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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. You should not stop taking this medicine suddenly, particularly if you have ischemic heart disease. Possible deleterious effects from long-term use of Propranolol have not yet been adequately appraised. Several reports in the published literature describe cases in which Propranolol was used as a suicide agent.
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