HEMANGEOL (propranolol hydrochloride) 4.28 mg/mL Pediatric Oral Solution Dosing
Monitoring Your Patients
It is recommended as stated in the prescribing information that patient’s heart rate and blood pressure should be monitored for 2 hours after each dose increase.
After the titration phase, it is recommended that the dose be readjusted periodically as infant’s weight increases.
Reducing the Risk of Hypoglycemia
HEMANGEOL should be administered during or immediately after feeding to reduce the risk of hypoglycemia.
- The dose of HEMANGEOL should be skipped if the infant is vomiting or not eating
- HEMANGEOL is supplied with an oral dosing syringe and syringe adapter for convenience
- If necessary, HEMANGEOL can be diluted in a small quantity of milk or fruit juice and given in a baby’s bottle
HEMANGEOL should be discontinued if severe or symptomatic bradycardia (less than 80 beats per minute) or hypotension (systolic blood pressure less than 50 mmHg) occurs.
Parents and caregivers should be instructed to recognize signs of hypoglycemia. If a child has clinical signs of hypoglycemia, they should discontinue HEMANGEOL and call their health care provider immediately or take the child to the emergency room.
Interrupt treatment in the event of a lower respiratory infection associated with dyspnea and wheezing.