Propranolol Oral Solution
Propranolol Oral Solution is a non-selective beta-adrenergic receptor blocker. It is widely prescribed for cardiovascular conditions and is specifically formulated in liquid concentrations (such as Hemangeol 4.28 mg/mL) for pediatric patients, particularly for treating growing infantile hemangiomas.
Dosage by Body Weight
Dosage must be strictly individualized by a healthcare professional. For infantile hemangioma, the starting dose is usually 1 mg/kg/day split into two doses, titrated up to a maintenance dose of 3 mg/kg/day split into two doses. Always administer during or immediately after a feeding to prevent hypoglycemia.
- Body Weight
- Below 5 kg
- Dose
- 0.5 mg/kg to 1.5 mg/kg
- Frequency
- Twice daily, at least 9 hours apart
- Tracking Notes
- Use with extreme caution. Skip dose if the child is not feeding well, vomiting, or showing signs of illness.
- Body Weight
- 5-7 kg
- Dose
- 2.5 mg to 10.5 mg (equivalent to 0.6 mL to 2.8 mL of 3.75 mg/mL base solution)
- Frequency
- Twice daily
- Tracking Notes
- Administer during or immediately after a feed. Monitor heart rate and blood pressure during initiation.
- Body Weight
- 8-10 kg
- Dose
- 4.0 mg to 15.0 mg (equivalent to 1.0 mL to 4.0 mL of 3.75 mg/mL base solution)
- Frequency
- Twice daily
- Tracking Notes
- Dose must be adjusted regularly by a pediatrician as the child gains weight.
- Body Weight
- 11-15 kg
- Dose
- 5.5 mg to 22.5 mg
- Frequency
- Twice daily
- Tracking Notes
- Ensure consistent intervals between doses. Do not double dose to make up for a missed one.
- Body Weight
- 16-20 kg
- Dose
- 8.0 mg to 30.0 mg
- Frequency
- Twice daily
- Tracking Notes
- Discontinue treatment gradually under medical supervision rather than stopping abruptly.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | 0.5 mg/kg to 1.5 mg/kg | Twice daily, at least 9 hours apart | Use with extreme caution. Skip dose if the child is not feeding well, vomiting, or showing signs of illness. |
| 5-7 kg | 2.5 mg to 10.5 mg (equivalent to 0.6 mL to 2.8 mL of 3.75 mg/mL base solution) | Twice daily | Administer during or immediately after a feed. Monitor heart rate and blood pressure during initiation. |
| 8-10 kg | 4.0 mg to 15.0 mg (equivalent to 1.0 mL to 4.0 mL of 3.75 mg/mL base solution) | Twice daily | Dose must be adjusted regularly by a pediatrician as the child gains weight. |
| 11-15 kg | 5.5 mg to 22.5 mg | Twice daily | Ensure consistent intervals between doses. Do not double dose to make up for a missed one. |
| 16-20 kg | 8.0 mg to 30.0 mg | Twice daily | Discontinue treatment gradually under medical supervision rather than stopping abruptly. |
Formulation
Purpose
Used to treat proliferating infantile hemangiomas requiring systemic therapy, hypertension, cardiac arrhythmias, angina pectoris, migraine prophylaxis, and essential tremors.
Generic Name
Propranolol HydrochlorideBranded Drug Names
Propranolol Oral Solution is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:
Scheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.