Propranolol

*** PLEASE NOTE***
The information and instructions on the following pages should not replace those given to you by your doctor.


Propranolol is a non-selective sympatholytic beta blocker. It blocks the beta adrenergic receptors in the body. It is used to treat hypertension, anxiety, panic, shaking and is used a prevention method for migraines.

Do not use when

  • Your child has a known allergy to Propranolol or one of the other ingredients in the medication
  • Your child has suffered or is suffering from asthma or wheezing
  • Your child suffers from uncontrolled heart failure; 2nd or 3rd degree heart block; slow or irregular heart rate; weak blood flow
  • Your child suffers from an untreated pheochromocytoma or metabolic acidosis or has been fasting
  • You’re pregnant or nursing
  • Your child is maintaining a strict diet or has a tendency of hypoglycemia

Consult your doctor when
Your child is suffering or has suffered in the past from respiratory dysfunction (such as asthma), cardiovascular disorders, liver, kidney or urinary tract dysfunction, hyperthyroidism, diabetes and/or depression
Your child is taking other medication or has known allergies (especially lactose intolerance)

How should I store the medication?
Store the medication in a cool, dry, dark place (under 25 C). Keep out of reach of children. Do not use past the expiration date.

Administering the Medication
Administer the medication at the times instructed by your physician. Make sure your child maintains a low-sodium diet if treating hypertension. Do not chew or crush the tablet. The doctor will determine your child’s dose based on their age and weight. The tablet should be taken during a meal, with a glass of water.

What should I do if I forget to administer the medication on time?
Administer the medication immediately after you remember. If there are less than 4 hours until the next dose, skip the forgotten dose. Do not give two doses at once.

When can I stop giving the medication?
Complete the round as instructed by your physician. Do not end treatment without consulting with your doctor – even if your child is feeling better. Ending treatment is a gradual process and needs to be monitored.

Side Effects
While using propranolol, your child may experience side effects which include cold hands and feet, slow or irregular pulse, Raynaud’s syndrome, nightmares, drowsiness, diarrhea, vomiting or nausea. There are a number of less common side effects which include respiratory problems, swollen ankles (symptoms of heart failure), heart block, dizziness, hair loss, mood swings, confusion, memory loss, behavioral changes, pins and needles in the palms of the hand, blurred vision, dry eyes, and may be easily bruised.

Call your doctor when

  • Your child’s condition worsens
  • Your child has an allergic reaction to the medication
  • Your child experiences slow heart rate (>50/min), depression, difficulty breathing, swollen ankles, hallucinations, cold hands and feet.

Your child will need to be monitored - blood pressure, heart function, liver and kidney functions. Propranolol can cause sensitivity to cold weather. Dress your child accordingly. If your child is undergoing surgery (including dental surgery), or any emergency treatment – make sure the attending physician knows that your child is taking propranolol. Consult your doctor regarding physical activity