Applications:

• Heart: Treats high BP, angina, arrhythmias, prevents heart attacks

• Migraines: Reduces frequency

• Anxiety: Controls physical symptoms (shaking, fast heartbeat)

• Hyperthyroidism: Manages symptoms like rapid pulse

• Essential tremor: Decreases shaking

Side Effects:

• Common: Fatigue, dizziness, cold hands/feet, sleep issues

• Serious (rare):

  • Slow heart rate, wheezing (caution in asthma patients)

  • Worsening heart failure, depression

Note:

• Avoid sudden stoppage (taper gradually).

• Brands: Inderal®, Hemangeol®, generics.

Monitor heart rate & BP. Not for asthma/COPD patients.

Applications:

• Treats severe GERD/ulcers (when oral therapy fails)

• Manages Zollinger-Ellison syndrome (acid hypersecretion)

• Prevents acid aspiration during surgery

• Reduces rebleeding risk after endoscopic treatment

Side Effects:

• Common: Headache, nausea, injection-site pain

• Serious (rare): Kidney injury, low magnesium, bone fractures (long-term use)

Note: Requires kidney/magnesium monitoring with prolonged IV use. Administered once daily (40mg). Brands include Losec® IV and generics.