0
Article |

Propranolol Treatment of Neonatal Thyrotoxicosis

GEOFFREY P. REDMOND, MD
Am J Dis Child. 1981;135(3):290-291. doi:10.1001/archpedi.1981.02130270082038.
Text Size: A A A
Published online

Sir.—New drugs usually seem safer than older ones. The vogue for treating thyrotoxicosis with propranolol hydrochloride rather than a thioamide is yet another example of this often unfounded optimism. The article by Newman et al and the commentary by Gardner together provide an excellent summary of the hazards of propranolol therapy in the neonate. I would like to emphasize an additional area of concern: the possibility that propranolol treatment of neonatal toxicosis may have later-emerging developmental consequences. Propranolol is one of a large number of neuroactive drugs whose use is associated with intrauterine growth retardation.1 These reports are cited by Dr Gardner.

We have been studying the effect of oral propranolol on growth and development of suckling rats and find that as little as four days of propranolol administration significantly retards growth in a dose-dependent fashion (unpublished observations). A number of studies have indicated that propranolol can inhibit

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();