Page last updated: 2024-11-03

propranolol and Brain Injuries

propranolol has been researched along with Brain Injuries in 32 studies

Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.
propranolol : A propanolamine that is propan-2-ol substituted by a propan-2-ylamino group at position 1 and a naphthalen-1-yloxy group at position 3.

Brain Injuries: Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.

Research Excerpts

ExcerptRelevanceReference
"Propranolol in vivo increased cerebral perfusion and decreased cerebral hypoxia."7.75The in vivo effect of propranolol on cerebral perfusion and hypoxia after traumatic brain injury. ( Conti, PS; Dagliyan, G; Ley, EJ; Margulies, DR; Park, R; Salim, A; Scehnet, J; Schroff, S, 2009)
" The following case report describes a patient developing neuroleptic malignant syndrome (NMS) secondary to the use of haloperidol given to control the patient's agitation."7.70Neuroleptic malignant syndrome induced by haloperidol following traumatic brain injury. ( Guin-Renfroe, S; Meythaler, JM; Wilkinson, R, 1999)
" This study used a within-subject, dose-response design to determine whether prazosin (PRAZ), an alpha1-NA antagonist, or propranolol (PROP), a beta-NA antagonist, would continue to reinstate hemiplegia over time after recovery from weight-drop traumatic brain injury (TBI)."5.31Enduring vulnerability to transient reinstatement of hemiplegia by prazosin after traumatic brain injury. ( Feeney, DM; Stibick, DL, 2001)
"The propranolol was continued until all signs of autonomic dysfunction abated."5.29Fever of central origin in traumatic brain injury controlled with propranolol. ( Meythaler, JM; Stinson, AM, 1994)
" We have provided experimental evidence showing the suppressive effects of the nonselective β-adrenoreceptor antagonist propranolol on hyperglycemia, inflammation, and brain injury in a rat model experiencing cerebral ischemia."3.96Effects of β-Adrenergic Blockade on Metabolic and Inflammatory Responses in a Rat Model of Ischemic Stroke. ( Chang, CY; Chen, CJ; Chen, WY; Kuan, YH; Liao, SL; Lin, SY; Wang, YY; Wu, CC, 2020)
" We hypothesize that judicious early low-dose propranolol after TBI (EPAT) will improve outcomes without altering bradycardia or hypotensive events."3.83Prospective evaluation of early propranolol after traumatic brain injury. ( Barmparas, G; Bloom, MB; Bukur, M; Harada, MY; Hoang, DM; Inaba, K; Ley, EJ; Margulies, DR; Murry, JS; Salim, A, 2016)
"Propranolol in vivo increased cerebral perfusion and decreased cerebral hypoxia."3.75The in vivo effect of propranolol on cerebral perfusion and hypoxia after traumatic brain injury. ( Conti, PS; Dagliyan, G; Ley, EJ; Margulies, DR; Park, R; Salim, A; Scehnet, J; Schroff, S, 2009)
" The following case report describes a patient developing neuroleptic malignant syndrome (NMS) secondary to the use of haloperidol given to control the patient's agitation."3.70Neuroleptic malignant syndrome induced by haloperidol following traumatic brain injury. ( Guin-Renfroe, S; Meythaler, JM; Wilkinson, R, 1999)
") has been studied in 10 patients with various forms of hypertension under four different conditions: before and after salt depletion and with or without propranolol treatment."3.65Renin dependency of blood-pressure. Analysis by angiotensin II antagonist P113 in hypertensive patients treated with salt depletion and propranolol. ( Boer, P; Dorhout Mees, EJ; Geyskes, GG; Vos, J, 1976)
"Migraine is a hereditary disorder afflicting 5 per cent of school-age children."2.37Migraine in children. ( Fenichel, GM, 1985)
"Mice were then subjected to controlled hemorrhagic shock for 1 h to a goal MAP of 25 mmHg."1.72MULTIMODAL TREATMENT APPROACHES TO COMBINED TRAUMATIC BRAIN INJURY AND HEMORRHAGIC SHOCK ALTER POSTINJURY INFLAMMATORY RESPONSE. ( Baucom, MR; England, LG; Goodman, MD; Pritts, TA; Schuster, RM; Wallen, TE, 2022)
" Administration of early propranolol was dosed within 24 hours of admission at 1 mg intravenous every 6 hours."1.43Early propranolol after traumatic brain injury is associated with lower mortality. ( Alban, RF; Barmparas, G; Bloom, MB; Chung, R; Harada, MY; Ko, A; Ley, EJ; Margulies, DR; Melo, N; Thomsen, GM, 2016)
"Propranolol patients were younger (30 years vs."1.40Traumatic brain injury and β-blockers: not all drugs are created equal. ( Clement, LP; Croce, MA; Fabian, TC; Magnotti, LJ; Schroeppel, TJ; Sharpe, JP; Weinberg, JA, 2014)
" This study used a within-subject, dose-response design to determine whether prazosin (PRAZ), an alpha1-NA antagonist, or propranolol (PROP), a beta-NA antagonist, would continue to reinstate hemiplegia over time after recovery from weight-drop traumatic brain injury (TBI)."1.31Enduring vulnerability to transient reinstatement of hemiplegia by prazosin after traumatic brain injury. ( Feeney, DM; Stibick, DL, 2001)
"The propranolol was continued until all signs of autonomic dysfunction abated."1.29Fever of central origin in traumatic brain injury controlled with propranolol. ( Meythaler, JM; Stinson, AM, 1994)
"Pretreatment with propranolol produced a significant decrease in the prevalence of ascites compared with trauma alone (P less than 0."1.27Neurogenic hyperacute ascites in mice. ( Bensch, KG; Morin, ME; Murphy, BJ; Nelson, DP; Robin, ED; Theodore, J; Wong, RJ, 1986)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-199011 (34.38)18.7374
1990's5 (15.63)18.2507
2000's4 (12.50)29.6817
2010's10 (31.25)24.3611
2020's2 (6.25)2.80

Authors

AuthorsStudies
Wallen, TE1
Baucom, MR1
England, LG1
Schuster, RM1
Pritts, TA1
Goodman, MD1
Lin, SY1
Wang, YY1
Chang, CY1
Wu, CC1
Chen, WY1
Kuan, YH1
Liao, SL1
Chen, CJ1
Yamada, H1
Kikuchi, R1
Katayama, J1
Nakamura, A1
Miyazaki, H1
Schroeppel, TJ2
Sharpe, JP1
Magnotti, LJ1
Weinberg, JA1
Clement, LP1
Croce, MA2
Fabian, TC2
Godoy, DA1
Piñero, GR1
Masotti, L1
Murry, JS1
Hoang, DM1
Barmparas, G2
Harada, MY2
Bukur, M2
Bloom, MB2
Inaba, K1
Margulies, DR5
Salim, A4
Ley, EJ5
Kota, DJ1
Prabhakara, KS1
van Brummen, AJ1
Bedi, S1
Xue, H1
DiCarlo, B1
Cox, CS1
Olson, SD1
Ko, A1
Thomsen, GM1
Alban, RF1
Chung, R1
Melo, N1
Scehnet, J1
Park, R3
Schroff, S1
Dagliyan, G3
Conti, PS3
Palestrant, D1
Miller, CM1
Clond, MA1
Chervonski, M1
Lyden, PD1
Patel, MB1
McKenna, JW1
Alvarez, JM1
Sugiura, A1
Jenkins, JM1
Guillamondegui, OD1
Pandharipande, PP1
Fleminger, S2
Greenwood, RJ2
Oliver, DL2
Mansheim, P1
Meythaler, JM2
Stinson, AM1
Woiciechowsky, C1
Asadullah, K1
Nestler, D1
Eberhardt, B1
Platzer, C1
Schöning, B1
Glöckner, F1
Lanksch, WR1
Volk, HD1
Döcke, WD1
Wilkinson, R1
Guin-Renfroe, S1
Stibick, DL1
Feeney, DM1
Geyskes, GG1
Boer, P1
Vos, J1
Dorhout Mees, EJ1
Ellison, PH1
Elliott, FA1
Lewis, AB1
Nestor, L1
Dahms, B1
Platzker, AC1
Brooke, MM1
Patterson, DR1
Questad, KA1
Cardenas, D1
Farrel-Roberts, L1
Griepp, EB1
Griepp, RB1
Nelson, DP1
Robin, ED1
Wong, RJ1
Morin, ME1
Bensch, KG1
Murphy, BJ1
Theodore, J1
Fenichel, GM1
Ulrich, G1
Uchida, M1
Yamaoka, H1
Vander Ark, GD1
Norton, LW1
Pomerantz, M1
Dasgupta, NK1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Beta Blocker Use In Traumatic Brain Injury Based On The High-Sensitive Troponin T Status: A Randomized Controlled Trial (BBTBBT)[NCT04508244]Phase 4771 participants (Anticipated)Interventional2020-12-29Recruiting
DASH After TBI Study: Decreasing Adrenergic or Sympathetic Hyperactivity After Severe Traumatic Brain Injury, A Pilot Randomized Clinical Trial Using Propranolol and Clonidine[NCT01322048]Phase 248 participants (Actual)Interventional2011-08-31Completed
Controlling Hyperadrenergic Activity in Neurologic Injury[NCT01343329]Phase 1/Phase 20 participants (Actual)Interventional2011-07-31Withdrawn (stopped due to Unable to enroll subjects that fit study criteria.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Plasma Norepinephrine Levels

(NCT01322048)
Timeframe: Post-treatment (t=Day 8)

Interventionpg/mL (Median)
Adrenergic Blockade962
Placebo714

Ventilator-free Days

(NCT01322048)
Timeframe: Baseline to day 28

Interventiondays (Median)
Adrenergic Blockade16.2
Placebo18.05

Reviews

4 reviews available for propranolol and Brain Injuries

ArticleYear
Pharmacological management for agitation and aggression in people with acquired brain injury.
    The Cochrane database of systematic reviews, 2003, Issue:1

    Topics: Adrenergic beta-Antagonists; Aggression; Amantadine; Anxiety; Brain Injuries; Humans; Methylphenidat

2003
Pharmacological management for agitation and aggression in people with acquired brain injury.
    The Cochrane database of systematic reviews, 2006, Oct-18, Issue:4

    Topics: Adrenergic beta-Antagonists; Aggression; Amantadine; Anxiety; Brain Injuries; Humans; Methylphenidat

2006
Cerebral consequences of hypothermic circulatory arrest in adults.
    Journal of cardiac surgery, 1992, Volume: 7, Issue:2

    Topics: Animals; Barbiturates; Body Temperature; Brain; Brain Injuries; Calcium Channel Blockers; Clinical T

1992
Migraine in children.
    Neurologic clinics, 1985, Volume: 3, Issue:1

    Topics: Adolescent; Basilar Artery; Brain Injuries; Cerebrovascular Circulation; Child; Child, Preschool; Co

1985

Trials

2 trials available for propranolol and Brain Injuries

ArticleYear
Decreasing adrenergic or sympathetic hyperactivity after severe traumatic brain injury using propranolol and clonidine (DASH After TBI Study): study protocol for a randomized controlled trial.
    Trials, 2012, Sep-26, Volume: 13

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic beta-Antagonists; Adrenergic Fibers; Biomarkers; Br

2012
The treatment of agitation during initial hospitalization after traumatic brain injury.
    Archives of physical medicine and rehabilitation, 1992, Volume: 73, Issue:10

    Topics: Aggression; Brain Injuries; Humans; Propranolol; Psychomotor Agitation; Restraint, Physical

1992

Other Studies

26 other studies available for propranolol and Brain Injuries

ArticleYear
MULTIMODAL TREATMENT APPROACHES TO COMBINED TRAUMATIC BRAIN INJURY AND HEMORRHAGIC SHOCK ALTER POSTINJURY INFLAMMATORY RESPONSE.
    Shock (Augusta, Ga.), 2022, 12-01, Volume: 58, Issue:6

    Topics: Animals; Biomarkers; Brain Injuries; Brain Injuries, Traumatic; Chemokine CCL3; Combined Modality Th

2022
Effects of β-Adrenergic Blockade on Metabolic and Inflammatory Responses in a Rat Model of Ischemic Stroke.
    Cells, 2020, 06-01, Volume: 9, Issue:6

    Topics: Adrenergic beta-Antagonists; Animals; Brain Injuries; Cell Line; Cytokines; Disease Models, Animal;

2020
Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2018, Volume: 27, Issue:10

    Topics: Adolescent; Adrenergic beta-Antagonists; Amines; Autonomic Nervous System Diseases; Brain Injuries;

2018
Traumatic brain injury and β-blockers: not all drugs are created equal.
    The journal of trauma and acute care surgery, 2014, Volume: 76, Issue:2

    Topics: Adrenergic beta-Antagonists; Adult; Brain Injuries; Cause of Death; Cohort Studies; Confidence Inter

2014
Paroxysmal sympathetic hyperactivity, traumatic brain injury, and β-blockers.
    The journal of trauma and acute care surgery, 2014, Volume: 77, Issue:2

    Topics: Adrenergic beta-Antagonists; Brain Injuries; Female; Hospital Mortality; Humans; Male; Primary Dysau

2014
Re: Paroxysmal sympathetic hyperactivity, traumatic brain injury, and β-blockers: Not all drugs are created equal.
    The journal of trauma and acute care surgery, 2014, Volume: 77, Issue:2

    Topics: Adrenergic beta-Antagonists; Brain Injuries; Female; Hospital Mortality; Humans; Male; Primary Dysau

2014
Prospective evaluation of early propranolol after traumatic brain injury.
    The Journal of surgical research, 2016, Volume: 200, Issue:1

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Bradycardia; Brain Injuries; Drug Administration Schedule;

2016
Propranolol and Mesenchymal Stromal Cells Combine to Treat Traumatic Brain Injury.
    Stem cells translational medicine, 2016, Volume: 5, Issue:1

    Topics: Adult; Allografts; Animals; Bone Marrow Cells; Brain Injuries; Humans; Male; Mesenchymal Stem Cell T

2016
Early propranolol after traumatic brain injury is associated with lower mortality.
    The journal of trauma and acute care surgery, 2016, Volume: 80, Issue:4

    Topics: Abbreviated Injury Scale; Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Brain Injurie

2016
The in vivo effect of propranolol on cerebral perfusion and hypoxia after traumatic brain injury.
    The Journal of trauma, 2009, Volume: 66, Issue:1

    Topics: Analysis of Variance; Animals; Brain Injuries; Cerebrovascular Circulation; Hypoxia; Immunohistochem

2009
In vivo effect of propranolol dose and timing on cerebral perfusion after traumatic brain injury.
    The Journal of trauma, 2010, Volume: 68, Issue:2

    Topics: Animals; Brain Injuries; Cerebrovascular Circulation; Dose-Response Relationship, Drug; Mice; Mice,

2010
β-adrenergic receptor inhibition affects cerebral glucose metabolism, motor performance, and inflammatory response after traumatic brain injury.
    The journal of trauma and acute care surgery, 2012, Volume: 73, Issue:1

    Topics: Adrenergic beta-Antagonists; Animals; Blotting, Western; Brain; Brain Chemistry; Brain Injuries; Glu

2012
Treatment with propranolol of the behavioral sequelae of brain damage.
    The Journal of clinical psychiatry, 1981, Volume: 42, Issue:3

    Topics: Adult; Brain Injuries; Female; Humans; Neurocognitive Disorders; Propranolol; Social Behavior Disord

1981
Fever of central origin in traumatic brain injury controlled with propranolol.
    Archives of physical medicine and rehabilitation, 1994, Volume: 75, Issue:7

    Topics: Accidents, Traffic; Adolescent; Adult; Body Temperature Regulation; Brain Injuries; Female; Fever; H

1994
Sympathetic activation triggers systemic interleukin-10 release in immunodepression induced by brain injury.
    Nature medicine, 1998, Volume: 4, Issue:7

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Animals; Brain; Brain Injuries; Brain Neoplasms; Brain Ste

1998
Neuroleptic malignant syndrome induced by haloperidol following traumatic brain injury.
    Brain injury, 1999, Volume: 13, Issue:12

    Topics: Adolescent; Amantadine; Brain Injuries; Dopamine Agents; Dopamine Antagonists; Fever; Haloperidol; H

1999
Enduring vulnerability to transient reinstatement of hemiplegia by prazosin after traumatic brain injury.
    Journal of neurotrauma, 2001, Volume: 18, Issue:3

    Topics: Adrenergic alpha-1 Receptor Antagonists; Adrenergic alpha-Antagonists; Adrenergic beta-Antagonists;

2001
Renin dependency of blood-pressure. Analysis by angiotensin II antagonist P113 in hypertensive patients treated with salt depletion and propranolol.
    Lancet (London, England), 1976, May-15, Volume: 1, Issue:7968

    Topics: Adolescent; Adult; Angiotensin II; Antihypertensive Agents; Blood Pressure; Brain Injuries; Diet, So

1976
Propranolol for severe post-head injury action tremor.
    Neurology, 1978, Volume: 28, Issue:2

    Topics: Brain Injuries; Child; Humans; Male; Movement; Propranolol; Tremor

1978
Propranolol for the control of belligerent behavior following acute brain damage.
    Annals of neurology, 1977, Volume: 1, Issue:5

    Topics: Adult; Aggression; Brain Concussion; Brain Injuries; Cerebrovascular Disorders; Humans; Male; Middle

1977
Cardiovascular responses to autonomic blockade in brain-injured fetal lambs.
    Biology of the neonate, 1978, Volume: 34, Issue:1-2

    Topics: Animals; Atropine; Autonomic Nerve Block; Blood Pressure; Brain; Brain Injuries; Carotid Arteries; G

1978
Neurogenic hyperacute ascites in mice.
    Clinical science (London, England : 1979), 1986, Volume: 71, Issue:3

    Topics: Acute Disease; Adrenergic beta-Agonists; Animals; Ascitic Fluid; Brain Injuries; Male; Methoxamine;

1986
[Guide lines for the treatment of patients with the apallic and postopallic syndrome].
    Medizinische Klinik, 1973, Volume: 68, Issue:20

    Topics: Amino Acids; Brain Diseases; Brain Injuries; Cachexia; Cerebral Cortex; Contracture; Diet Therapy; D

1973
[Effect of beta adrenergic blocking agents on the changes of the ST segment and T wave observed in patients with brain-stem damage].
    Kokyu to junkan. Respiration & circulation, 1972, Volume: 20, Issue:12

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Blood Pressure; Brain Injuries; Brain Neoplasms; Brain Ste

1972
The effects of brain stem compression on the heart.
    Surgical neurology, 1974, Volume: 2, Issue:4

    Topics: Animals; Arrhythmias, Cardiac; Atropine; Blood Pressure; Bradycardia; Brain Injuries; Brain Stem; Ca

1974
On the mechanism of the pressor response due to propranolol.
    British journal of pharmacology, 1968, Volume: 34, Issue:1

    Topics: Animals; Blood Pressure; Brain Injuries; Bretylium Compounds; Heart Rate; Hexamethonium Compounds; I

1968