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A pilot study revealed propranolol is effective in decreasing physiological signs of hyperarousal for up to 1 week when used shortly after patients with ptsd re-experience their traumatic event.

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PO1 mg/kg/day divided q6hrafter 1 weekmay be increased by 1 mg/kg/day to maximum of 10-15 mg/kg/day if patient refractoryallow 24 hours between dosing changes.

The oral formulation of propranolol is used for infants and children to treat a certain benign tumorproliferating infantile hemangiomaIt helps to shrink the tumor.

Children and Adolescents 1 to 17 yearsImmediate release formulationsInitial1 to 2 mg/kg/day divided in 2 to 3 doses/daytitrate dose to effect Maximum dose4 mg/kg/day up to 640 mg/daysustained release formulation may be dosed once dailyNational High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents

Propranolol has mild interactions with at least 65 different drugsThis document does not contain all possible interactions from the use of this medicationThereforebefore using this drugtell your doctor or pharmacist of all the drugs you useKeep a list of all your medications with youand share the list with your doctor and pharmacistCheck with your physician if you have health questions or concerns.

Tell your doctor and pharmacist if you are allergic to propranololany other medicationsor any ingredients in propranolol productsAsk your pharmacist or check the Medication Guide for a list of the ingredientstell your doctor and pharmacist what prescription and nonprescription medicationsvitaminsnutritional supplementsand herbal products you are taking or plan to takeBe sure to mention any of the followingACE inhibitorsantacids containing aluminumMaaloxMylantaothersanticoagulantsblood thinnerssuch as warfarinCoumadinJantovencalcium channel blockers such as diltiazemCardizemCartiaTiazacothersnicardipineCardenenifedipineAdalatProcardia XLand nisoldipineSularcholestyraminePrevalitecimetidineciprofloxacinCiprochlorpromazinecolestipolColestiddiazepamDiastatValiumdigoxinLanoxinfluvoxamineLuvoxhaloperidolHaldolHMG-CoA reductase inhibitorscholesterol-lowering agentssuch as lovastatinAltoprevMevacorin Advicorand pravastatinPravacholisoniazidin Rifamatein Rifatermedications for depression such as bupropionAplenzinForfivo XLWellbutrinZybanfluoxetineProzacSarafemSelfemraimipramineTofraniland paroxetineBrisdellePaxilPexevafluconazoleDiflucanmedications for migraine headaches such as rizatriptanMaxaltand zolmitriptanZomigmedications for high blood pressure such as clonidineCatapresKapvayin ClorpresdoxazosinCarduraprazosinMinipressand terazosinmedications for seizures such as phenytoinDilantinPhenytekand phenobarbitalcertain medications for irregular heartbeats such as amiodaroneCordaroneNexteronePaceronepropafenoneRythmoland quinidinein Nuedextamonoamine oxidaseMAOinhibitors such as phenelzineNardilmontelukastSingulairnonsteroidal anti-inflammatory drugsNSAIDssuch as indomethacinIndocinTivorbextheophyllineTheo-24TheochronUniphylreserpinerifampinRifadinRimactanein Rifaterin RifamateritonavirNorvirin Kaletrain Viekira PakteniposideVumonthioridazineticlopidinetolbutamidetricyclic antidepressantsand zileutonZyfloYour doctor may need to change the doses of your medications or monitor you carefully for side effectstell your doctor if you have or have ever had asthma or other lung diseaseheartliveror kidney diseasediabetessevere allergiesor thyroid problemstell your doctor if you are pregnantplan to become pregnantor are breast-feedingIf you become pregnant while taking propranololcall your doctorif you are having surgeryincluding dental surgerytell the doctor or dentist that you are taking propranololask your doctor about the safe use of alcoholic beverages while you are taking propranololAlcohol may increase the amount of propranolol in your bodytell your doctor if you use tobacco productsCigarette smoking may decrease the effectiveness of this medication.

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