Propranolol

Works by blocking beta-adrenergic receptors. In infants, it is specifically used to shrink 'strawberry' birthmarks (hemangiomas).

Dosage by Body Weight

For hemangiomas, starts at 1 mg/kg/day and titrated to 3 mg/kg/day. Monitor heart rate and blood glucose.

Weight-based dosage tracking table for Propranolol, including body weight, dose, frequency, and tracking notes.
Body Weight	Dose	Frequency	Tracking Notes
3-5 kg	3 mg to 5 mg total daily	Divided into 2 or 3 doses	Administer during or immediately after feeding to prevent hypoglycemia.
6-10 kg	6 mg to 10 mg total daily	Divided into 2 or 3 doses	Avoid use if the child has asthma or wheezing.

TabletOral Solution

Beta-blocker used for hypertension, migraine prevention, and treating infantile hemangiomas.

Propranolol is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

CAUTION

Propranolol: Alcohol can increase dizziness, low blood pressure, dehydration, or heart rhythm symptoms. Avoid or limit alcohol.

CAUTION

Propranolol: Use in pregnancy only when prescribed; some heart or blood pressure medicines are not suitable during pregnancy.

SAFE IF PRESCRIBED

Propranolol: Use while breastfeeding only with healthcare provider guidance, as infant monitoring may be needed.

CAUTION

Propranolol: May cause dizziness, faintness, tiredness, or blurred vision, especially when starting or changing dose. Avoid driving if affected.

CAUTION

Propranolol: Liver disease may alter medicine handling and increase side effects. Use with medical supervision.

CAUTION

Propranolol: Kidney function and electrolytes may need monitoring, especially with diuretics, ACE inhibitors, ARBs, or digoxin.