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Skin and mucous membranes: Stevens-Johnson Syndrome, toxic epidermal necrolysis, dry eyes, exfoliative dermatitis, erythema multiforme, urticaria, alopecia, SLE-like reactions, and psoriasiform rashes. Oculomucocutaneous syndrome involving the skin, serous membranes, and conjunctivae reported for a beta-blocker (practolol) have not been associated with Propranolol.

Usual Adult Propranolol (Inderal LA) dosage for Angina Pectoris: Total daily dosages of 80 to 320 mg orally 2 to 4 times a day have been shown to increase exercise tolerance and to reduce ischemic changes in the ECG.

For regular (short-acting) Propranolol (Inderal LA): Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 4 hours away.

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Propranolol for Performance Anxiety: There's no question, this is the medicine that stops performance anxiety. I was paralyzed with fear whenever I was asked to be in a wedding, play piano in church, speak in front of a group, you name it. Propranolol 20 mg is a miracle! A musician who played in a symphony told me almost all the musicians used it, so I gave it a try. I take it 1 hour before I need it, and it lasts 4-6 hrs. This is truly the gracious miracle that rescues all of us who struggle with irrational panic and exaggerated fears, beyond the normal "butterflies in the stomach." The symptoms of speedy heart, sweaty palms, choked up voice and red face simply do not manifest!

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 is actually better than atenolol for tremors/tics one might get if you have social anxiety. I dosage 20-30 mg and it helps a lot. A life saver for me.

Propranolol for Migraine Prevention: Propranolol has definitely helped with my migraine prevention. I started getting migraines when I was 13. Now late 20s I am finally migraine free besides the odd one I get due to hormones or when really stressed out! I reduced to taking 40mg in the morning rather than 40mg morning and night and have found the migraines still stay away. The only side effects I've had was nightmares initially, that soon went after a couple months. I get very cold hands and feet, sometimes in warm weather my feet are still cold! I also feel slightly more tired/sleepy but its worth it compared to the regular migraines I was experiencing beforehand.

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Karen Carpenter: I feel like the health industry is getting nothing but stronger every day.

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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.

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

Usual Adult Propranolol (Inderal LA) dose for Migraine Prophylaxis: Initial dose: 80 mg/day orally in divided dosages. Maintenance dosage: 160 to 240 mg/day. The dosage may be increased gradually to achieve optimum migraine prophylaxis. If a satisfactory response is not obtained within 4 to 6 weeks after reaching the maximum dose, Propranolol (Inderal LA) therapy should be discontinued. Sustained release: Initial dosage: 80 mg orally once a day. Maintenance dosage: 160 to 240 mg once a day.

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Propranolol 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 High Blood Pressure: I have taken Propranolol (Inderal LA) for the past 30 years with very few side effects. It helps both my arrhythmia and my high blood pressure. I felt slightly weaker and more tired in the beginning, but now I just feel normal. I have been able to live a relatively normal life and have always been able to do whatever physical activity I needed to do.

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.

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