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Adverse Drug Reactions Following Propranolol in Infantile Hemangioma
Vaibhav Pandey1, Preeti Tiwari2, Mohammed Imran1
1Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh.
Insights
Propranolol is effective for infantile hemangioma, but young children with low body weight face higher risks of adverse effects like diarrhea and sleep disturbances.
Area of Science:
- Pediatric dermatology
- Pharmacology
Background:
- Infantile hemangioma (IH) is a common vascular tumor in infants.
- Propranolol is a first-line treatment for IH, but its safety profile requires evaluation.
Purpose of the Study:
- To assess the adverse effects of propranolol therapy in infantile hemangioma.
- Identify risk factors associated with propranolol-induced adverse events.
Main Methods:
- An ambispective study was conducted from August 2011 to December 2019.
- Retrospective review of case records and prospective identification of adverse reactions based on predefined criteria.
Main Results:
- Out of 514 patients, 82 (15.9%) experienced adverse effects.
- Diarrhea with weight loss (32.9%) and irritability with decreased sleep (25.6%) were most common.
- Younger age, low body weight, and early onset were risk factors for severe adverse reactions.
Conclusions:
- Young children with low body weight are at increased risk for propranolol adverse effects.
- Careful monitoring is essential, especially in high-risk infants receiving propranolol for IH.
Objectives:
To assess the adverse effects of propranolol therapy in infantile hemangioma.
Methods:
An ambispective study was conducted from August 2011 to December 2019. In retrospective arm all children managed for infantile hemangioma with propranolol were included and case records were assessed for adverse reactions. In prospective arm the adverse reactions were identified on the basis of predefined criteria.
Results:
A total of 514 patients (358 retrospective records) were included. A majority, 378 (73.5%) patients had an excellent response, 75 (14.5%) had partial response and 61 (11.8 %) had no response. A total of 82 (15.9%) patients experienced at least one adverse effect. Diarrhea with weight loss (27, 32.9%) and irritability with decreased sleep (21, 25.6%) were the most common adverse effects. The adverse effects in 22 (4.2%) cases lead to the discontinuation of propranolol. Younger age, low body weight and early onset were risk factors for development of severe adverse reactions.
Conclusions:
Young children with low body weight were at higher risk for adverse effects of propranolol.
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