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To stop inderal you should gradually lower your dose.
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For regular (short-acting) propranolol. Take the missed dose as soon as you remember. Skip the missed dose if your next dose is less than 4 hours away.
At least two cases of electrical alternans associated with propranolol are reported from pediatric cases. In one case.electrical alternans was clearly not rate-related (since it occurred during propranolol therapy at a slower rate than the patient’s “native” ventricular tachycardia) and was associated with echocardiographically-demonstrated mechanical alternans. [Ref]
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Propranolol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
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