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A close clinical surveillance of any impaired tolerance of propranolol propranolol is requested .
Concommitant use not propranolol recommended Bradycardia –inducing calcium-channel blockers (diltiazem, verapamil, bepridil) Co-administration with propranolol can cause altered automaticity (excessive bradycardia, sinus arrest), sino-atrial and atrio-ventricular conduction disorders, and increased risk of ventricular arrhythmias (torsades de pointes) along with heart failure .
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