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In the published literature describe cases in which Propranolol was used as a suicide agent. Propranolol is used to prevent migraine, although it is not fully understood how Propranolol works in this area. Inderal reduces the energy used by the heart to pump blood around the body, and so reduces the heart's need for oxygen, which means it can also be used in the management of angina. Propranolol may mask the symptoms of low blood sugar such as increased heart rate, systolic blood pressure, and systolic ejection period. Propranolol exerts ant arrhythmic effects in concentrations producing beta-adrenergic blockade, which appears to be its principal ant arrhythmic mechanism of action. 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.
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