4) Management of hypertrophic obstructive cardiomyopathy. 9) Management of phaeochromocytoma peri-operatively (with an alpha-blocker). 11) Prophylaxis of upper gastrointestinal bleeding in patients with portal hypertension and oesophageal varices. 3) Long-term prophylaxis against re-infarction after recovery from acute myocardial infarction. 6) Relief of situational anxiety and generalised anxiety symptoms, particularly those of somatic type. 8) Adjunctive management of thyrotoxicosis and thyrotoxic crisis. Adults and children over 12 years: Hypertension: Initially 80mg twice daily, which may be increased at weekly intervals according to response. With concurrent diuretic or other antihypertensive drugs a further reduction of blood pressure is obtained. Angina, migraine and essential tremor: Initially 40mg two or three times daily, increasing by the same amount at weekly intervals according to response. An adequate response in migraine and essential tremor is usually seen in the range 80-160mg daily, and in angina 120-240mg daily. Situational and generalised anxiety: A dose of 40mg daily may provide short term relief of acute situational anxiety. Generalised anxiety, requiring longer term therapy, usually responds adequately to 40mg twice daily which, in individual cases, may be increased to 40mg three times daily. buy avodart for hairloss Dobutamine stress echocardiography, a highly useful and safe challenge test for myocardial ischemia, is being used increasingly. We report the case of a 37-year-old man with rest angina, repolarization abnormalities in precordial leads and normal coronary arteries who was referred for dobutamine-atropine stress echocardiography, which was negative for ischemia. However, after testing, upon injection of propranolol, the patient suffered chest pain associated with ST elevation and severe regional systolic abnormalities. After intravenous nitroglycerin administration, chest pain and electrocardiographic abnormalities disappeared quickly, and systolic motion became normal. This complication was interpreted as a coronary spasm. We discuss the causes for the spasm and the role that might have been played by the drugs employed. INTRODUCTION Given its high diagnostic and prognostic value, the use of stress echocardiography has been extended exponentially to patients with a previous or suspected diagnosis of heart disease. Prednisone blood pressure Consumer information about the medication PROPRANOLOL - ORAL Inderal, includes side effects, drug interactions, recommended dosages, and storage information. 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