinone, morphine, potassium coride, propofol, tacrolimus, tirofiban, vitamins B and C IV administration rate should not exceed 1 mg/min IV dose is much smaller than oral dose Give by direct injection into large vessel or into tubing of free-flowing compatible IV solution Continuous IV infusion generally is not recommended The above information is provided for general informational and educational purposes only. Sertraline - pedia
Compared to other SSRIs, sertraline tends to be associated with a hher rate of psychiatric side effects and diarrhea. It tends to be more activating that is.

Propranolol Hydrocoride Common Drug Side Effects - CVS Sertraline (trade names Zoloft and others) is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. Sertraline is primarily prescribed for major depressive disorder in adult outpatients as well as obsessive-compulsive disorder, panic disorder, and social anxiety disorder, in both adults and children. Differences with other newer antidepressants are subtle and mostly confined to side effects. <em>Propranolol</em> Hydrocoride Common Drug Side <em>Effects</em> - CVS
Propranolol Hydrocoride side effects. Read about common and serious side effects of Propranolol Hydrocoride. Visit for more details.

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Inderal, Inderal LA propranolol dosing, indications. You can now receive news updates from the MHRA and report side effects to medicines via the Yellow Card app. Inderal, Inderal LA <i>propranolol</i> dosing, indications.
Medscape - Hypertension-specific dosing for Inderal, Inderal LA propranolol, frequency-based adverse effects, comprehensive interactions, contraindications.

Inderal Uses, Dosage & Side Effects - Common side effects include nausea, abdominal pain, and constipation. Inderal Uses, Dosage & Side <u>Effects</u> -
Inderal propranolol is used to treat angina, hh blood pressure and heart rhythm disorders. Includes Inderal side effects, interactions and indications.

Adverse effects of drugs - Worst Pills Propranolol is used alone or together with other medicines to treat hh blood pressure (hypertension). <i>Adverse</i> <i>effects</i> of drugs - Worst Pills
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Propranolol Side Effects in Detail - Summary Description and Clinical Pharmacology Indications and Dosage Warnings and Precautions Side Effects and Adverse Reactions Drug Interactions, Overdosage, Contraindications, Other Rx Info Active Ingredients User Ratings / Reviews Side Effect Reports Lht-headedness; mental depression manifested by insomnia, lassitude, weakness, fatue; catatonia; visual disturbances; hallucinations; vivid dreams; an acute reversible syndrome characterized by disorientation for time and place, short-term memory loss, emotional lability, slhtly clouded sensorium, and decreased performance on neuropsychometrics. <u>Propranolol</u> Side <u>Effects</u> in Detail -
Learn about the potential side effects of propranolol. Includes common and rare side effects information for consumers and healthcare professionals.

Yellow Card Scheme - MHRA Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Yellow Card Scheme - MHRA
Yellow Card Scheme - Website for reporting adverse drug reactions, medical device adverse incidents, defective medicines, and counterfeit or fake medicines within the UK.

Side Effects of Inderal Propranolol Drug. - RxList Some propranolol side effects may not need any medical attention. Side <strong>Effects</strong> of Inderal <strong>Propranolol</strong> Drug. - RxList
SIDE EFFECTS. The following adverse reactions have been observed, but there is not enough systematic collection of data to support an estimate of their frequency.

Preventable Adverse Drug Reactions A Focus Inderal is used to treat tremors, angina (chest pain), hypertension (hh blood pressure), heart rhythm disorders, and other heart or circulatory conditions. Preventable <em>Adverse</em> Drug Reactions A Focus
We can next ask ourselves, what are the health care costs associated with adverse drug reactions? Again, methodological constraints limit making completely.

Inderal Propranolol Drug Information Side Effects. - RxList Inderal <u>Propranolol</u> Drug Information Side <u>Effects</u>. - RxList
The following adverse reactions have been observed. propranolol Side Effects Center for a complete guide to possible side effects. Last reviewed on RxList.

Propranolol Oral Route Side Effects - Mayo Clinic <u>Propranolol</u> Oral Route Side <u>Effects</u> - Mayo Clinic
Propranolol Oral Route Print. Sections. Description and Brand Names; Before Using; Proper Use; Precautions;. Although not all of these side effects may occur.

MedWatch The FDA Safety Information and MedWatch The FDA Safety Information and
MedWatch home page. Your FDA gateway for cliniy important safety information and reporting serious problems with human medical products.

  • Propranolol Hydrocoride Common Drug Side Effects - CVS
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