Treatment must always be initiated and individual titration of dosage carried out using the conventional tablets. The physician, treatment should be started with a beta-blocker rather than a diuretic. The generic medicine. Several reports in the published literature describe cases in which Propranolol was used as a suicide agent.
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"Propranolol may increase oxygen requirements by increasing left ventricular fiber length, end diastolic pressure, and systolic ejection period. Propranolol can, in certain patients, be used alone or as an initial agent in patients in whom, in the judgment of the physician, treatment should be started with a beta-blocker rather than a diuretic."