Propranolol

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

PropranololEMERGENCY KITNonselective beta-blocker

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Propranolol: indication-specific regimens
Indication	Dose	Route	Frequency	Duration / preparation	Maximum	Monitoring / cautions
Adrenergic control only in haemodynamically stable patients without significant ventricular dysfunction Society for Endocrinology / BTA / ETA joint consensus, Taylor et al.checked	The consensus lists 60–80 mg every 4 hours; assess cardiac function first and consider a lower initial dose because beta-blockade can precipitate collapse	Oral or NG with protected airway	Every 4 hours with reassessment before doses	Only while required for acute thyrotoxicosis; taper/change as control improves · Immediate-release tablets, with exact mg prescribed; do not substitute sustained-release tablets or give this as an IV dose The 2026 statement emphasises individualisation and the possibility of cardiovascular collapse after beta-blockade.	Listed oral schedule totals 360–480 mg/day; this is a specialist ICU regimen, not a routine pregnancy symptom-treatment dose	Monitor Continuous ECG/BP/perfusion assessment, heart failure and bronchospasm; consider echocardiography before beta-blockade Contraindications / cautions Shock, decompensated cardiac failure, significant bradycardia/heart block or asthma; short-acting titratable alternatives need critical-care supervision

Pregnancy safety

Storm treatment requires ICU cardiac assessment; prolonged pregnancy exposure needs fetal review

Lactation

Maternal indication and infant bradycardia/feeding monitoring matter