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Author Details. Betina Chandolia. Ashish Ranjan. Inderal 40 Tablet. Propranolol 40mg. It helps to decrease anxiety and relieve tremors.

After 3 mg infused, may repeat in 2 minutes. Subsequent doses no sooner than 4 hours. Propranolol is well absorbed, however, there is an extensive first pass metabolism. Variations in metabolism result from differences in hepatic blood flow, intrinsic clearance, genetic makeup, etc. Cardiac Arrhythmias Intravenous administration is usually reserved for life-threatening arrhythmias or those occurring under anesthesia. Supraventricular arrhythmias Intravenous propranolol is indicated for the short-term treatment of supraventricular tachycardia, including Wolff-Parkinson-White syndrome and thyrotoxicosis, to decrease ventricular rate. Use in patients with atrial flutter or atrial fibrillation should be reserved for arrythmias unresponsive to standard therapy or when more prolonged control is required. Ventricular tachycardias With the exception of those induced by catecholamines or digitalis, propranolol is not the drug of first choice. If, after consideration of the risks involved, propranolol is used, it should be given intravenously in low dosage and very slowly, as the failing heart requires some sympathetic drive for maintenance of myocardial tone. Ventricular arrhythmias do not respond to propranolol as predictably as do the supraventricular arrhythmias.

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Supraventricular arrhythmias see specific. Ventricular tachycardias inderal 1mg first-line. Tachyarrhythmias of breath intoxication. Resistant tachyarrythmias due to strict catecholamine action during anesthesia. If found, a second dose may be given after 2 doses.

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Benedikt (taken for 1 to 4 years) 01.10.2018

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If chronic, oral propranolol therapy is to be discontinued, the dosage should be gradually decreased over a minimum of 2 weeks. Patients and caregivers should be advised against interruption or cessation of therapy without the advice of a physician. If exacerbation of angina occurs during discontinuation of therapy, it is advised to reinstitute propranolol therapy and take other measures appropriate for the management of unstable angina.


Claudia (taken for 2 to 7 years) 06.05.2019

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