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Re: propranolol success

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Wonderful news, congrats and long may it continue

Mandi x

Armed with the biological understanding of what was going on inside Josh's body and following the recent research posted on ABE I decided to start him on Propranolol.We are now two weeks in and I have to say that my son is slowly but surely gaining the confidence he needs to re enter the world. Josh will now play in the park with a small group of children and he even shows empathy towards the younger ones. He is still fearful of bigger groups and will still meltdown but his outbursts are shorter lived and are not accompanied by the usual palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear response' and I guess to be expected until he makes the connection that his body doesn't feel as bad anymore.We can now go out for a walk and to the shops and everyday his confidence is growing little by little. Most importantly for the first time Josh has been relaxed enough to begin learning from the outside world. It's like he is seeing it for the first time and is able to absorb his surroundings.

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Wonderful news, congrats and long may it continue

Mandi x

Armed with the biological understanding of what was going on inside Josh's body and following the recent research posted on ABE I decided to start him on Propranolol.We are now two weeks in and I have to say that my son is slowly but surely gaining the confidence he needs to re enter the world. Josh will now play in the park with a small group of children and he even shows empathy towards the younger ones. He is still fearful of bigger groups and will still meltdown but his outbursts are shorter lived and are not accompanied by the usual palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear response' and I guess to be expected until he makes the connection that his body doesn't feel as bad anymore.We can now go out for a walk and to the shops and everyday his confidence is growing little by little. Most importantly for the first time Josh has been relaxed enough to begin learning from the outside world. It's like he is seeing it for the first time and is able to absorb his surroundings.

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Dear Liz this is such good news, there is a doctor who can help with abnormal

blood flow maybe you might like to see him. He is next in The Advance centre in

february, he has single handedly managed to mend blood flow of patients of

gangrene and now is helping with autistic and cerebral palsy children his name

is doctor klimeov. www.advancecentres.co.uk for appointments Isobel

>

> Hello I just thought I would post about our amazing success with Propranolol.

>

> For as long as I can remember Josh would have episodes intense upset and fear

for no apparent reason. We could be sitting on the sofa relaxing and all of a

sudden out of no where he would start screaming about something that had upset

him months ago. Even when he was a baby he would change from completely calm to

being hysterical and inconsolable with no apparent trigger. As josh has got

older and is now almost 6 the nature of his fears has changed. Now, In order to

cope with his anxiety and externalize his discomfort he has become fixated with

other children and has developed an extreme phobia of them.

> Since developing this phobia for the last year we have been prisoners in our

house together. Josh could not even tolerate seeing a picture of children in a

magazine or on TV without going into melt down. Needless to say simple things

like going for a walk or even to the supermarket have been so difficult because

Josh's melt downs result in him screaming about how he wants to stab and kill

the children ect ect. We live in a small village and I live in fear of social

services knocking on the door!

> No amount of CBT of psychology input was helping and in honesty I was totally

at a loss as to what to do next.

>

> I took Josh to the Breakspear hospital to have the Autonomic Brainstem

monitoring done. This gave me a clear insight into what was occurring in his

brain and helped me see that no amount of behavioral intervention would help and

what he desperately needed was biological intervention.

> The scan showed several abnormalities which result in Josh experiencing

exaggerated variation in arterial blood flow and regular dumps of adrenalin

flooding his system at various intervals throughout the day. That explained why

he finds it so difficult to cope and also why he gets so much sensory overload.

>

> Armed with the biological understanding of what was going on inside Josh's

body and following the recent research posted on ABE I decided to start him on

Propranolol.

> We are now two weeks in and I have to say that my son is slowly but surely

gaining the confidence he needs to re enter the world. Josh will now play in the

park with a small group of children and he even shows empathy towards the

younger ones. He is still fearful of bigger groups and will still meltdown but

his outbursts are shorter lived and are not accompanied by the usual

palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear

response' and I guess to be expected until he makes the connection that his body

doesn't feel as bad anymore.

> We can now go out for a walk and to the shops and everyday his confidence is

growing little by little. Most importantly for the first time Josh has been

relaxed enough to begin learning from the outside world. It's like he is seeing

it for the first time and is able to absorb his surroundings.

>

> A big thank you to Natasa for all your research and support :-)!! xx

>

> Lis on xx

>

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Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

Thanks

Sent from my iPad

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Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

Thanks

Sent from my iPad

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Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

Thanks

Sent from my iPad

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Hi

I got the testing done at the Breakspear hospital (private) in Hemmel Hempstead

by Dr Julu.

The Propranolol is also a private script from the Breakspear. Your NHS doctor

may agree to give it to you with your test results but in honesty it only costs

about £3 per pack I didn't bother asking.

The full Autonomic profiling was expensive, around £750 I think but for us it

was worth it as it led to a targeted treatment plan of HBOT and propranolol.

Good luck

Lis x

>

> Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

>

> Thanks

>

>

> Sent from my iPad

>

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Hi

I got the testing done at the Breakspear hospital (private) in Hemmel Hempstead

by Dr Julu.

The Propranolol is also a private script from the Breakspear. Your NHS doctor

may agree to give it to you with your test results but in honesty it only costs

about £3 per pack I didn't bother asking.

The full Autonomic profiling was expensive, around £750 I think but for us it

was worth it as it led to a targeted treatment plan of HBOT and propranolol.

Good luck

Lis x

>

> Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

>

> Thanks

>

>

> Sent from my iPad

>

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Hi

I got the testing done at the Breakspear hospital (private) in Hemmel Hempstead

by Dr Julu.

The Propranolol is also a private script from the Breakspear. Your NHS doctor

may agree to give it to you with your test results but in honesty it only costs

about £3 per pack I didn't bother asking.

The full Autonomic profiling was expensive, around £750 I think but for us it

was worth it as it led to a targeted treatment plan of HBOT and propranolol.

Good luck

Lis x

>

> Hi Lis v interested in this approach as my son,s biggest issue is anxiety and

fear. How did you go about getting the testing and monitoring of the brainstem,

also did your gp agree to prescribe propranolol.

>

> Thanks

>

>

> Sent from my iPad

>

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Hi Isobel

Thank you so much for this info it looks really interesting!!

Lis x

> >

> > Hello I just thought I would post about our amazing success with

Propranolol.

> >

> > For as long as I can remember Josh would have episodes intense upset and

fear for no apparent reason. We could be sitting on the sofa relaxing and all of

a sudden out of no where he would start screaming about something that had upset

him months ago. Even when he was a baby he would change from completely calm to

being hysterical and inconsolable with no apparent trigger. As josh has got

older and is now almost 6 the nature of his fears has changed. Now, In order to

cope with his anxiety and externalize his discomfort he has become fixated with

other children and has developed an extreme phobia of them.

> > Since developing this phobia for the last year we have been prisoners in our

house together. Josh could not even tolerate seeing a picture of children in a

magazine or on TV without going into melt down. Needless to say simple things

like going for a walk or even to the supermarket have been so difficult because

Josh's melt downs result in him screaming about how he wants to stab and kill

the children ect ect. We live in a small village and I live in fear of social

services knocking on the door!

> > No amount of CBT of psychology input was helping and in honesty I was

totally at a loss as to what to do next.

> >

> > I took Josh to the Breakspear hospital to have the Autonomic Brainstem

monitoring done. This gave me a clear insight into what was occurring in his

brain and helped me see that no amount of behavioral intervention would help and

what he desperately needed was biological intervention.

> > The scan showed several abnormalities which result in Josh experiencing

exaggerated variation in arterial blood flow and regular dumps of adrenalin

flooding his system at various intervals throughout the day. That explained why

he finds it so difficult to cope and also why he gets so much sensory overload.

> >

> > Armed with the biological understanding of what was going on inside Josh's

body and following the recent research posted on ABE I decided to start him on

Propranolol.

> > We are now two weeks in and I have to say that my son is slowly but surely

gaining the confidence he needs to re enter the world. Josh will now play in the

park with a small group of children and he even shows empathy towards the

younger ones. He is still fearful of bigger groups and will still meltdown but

his outbursts are shorter lived and are not accompanied by the usual

palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear

response' and I guess to be expected until he makes the connection that his body

doesn't feel as bad anymore.

> > We can now go out for a walk and to the shops and everyday his confidence is

growing little by little. Most importantly for the first time Josh has been

relaxed enough to begin learning from the outside world. It's like he is seeing

it for the first time and is able to absorb his surroundings.

> >

> > A big thank you to Natasa for all your research and support :-)!! xx

> >

> > Lis on xx

> >

>

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Hi Isobel

Thank you so much for this info it looks really interesting!!

Lis x

> >

> > Hello I just thought I would post about our amazing success with

Propranolol.

> >

> > For as long as I can remember Josh would have episodes intense upset and

fear for no apparent reason. We could be sitting on the sofa relaxing and all of

a sudden out of no where he would start screaming about something that had upset

him months ago. Even when he was a baby he would change from completely calm to

being hysterical and inconsolable with no apparent trigger. As josh has got

older and is now almost 6 the nature of his fears has changed. Now, In order to

cope with his anxiety and externalize his discomfort he has become fixated with

other children and has developed an extreme phobia of them.

> > Since developing this phobia for the last year we have been prisoners in our

house together. Josh could not even tolerate seeing a picture of children in a

magazine or on TV without going into melt down. Needless to say simple things

like going for a walk or even to the supermarket have been so difficult because

Josh's melt downs result in him screaming about how he wants to stab and kill

the children ect ect. We live in a small village and I live in fear of social

services knocking on the door!

> > No amount of CBT of psychology input was helping and in honesty I was

totally at a loss as to what to do next.

> >

> > I took Josh to the Breakspear hospital to have the Autonomic Brainstem

monitoring done. This gave me a clear insight into what was occurring in his

brain and helped me see that no amount of behavioral intervention would help and

what he desperately needed was biological intervention.

> > The scan showed several abnormalities which result in Josh experiencing

exaggerated variation in arterial blood flow and regular dumps of adrenalin

flooding his system at various intervals throughout the day. That explained why

he finds it so difficult to cope and also why he gets so much sensory overload.

> >

> > Armed with the biological understanding of what was going on inside Josh's

body and following the recent research posted on ABE I decided to start him on

Propranolol.

> > We are now two weeks in and I have to say that my son is slowly but surely

gaining the confidence he needs to re enter the world. Josh will now play in the

park with a small group of children and he even shows empathy towards the

younger ones. He is still fearful of bigger groups and will still meltdown but

his outbursts are shorter lived and are not accompanied by the usual

palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear

response' and I guess to be expected until he makes the connection that his body

doesn't feel as bad anymore.

> > We can now go out for a walk and to the shops and everyday his confidence is

growing little by little. Most importantly for the first time Josh has been

relaxed enough to begin learning from the outside world. It's like he is seeing

it for the first time and is able to absorb his surroundings.

> >

> > A big thank you to Natasa for all your research and support :-)!! xx

> >

> > Lis on xx

> >

>

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Hi Isobel

Thank you so much for this info it looks really interesting!!

Lis x

> >

> > Hello I just thought I would post about our amazing success with

Propranolol.

> >

> > For as long as I can remember Josh would have episodes intense upset and

fear for no apparent reason. We could be sitting on the sofa relaxing and all of

a sudden out of no where he would start screaming about something that had upset

him months ago. Even when he was a baby he would change from completely calm to

being hysterical and inconsolable with no apparent trigger. As josh has got

older and is now almost 6 the nature of his fears has changed. Now, In order to

cope with his anxiety and externalize his discomfort he has become fixated with

other children and has developed an extreme phobia of them.

> > Since developing this phobia for the last year we have been prisoners in our

house together. Josh could not even tolerate seeing a picture of children in a

magazine or on TV without going into melt down. Needless to say simple things

like going for a walk or even to the supermarket have been so difficult because

Josh's melt downs result in him screaming about how he wants to stab and kill

the children ect ect. We live in a small village and I live in fear of social

services knocking on the door!

> > No amount of CBT of psychology input was helping and in honesty I was

totally at a loss as to what to do next.

> >

> > I took Josh to the Breakspear hospital to have the Autonomic Brainstem

monitoring done. This gave me a clear insight into what was occurring in his

brain and helped me see that no amount of behavioral intervention would help and

what he desperately needed was biological intervention.

> > The scan showed several abnormalities which result in Josh experiencing

exaggerated variation in arterial blood flow and regular dumps of adrenalin

flooding his system at various intervals throughout the day. That explained why

he finds it so difficult to cope and also why he gets so much sensory overload.

> >

> > Armed with the biological understanding of what was going on inside Josh's

body and following the recent research posted on ABE I decided to start him on

Propranolol.

> > We are now two weeks in and I have to say that my son is slowly but surely

gaining the confidence he needs to re enter the world. Josh will now play in the

park with a small group of children and he even shows empathy towards the

younger ones. He is still fearful of bigger groups and will still meltdown but

his outbursts are shorter lived and are not accompanied by the usual

palpitations, sweats and dilated pupils. The outbursts are a `conditioned fear

response' and I guess to be expected until he makes the connection that his body

doesn't feel as bad anymore.

> > We can now go out for a walk and to the shops and everyday his confidence is

growing little by little. Most importantly for the first time Josh has been

relaxed enough to begin learning from the outside world. It's like he is seeing

it for the first time and is able to absorb his surroundings.

> >

> > A big thank you to Natasa for all your research and support :-)!! xx

> >

> > Lis on xx

> >

>

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they also now do a Basic version of the Autonomic Profile test, about

£200

Natasa

> >

> > Hi Lis v interested in this approach as my son,s biggest issue is

anxiety and fear. How did you go about getting the testing and

monitoring of the brainstem, also did your gp agree to prescribe

propranolol.

> >

> > Thanks

> >

> >

> > Sent from my iPad

> >

>

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they also now do a Basic version of the Autonomic Profile test, about

£200

Natasa

> >

> > Hi Lis v interested in this approach as my son,s biggest issue is

anxiety and fear. How did you go about getting the testing and

monitoring of the brainstem, also did your gp agree to prescribe

propranolol.

> >

> > Thanks

> >

> >

> > Sent from my iPad

> >

>

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Just for the sake of mentioning it, Tom has not done well on

Propranolol. It made him withdrawn and more autistic.

It didn't work even though he is a stressed kid. I suppose the fact that

I would describe it as stress and wouldn't think to use the word

'anxiety' for Tom really might be the clue???

I would still say it's worth a try due to the success other kids are

having.

Sara

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Autonomic test measures BP amongst

other things. Ours was slightly low, and normalised after pnl !! Ds hooked

up on the machine for an hour after pnl dose, we saw BP kept slowly rising until

it reached dead normal range! The neuro guy there wasn't surprised at

all, said it most often it as has a normalising BP effects (instead of merely lowering)

through regulating vagus nerve function.

Imo bad reaction to pnl most likely related to excess glutamate and/or

fluctuating serotonin levels. According to a theory out there high adrenaline

might be produced by some people for the purpose of blocking excess glutamate. So when adrenaline is lowered the

glutamate would go up (it would make sense in the light of what you saw Sara).

Also brain serotonin levels would be affected etc.

In this case of high adrenaline vs high

glutamate you would be stuck between rock and a hard place, as both very bad. IMO there are ways around it though, no time

to go into…

Another scenario where the body `needs'

high adrenaline is in allergies or generally having high histamine levels. We

have been on h1 blockers here for a while prior to starting pnl.

Natasa

>> Sara> I was the same as Mandi - I took it for migraines and I felt awful, there> was no way I could take it long term. I could barely move when I was on> it, I can see how it would make a child withdrawn. However, I was like> Mandi, I have low BP and stress. Did they take his BP before prescribing> it?> > Also, I agree, there is a difference between a child who is stressed and> one who is anxious.> > Darla> > On 4 November 2011 10:45, Sara Moroza- Moroza-@...wrote:> > > **> >> >> > Just for the sake of mentioning it, Tom has not done well on> > Propranolol. It made him withdrawn and more autistic.> > It didn't work even though he is a stressed kid. I suppose the fact that> > I would describe it as stress and wouldn't think to use the word> > 'anxiety' for Tom really might be the clue???> > I would still say it's worth a try due to the success other kids are> > having.> > Sara> >> > > >>

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Autonomic test measures BP amongst

other things. Ours was slightly low, and normalised after pnl !! Ds hooked

up on the machine for an hour after pnl dose, we saw BP kept slowly rising until

it reached dead normal range! The neuro guy there wasn't surprised at

all, said it most often it as has a normalising BP effects (instead of merely lowering)

through regulating vagus nerve function.

Imo bad reaction to pnl most likely related to excess glutamate and/or

fluctuating serotonin levels. According to a theory out there high adrenaline

might be produced by some people for the purpose of blocking excess glutamate. So when adrenaline is lowered the

glutamate would go up (it would make sense in the light of what you saw Sara).

Also brain serotonin levels would be affected etc.

In this case of high adrenaline vs high

glutamate you would be stuck between rock and a hard place, as both very bad. IMO there are ways around it though, no time

to go into…

Another scenario where the body `needs'

high adrenaline is in allergies or generally having high histamine levels. We

have been on h1 blockers here for a while prior to starting pnl.

Natasa

>> Sara> I was the same as Mandi - I took it for migraines and I felt awful, there> was no way I could take it long term. I could barely move when I was on> it, I can see how it would make a child withdrawn. However, I was like> Mandi, I have low BP and stress. Did they take his BP before prescribing> it?> > Also, I agree, there is a difference between a child who is stressed and> one who is anxious.> > Darla> > On 4 November 2011 10:45, Sara Moroza- Moroza-@...wrote:> > > **> >> >> > Just for the sake of mentioning it, Tom has not done well on> > Propranolol. It made him withdrawn and more autistic.> > It didn't work even though he is a stressed kid. I suppose the fact that> > I would describe it as stress and wouldn't think to use the word> > 'anxiety' for Tom really might be the clue???> > I would still say it's worth a try due to the success other kids are> > having.> > Sara> >> > > >>

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In our case ds is both stressed and anxious - easily stressed and easily

scared. Those two go hand in hand here.

Natasa

>

> Sara

> I was the same as Mandi - I took it for migraines and I felt awful,

there

> was no way I could take it long term. I could barely move when I was

on

> it, I can see how it would make a child withdrawn. However, I was

like

> Mandi, I have low BP and stress. Did they take his BP before

prescribing

> it?

>

> Also, I agree, there is a difference between a child who is stressed

and

> one who is anxious.

>

> Darla

>

> On 4 November 2011 10:45, Sara Moroza- Moroza-@...wrote:

>

> > **

> >

> >

> > Just for the sake of mentioning it, Tom has not done well on

> > Propranolol. It made him withdrawn and more autistic.

> > It didn't work even though he is a stressed kid. I suppose the fact

that

> > I would describe it as stress and wouldn't think to use the word

> > 'anxiety' for Tom really might be the clue???

> > I would still say it's worth a try due to the success other kids are

> > having.

> > Sara

> >

> >

> >

>

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Hi Vicky, propranolol is often given for palpitations or chest pain. As

for mumurs it probably depends what exactly it is - in this case it was

found very helpful: http://www.ncbi.nlm.nih.gov/pubmed/1258727 - could

you get referral to cardio? was it diagnosed as systolic click murmur

syndrome?

nx

>

>

>

>

>

>

> Just for the sake of mentioning it, Tom has not done well on

> Propranolol. It made him withdrawn and more autistic.

> It didn't work even though he is a stressed kid. I suppose the

fact that

> I would describe it as stress and wouldn't think to use the word

> 'anxiety' for Tom really might be the clue???

> I would still say it's worth a try due to the success other kids

are

> having.

> Sara

>

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Hi Vicky, propranolol is often given for palpitations or chest pain. As

for mumurs it probably depends what exactly it is - in this case it was

found very helpful: http://www.ncbi.nlm.nih.gov/pubmed/1258727 - could

you get referral to cardio? was it diagnosed as systolic click murmur

syndrome?

nx

>

>

>

>

>

>

> Just for the sake of mentioning it, Tom has not done well on

> Propranolol. It made him withdrawn and more autistic.

> It didn't work even though he is a stressed kid. I suppose the

fact that

> I would describe it as stress and wouldn't think to use the word

> 'anxiety' for Tom really might be the clue???

> I would still say it's worth a try due to the success other kids

are

> having.

> Sara

>

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Hi Mandy, what was the dose? Do you suffer POTS / ortho intolerance?

>

>

>

>

>

> Just for the sake of mentioning it, Tom has not done well on

> Propranolol. It made him withdrawn and more autistic.

> It didn't work even though he is a stressed kid. I suppose the fact

that

> I would describe it as stress and wouldn't think to use the word

> 'anxiety' for Tom really might be the clue???

> I would still say it's worth a try due to the success other kids are

> having.

> Sara

>

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Hi Mandy, what was the dose? Do you suffer POTS / ortho intolerance?

>

>

>

>

>

> Just for the sake of mentioning it, Tom has not done well on

> Propranolol. It made him withdrawn and more autistic.

> It didn't work even though he is a stressed kid. I suppose the fact

that

> I would describe it as stress and wouldn't think to use the word

> 'anxiety' for Tom really might be the clue???

> I would still say it's worth a try due to the success other kids are

> having.

> Sara

>

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do you suffer any pots-like symptoms, orthostatic intolerance? I am asking because pnl was found to be very helpful for POTS adults but only in very low doses - 20mg or below it was helping patients. Anything over that was making symptoms worse.It is used in CFS, again in very low doses as normal blood pressure /migraine prophylaxis doses are not tolerated by most. I guess the equivalent of that very low dose for kids would be 5-10mg max ? Natasa >> Sara> I was the same as Mandi - I took it for migraines and I felt awful, there> was no way I could take it long term. I could barely move when I was on> it, I can see how it would make a child withdrawn. However, I was like> Mandi, I have low BP and stress. Did they take his BP before prescribing> it?> > Also, I agree, there is a difference between a child who is stressed and> one who is anxious.> > Darla> > On 4 November 2011 10:45, Sara Moroza- Moroza-@...wrote:> > > **> >> >> > Just for the sake of mentioning it, Tom has not done well on> > Propranolol. It made him withdrawn and more autistic.> > It didn't work even though he is a stressed kid. I suppose the fact that> > I would describe it as stress and wouldn't think to use the word> > 'anxiety' for Tom really might be the clue???> > I would still say it's worth a try due to the success other kids are> > having.> > Sara> >> > > >>

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do you suffer any pots-like symptoms, orthostatic intolerance? I am asking because pnl was found to be very helpful for POTS adults but only in very low doses - 20mg or below it was helping patients. Anything over that was making symptoms worse.It is used in CFS, again in very low doses as normal blood pressure /migraine prophylaxis doses are not tolerated by most. I guess the equivalent of that very low dose for kids would be 5-10mg max ? Natasa >> Sara> I was the same as Mandi - I took it for migraines and I felt awful, there> was no way I could take it long term. I could barely move when I was on> it, I can see how it would make a child withdrawn. However, I was like> Mandi, I have low BP and stress. Did they take his BP before prescribing> it?> > Also, I agree, there is a difference between a child who is stressed and> one who is anxious.> > Darla> > On 4 November 2011 10:45, Sara Moroza- Moroza-@...wrote:> > > **> >> >> > Just for the sake of mentioning it, Tom has not done well on> > Propranolol. It made him withdrawn and more autistic.> > It didn't work even though he is a stressed kid. I suppose the fact that> > I would describe it as stress and wouldn't think to use the word> > 'anxiety' for Tom really might be the clue???> > I would still say it's worth a try due to the success other kids are> > having.> > Sara> >> > > >>

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pnl is often successful for adrenal dysfunction but doses usually need

to be much much lower than what is given for BP

nx

>

>

>

>

>

> Just for the sake of mentioning it, Tom has not done well on

> Propranolol. It made him withdrawn and more autistic.

> It didn't work even though he is a stressed kid. I suppose the fact

that

> I would describe it as stress and wouldn't think to use the word

> 'anxiety' for Tom really might be the clue???

> I would still say it's worth a try due to the success other kids are

> having.

> Sara

>

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