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hemangioma_treatment [2025/01/20 19:34] – Scott Larsonhemangioma_treatment [2025/04/18 20:40] (current) – external edit 127.0.0.1
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     * if PHACE is suspected: MRI/ MRA of head and neck and Echocardiogram      * if PHACE is suspected: MRI/ MRA of head and neck and Echocardiogram 
     * Slow titration up, lowest effective dosing, inpatient observation and TID dosing      * Slow titration up, lowest effective dosing, inpatient observation and TID dosing 
-=== Outpatient Treatment Initiation Protocol === +=== Protocol === 
-  - Baseline BP and HR +[[propranolol_for_hemangioma_protocol|See Outpatient Treatment of hemangioma with Propranolol Protocol]]
-  - Propranolol 0.5 mg/kg (1 mg/kg/day) PO BID +
-  - Check BP and HR 1 and 2 hours after first dose +
-  - IF not tolerated:  gradually increase to 0.5 mg/kg PO +
-  - IF tolerated: Ensure minimum of 6 hours between doses, warning signs, feed regularly and hold dose if PO intake compromised,  Discharge to home +
-  - In 3-7 days: Increase dose to 0.75 mg/kg PO BID (1.5 mg/kg/day)  +
-  - Check BP and HR 1 and 2 hours after new dose  +
-  - If not tolerated:  Keep at 1 mg/kg/day and assess efficacy +
-  - If tolerated: discharge home +
-  - In 3-7 days Increase dose to 1 mg/kg PO BID (2 mg/kg/day)  +
-  - Check BP and HR at 1 and 2 hours after new dose+
  
 === Treatment Location === === Treatment Location ===