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 GERD & erosive esophagitis

• Manages peptic ulcers (including NSAID-induced)

• Controls Zollinger-Ellison syndrome acid hypersecretion

• Prevents stress ulcers in critical care patients

Side Effects:

• Common: Headache, diarrhea, nausea, abdominal pain

• Serious (rare):

  • Kidney inflammation (interstitial nephritis)

  • Low magnesium (with prolonged use)

  • Vitamin B12 deficiency (long-term therapy)

Note:

• IV form is preferred for acute bleeding ulcers (80mg bolus, then infusion).

• Requires monitoring: Mg²⁺ levels if used >1 year.