Propranolol (Inderal XL®, InnoPran XL®)
SELF ADMINISTRATION - ORAL
Indications for Prior Authorization:
- Treatment of hypertension
- Not indicated for the treatment of hypertensive emergencies
Patients must meet the following criteria for the above indication(s):
- Prescribed by or in consultation with a cardiologist, AND
- Patient must try and fail both propranolol IR and propranolol ER (each trial for at least 2 months)
Dosing:
- Administer once daily at bedtime
- Initiate dosage at 80 mg and titrate up to 120 mg if needed
Approval:
- One year
Last review date: June 10, 2019