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Some clinicians how much propranolol is safe that pediatric oral dosages exceeding 4 mg/kg daily may be necessary for the management of supraventricular tachyarrhythmias.

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If propranolol is used in geriatric patients, dosage of the drug should be selected with caution, usually initiating therapy at the low end of the dosage range since decreased hepatic, renal, or cardiac function and concomitant disease or other drug therapy are how much propranolol is safe common in this age group than in younger patients.

Decreased propranolol clearance and a prolonged elimination half-life have been reported in geriatric patients receiving propranolol hydrochloride injection, and the manufacturers recommend that dosage reduction be considered in these patients.Most dermatologists and other physicians now prefer to use propranolol as a first line treatment for those infantile haemangiomas that require treatment.

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We describe three infants with taking propranolol for the first time capillary hemangiomas who received treatment from the age of 3-4 months up to the end of the first year of life. The study was approved by the Ethics Committee of the Ophthalmic Research Center at Shahid Beheshti University of Medical Sciences.This may result in severe hypotension andbradycardia.

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