Propranolol is a competitive antagonist which specifically competes with beta-adrenergic receptor stimulating agents for available beta-receptor sites. Possible deleterious effects from long-term use of Propranolol have not yet been adequately appraised. Treatment must always be initiated and individual titration of dosage carried out using the conventional tablets. Propranolol may mask the symptoms of low blood sugar such as increased heart rate, tremor and nausea.
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