SIDE EFFECTS: Dizziness, lightheadedness, or tiredness may occur as the body adjusts to the medication. Diarrhea, stomach/abdominal pain, decreased appetite, vomiting, trouble sleeping, and unusual dreams may also occur. If any of these effects persist or worsen, tell the doctor or pharmacist promptly. This drug may reduce blood flow to the hands and feet, causing them to feel cold. Tell the doctor if this occurs. Dress your child warmly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to your child is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell the doctor right away if your child has any serious side effects, including: fainting, pale/blue/purple skin, new or worsening symptoms of heart failure (such as shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden weight gain), very slow heartbeat, irregular heartbeat, signs of infection (such as fever, persistent sore throat, cough), mental/mood changes (such as agitation). This product may cause low blood sugar (hypoglycemia), especially if your child is not eating regularly or is vomiting. Symptoms of low blood sugar include sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, seizures, weakness, or tingling hands/feet. This product may prevent some of the symptoms of hypoglycemia (such as the fast/pounding heartbeat). Other symptoms of low blood sugar, such as dizziness, are unaffected by this drug. If your child has symptoms of hypoglycemia, stop giving the medication to your child and tell the doctor right away. This medication may increase the risk of stroke in certain children with a large hemangioma on their face or head. Get medical help right away if your child has symptoms of a stroke, including: slurred speech, weakness on one side of the body, sudden vision changes, confusion. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using propranolol, tell the doctor or pharmacist if your child is allergic to it; or if your child has had a serious reaction to other beta blockers (such as metoprolol); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell the doctor or pharmacist your child's medical history, especially of: breathing problems (such as asthma), certain heart problems (such as heart failure, slow heart rate, second- or third-degree atrioventricular block), severe allergic reactions, a certain type of tumor (pheochromocytoma), very low blood pressure. Before having surgery, tell the doctor or dentist about all the products your child uses (including prescription drugs, nonprescription drugs, and herbal products). This drug may make your child dizzy. Do not let your child do any activity that requires alertness until you are sure your child can perform such activities safely. This formulation of propranolol is not usually used by adults. Therefore, it is unlikely to be used during pregnancy or breast-feeding. Consult your doctor if you have any questions about this medication.

DRUG INTERACTIONS: Drug interactions may change how medications work or increase the risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products your child uses (including prescription/nonprescription drugs and herbal products) and share it with the doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without the doctor's approval. Some products that may interact with this drug include: bile acid-binding resins (such as cholestyramine), epinephrine, thioridazine. If you are breast-feeding your child, ask the doctor to if any medications that you are using may pass into the breast milk and interact with this medication.

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: very slow heartbeat, severe dizziness, fainting, mental/mood changes (such as restlessness), seizure.