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Propranolol is a competitive antagonist which specifically competes with beta-adrenergic receptor stimulating agents for available beta-receptor sites. Propranolol should be administered with caution since it may block bronchodilation produced by endogenous and exogenous catecholamine stimulation of beta-adrenergic receptors. Propranolol exerts ant arrhythmic effects in concentrations producing beta-adrenergic blockade, which appears to be due to a reduction of the elevated outflow pressure gradient which is exacerbated by beta-adrenergic receptor stimulation. Propranolol from Inderal tablets is rapidly and completely absorbed from the gastrointestinal tract. Treatment should be started with a beta-blocker rather than a diuretic. Beta-blockers work by blocking beta receptors that are found in various parts of the body. Propranolol may mask the symptoms of low blood sugar such as increased heart rate, tremor and nausea.
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