Hemangeol

Hemangeol is a prescription medicine that comes in the form of an oral liquid and is used to treat infantile hemangioma that requires systemic therapy. It works by narrowing blood vessels, removing unwanted cells and preventing new ones from growing. Hemangeol is also used to treat tremors, angina and hypertension. Do not give your child Hemangeol if they weigh less than four and a half pounds, were born prematurely or have asthma or a history of breathing problems. Common side effects may include nausea, vomiting and diarrhea.

• Hemangeol
• Inderal LA
• Inderal XL
• InnoPran XL
• Propranolol HCl

• Betapace
• Betapace AF
• Corgard
• Hemangeol
• Inderal LA
• Inderal XL
• InnoPran XL
• Levatol
• Nadolol
• Pindolol
• Propranolol HCl
• Propranolol HCl ER
• Sorine
• Sotalol HCl
• Sotalol HCl (AF)
• Sotylize
• Timolol Maleate

• Long Acting Capsule
• Liquid
• Tablet

• By mouth

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

Swallow the extended-release capsule whole. Do not crush, break, or chew it.

Extended-release capsule: Take at bedtime. This medicine may be taken with or without food, but always take it the same way each time.

Oral liquid: Measure your dose with the dropper that comes with the package. You may mix the liquid with water or juice to make it easier to swallow.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Throw away any unused Hemangeol® after 2 months.

Hemangeol® oral liquid: Measure the dose with the dosing syringe that comes with the package. The medicine should be given directly into the child's mouth 2 times a day (at least 9 hours apart). It is given during or right after eating or breastfeeding. Do not administer the dose if the child is not eating or vomiting. It may also be mixed with milk or fruit juice and given in a baby's bottle. Do not shake before use.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to propranolol, or if you have asthma or certain heart problems. Hemangeol® should not be given to children weighing less than 2 kilograms, to premature babies younger than 5 weeks of age, or to children who are vomiting or not eating. Do not use it if you have an adrenal gland problem (including pheochromocytoma) or a history of asthma or a breathing problem.

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, angina (chest pain), heart failure, breathing problems, diabetes, glaucoma, an overactive thyroid, or any medical conditions (including colds, stress, infection). Tell your doctor if you have Wolff-Parkinson-White syndrome or a history of severe allergic reactions. Tell your doctor if you are fasting (including surgery, not eating regularly, vomiting).

This medicine may cause the following problems:Increased risk of heart or blood vessel problems, including a slow heart beat or low blood pressureWorsening of chest pain, heart attack (if treatment is stopped suddenly)Heart failureIncreased risk for hypoglycemia (low blood sugar) and cover up the symptoms of low blood sugar (including fast heartbeat)An increased risk of stroke in children with PHACE syndrome (severe blood vessel problems in the brain)

Do not stop using this medicine suddenly without asking your doctor, or you could develop life-threatening heart problems.

This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

Tell any doctor or dentist who treats you that you are using this medicine.

This medicine may cause erectile dysfunction in some males. If you have questions about this, talk to your doctor.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Some medicines can affect how propranolol works. Tell your doctor if you are using any of the following medicines:Bupropion, chlorpromazine, cimetidine, ciprofloxacin, digoxin, dobutamine, enoxamine, epinephrine, fluconazole, fluoxetine, fluvoxamine, montelukast, paroxetine, phenobarbital, phenytoin, rifampin, theophylline, thioridazine, or ticlopidineBlood thinner (including warfarin)Medicine to lower cholesterol (including cholestyramine, colestipol, lovastatin, pravastatin)Medicine to treat depression (including MAO inhibitor, TCAs)Medicine to treat heart rhythm problems (including propafenone, quinidine)Medicine to treat migraine or headaches (including rizatriptan, zolmitriptan)NSAID pain or arthritis medicine (including aspirin, diclofenac, ibuprofen, naproxen, celecoxib)Other blood pressure medicine (including clonidine, diltiazem, nicardipine, nifedipine, nisoldipine, prazosin, verapamil)Steroid medicine

This medicine may cause the following problems:Worsening of chest pain, heart attack (if treatment is stopped suddenly)Heart failureLow blood sugar levelsAn increased risk of stroke in children with PHACE syndrome (severe blood vessel problems in the brain)

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

Tell any doctor or dentist who treats you that you are using this medicine.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Slow, fast, pounding, or uneven heartbeat
• Lightheadedness, dizziness, or fainting
• Rapid weight gain, swelling in your hands, ankles, or feet
• Shaking, trembling, sweating, hunger, confusion
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Blistering, peeling, or red skin rash
• Change or loss of consciousness, seizures
• Chest pain, trouble breathing
• Unusual tiredness or weakness
• Feeling agitated or irritable, unusual dreams (in children)
• Diarrhea (in children)
• Change in sleeping patterns, sleepiness or drowsiness (in children)
• Feeling sleepy or drowsy (in children)