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    Propranolol hydrochloride has been prescribed for decades in the pediatric population for a variety of disorders, but its effectiveness in the treatment of infantile hemangiomas (IHs) was only recently discovered. Since then, the use of propranolol for IHs has exploded because it is viewed as a safer alternative to traditional therapy. We report the cases of 3 patients who developed symptomatic hypoglycemia during treatment with propranolol for their IHs and review the literature to identify other reports of propranolol-associated hypoglycemia in children to highlight this rare adverse effect. Although propranolol has a long history of safe and effective use in infants and children, understanding and recognition of deleterious adverse effects is critical for physicians and caregivers. This is especially important when new medical indications evolve as physicians who may not be as familiar with propranolol and its adverse effects begin to recommend it as therapy. Propranolol hydrochloride, a nonselective β-adrenergic blocking agent, has been used for years in infants and children with congenital heart disease, arrhythmias, hypertension, thryotoxicosis, migraines, and behavioral disorders. It has recently been used in the treatment of infantile hemangiomas (IHs) after growth arrest of an infant's hemangioma was incidentally noted when propranolol was started for obstructive hypertrophic myocardiopathy. Propranolol for infantile hemangiomas Our. - sildenafil how long does it take to work Prescribing propranolol for infantile hemangioma Assessment of. Intolerable side effects during propranolol therapy for infantile.
     
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