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    Taking a closer look at oral propranolol as first-line treatment in infantile hemangioma

    Oral propranolol is prescribed for the most serious cases. In this Lancet review, experts highlight some considerations for treatment.



    • Educate parents about the risk of hypoglycemia and respiratory symptoms (wheezing) at each visit.
    • To avoid hypoglycemia, the infant should feed regularly.
    • Stop propranolol temporarily in cases of poor food intake or wheezing.
    • Do not alter dosing for minor side-effects such as cold hands and asymptomatic low diastolic blood pressure.
    • To minimize nightmares, avoid giving the treatment after 17:00 hours or reduce dose.



    Christine Léauté-Labrèze, John I Harper, Peter H Hoeger. "Infantile hemangiomas:  An overview," The Lancet. Jan. 12, 2017. http://dx.doi.org/10.1016/S0140-6736(16)00645-0


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