PROPRANOLOL
Strength10 mg
Formoral.solid
10-40 mg three times daily PRN for symptomatic relief of benign hyperadrenergic palpitations - short-term PRN
Specialist pediatric cardiology evaluation required
Egyptian National Drug Formulary - Cardiovascular 2024 (propranolol monograph)
Propranolol is a non-selective beta-blocker that dampens excess sympathetic drive to the heart, easing symptomatic palpitations once dangerous causes have been excluded; it controls the symptom rather than treating an underlying arrhythmia.
- MANDATORY to exclude red flags (syncope, chest pain, family history of sudden death, structural heart disease) before symptomatic therapy.
- CONTRAINDICATED in asthma/bronchospasm, severe COPD, second- or third-degree heart block, severe bradycardia, and cardiogenic shock.
- Address lifestyle triggers (reduce caffeine, energy drinks, nicotine, alcohol) and reassure regarding benign palpitations.
| Egyptian brand | Manufacturer | Indicative price |
|---|---|---|
| INDOLOL 10 MG 50 TAB | KAHIRA | 12.50 EGP (0.25/unit) |
| PROLOL 10 MG 50 TABS. | EIPICO | 16.25 EGP (0.33/unit) |
| INDERAL 10 MG 50 TABS | ASTRA ZENECA | 75.00 EGP (1.50/unit) |