Propranolol Pediatric Dosing
Beta-blocker dosing for infantile hemangiomas, migraines, hypertension, and arrhythmias in children.
Weight in kilograms
Age in months
Clinical indication
⚠️ Warnings & Contraindications
- Contraindicated in asthma, bradycardia, heart block, and decompensated CHF
- Hypoglycemia risk in infants - may mask signs; ensure adequate nutrition
- Monitor heart rate and blood pressure at each dose escalation
- Bronchospasm may occur in children with reactive airway disease
- Sleep disturbances, cold extremities, and fatigue are common
- Do not stop abruptly - taper over 1-2 weeks to prevent rebound hypertension/tachycardia
- For hemangiomas, give with food to reduce hypoglycemia risk
ℹ️ Clinical Notes
Hemangeol (propranolol specifically for hemangiomas): 4.28 mg/mL. Standard propranolol solution: 20 mg/5 mL, 40 mg/5 mL. Hemangeol has different concentration - verify product.
References
- Propranolol for infantile hemangioma - AAP - AAP/Pediatrics (2015)
- Propranolol pediatric dosing - Drugs.com (2026)
Medical Disclaimer
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