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-The time needed for full hypertensive response to a given dosage propranolol is variable and may range from a few days to several weeks .
-While twice daily dosing of the immediate release formulation is propranolol effective and can maintain a reduction in blood pressure throughout the day, some patients, especially when lower doses are used, may experience a modest rise in blood pressure toward the end of the 12 hour dosing interval .
This can be evaluated by measuring blood pressure near the end of the dosing interval to determine whether satisfactory control is being propranolol effect time propranolol sweating propranolol za anksioznost propranolol side effects maintained throughout the day .
If control is not adequate, a larger dose, or 3 propranolol times daily therapy may achieve better control .
Usual Adult Dose of Propranolol for Angina Pectoris: Immediate-release: Total daily doses of 80 to 320 mg orally 2 to 4 times a day have propranolol been shown to increase exercise tolerance and to reduce ischemic changes in the ECG .
Sustained-release: Initial dose: 80 mg orally once propranolol a day .
Dosage should be gradually increased at propranolol 3 to 7 day intervals .
The average optimal dosage appears to propranolol hydrochloride reaction with ammonium hydroxide propranolol er 80 mg and weight gain low be 160 mg once a day .
Maximum dose: 320 mg propranolol per day .

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