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Hemangeol

Generic Name: Propranolol Oral Solution (Hemangeol) (proe PRAN oh lole)
Brand Name: Hemangeol

Uses of Hemangeol:

  • It is used to treat proliferating infantile hemangioma.

What do I need to tell my doctor BEFORE I take Hemangeol?

  • If your child has an allergy to Hemangeol (propranolol oral solution (hemangeol)) or any part of this medicine.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child was born premature and has not reached the corrected age of 5 weeks.
  • If your child weighs less than 4 ½ pounds (2 kilograms).
  • If your child has asthma or has had breathing problems.
  • If your child has any of these health problems: Certain heart problems, a slow heartbeat, or very low blood pressure.
  • If your child has high blood pressure caused by a tumor of the adrenal gland (pheochromocytoma).
  • If your child is at risk for low blood sugar, like if your child is throwing up or not able to take feedings.

This is not a list of all drugs or health problems that interact with Hemangeol.

Tell the doctor and pharmacist about all of your child's drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this medicine with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while I take Hemangeol?

For all patients taking Hemangeol:

  • Tell all of your child's health care providers that your child is taking this medicine. This includes your child's doctors, nurses, pharmacists, and dentists.
  • Have your child's blood pressure and heart rate checked often. Talk with your child's doctor.
  • This medicine may hide the signs of low blood sugar. Talk with the doctor.
  • If your child has high blood sugar (diabetes), you will need to watch his/her blood sugar closely.
  • If your child has had a very bad allergic reaction, talk with the doctor. Your child may have a chance of an even worse reaction if your child comes into contact with what caused the allergy. If your child uses epinephrine to treat very bad allergic reactions, talk with the doctor. Epinephrine may not work as well while your child is taking Hemangeol.
  • This medicine may raise the chance of stroke in some children who have very bad problems with the blood vessels in their brain. The risk is higher in children with a large hemangioma that affects the face or head. Talk with the doctor.
  • If you are breast-feeding your child, tell the doctor about all the drugs you are taking. Certain drugs may pass to your child through breast milk and may interact with this medicine.
  • Make sure you have the right liquid; there is more than one strength.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using Hemangeol.

How is this medicine (Hemangeol) best taken?

Give this medicine as ordered by your child's doctor. Read all information given to you. Follow all instructions closely.

  • Measure liquid doses carefully. Use the measuring device that comes with Hemangeol. If there is none, ask the pharmacist for a device to measure this medicine.
  • Do not shake the solution.
  • Give Hemangeol right into your child's mouth. If needed, this medicine may be mixed with a little bit of milk or fruit juice and given in a baby's bottle.
  • Give Hemangeol (propranolol oral solution (hemangeol)) with or right after a feeding.
  • Give doses of this medicine at least 9 hours apart.
  • If giving to your child, the dose of Hemangeol may need to be changed as your child's weight changes. Have your child's weight checked often. Talk with the doctor before changing your child's dose.
  • If your child spits up a dose or if you are not sure your child got all of the drug, do not give another dose. Wait until your child's next dose to give again.
  • To gain the most benefit, do not miss giving your child doses.
  • Keep giving this medicine to your child as you have been told by your child's doctor or other health care provider, even if your child feels well.

What do I do if I miss a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child's next dose, skip the missed dose and go back to your child's normal time.
  • Do not take 2 doses at the same time or extra doses.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child's doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Very bad dizziness or passing out.
  • Shortness of breath, a big weight gain, or swelling in the arms or legs.
  • Slow heartbeat.
  • A heartbeat that does not feel normal.
  • Feeling cold.
  • Feeling fussy.
  • Change in color of skin.
  • Fever or chills.
  • Wheezing or coughing.
  • Pale skin.
  • Feeling very tired or weak.
  • This medicine may lower blood sugar levels. The chance is higher if your child is not taking feedings or is throwing up. Feed your child on a regular basis while giving Hemangeol. Tell the doctor if your child has a poor appetite. If your child is not taking feedings due to an illness or throwing up, do not give this medicine until your child is feeding normally again unless told to do so by the doctor. Call the doctor or get medical help right away if your child has signs of low blood sugar like pale, blue, or purple skin color; sweating; feeling fussy; crying that is not normal; fast heartbeat; a heartbeat that does not feel normal; poor feeding; low body temperature; sleeping more than normal; seizures; or breathing stops for a short time.

What are some other side effects of Hemangeol?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child's doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

  • Loose stools (diarrhea).
  • Not able to sleep.
  • Throwing up.
  • Feeling sleepy.

These are not all of the side effects that may occur. If you have questions about side effects, call your child's doctor. Call your child's doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Hemangeol?

  • Store at room temperature.
  • Protect from light.
  • Store in a dry place. Do not store in a bathroom.
  • Do not freeze.
  • Throw away any part of the solution not used after 2 months.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Consumer Information Use and Disclaimer

  • If your child's symptoms or health problems do not get better or if they become worse, call your child's doctor.
  • Do not share your child's drug with others and do not give anyone else's drug to your child.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • Talk with your child's doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about Hemangeol, please talk with your child's doctor, nurse, pharmacist, or other health care provider.
  • This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this medicine is refilled. If you have any questions about Hemangeol, please talk with the doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Hemangeol. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using Hemangeol.

Review Date: September 6, 2017

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