{
  "schema_version": 1,
  "kind": "condition",
  "id": "palpitations-evaluation",
  "name": "Palpitations (Primary Care Evaluation)",
  "category": "chronic",
  "sources": "NICE Clinical Knowledge Summaries: Palpitations 2021 · Egyptian National Drug Formulary - Cardiovascular 2024 (propranolol monograph) · Egyptian National Drug Formulary - Cardiovascular 2024 (bisoprolol monograph)",
  "review_status": "reviewed",
  "verified_against": "Egyptian National Drug Formulary - Cardiovascular 2024 (propranolol monograph) · Egyptian National Drug Formulary - Cardiovascular 2024 (bisoprolol monograph)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1352,
      "generic": "Propranolol",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 10.0,
      "adult_dose": "10-40 mg three times daily PRN for symptomatic relief of benign hyperadrenergic palpitations",
      "adult_duration": "short-term PRN",
      "dose_source": "Egyptian National Drug Formulary - Cardiovascular 2024 (propranolol monograph)",
      "rationale": "Propranolol is a non-selective beta-blocker that dampens excess sympathetic drive to the heart, easing symptomatic palpitations once dangerous causes have been excluded; it controls the symptom rather than treating an underlying arrhythmia.",
      "cautions": [
        "MANDATORY to exclude red flags (syncope, chest pain, family history of sudden death, structural heart disease) before symptomatic therapy.",
        "CONTRAINDICATED in asthma/bronchospasm, severe COPD, second- or third-degree heart block, severe bradycardia, and cardiogenic shock.",
        "Address lifestyle triggers (reduce caffeine, energy drinks, nicotine, alcohol) and reassure regarding benign palpitations."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Specialist pediatric cardiology evaluation required",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "INDOLOL 10 MG 50 TAB",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA",
          "price_egp": 12.5,
          "pack_count": 50,
          "unit_price": 0.25,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PROLOL 10 MG 50 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EIPICO",
          "price_egp": 16.25,
          "pack_count": 50,
          "unit_price": 0.33,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "INDERAL 10 MG 50 TABS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ASTRA ZENECA",
          "price_egp": 75.0,
          "pack_count": 50,
          "unit_price": 1.5,
          "strength_mg": 10.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "palpitations-evaluation"
    }
  ]
}