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Cardiogenic shock or decompensated heart failure Sinus bradycardiasick sinus syndromeand greater than first-degree block unless a permanent pacemaker is in place Bronchial asthma Known hypersensitivitye.ganaphylactic reactionto propranolol hydrochloride or any of the components of INNOPRAN XL Close.

Alpha BlockersCo-administration of beta-blockers with alpha-blockere.gprazosinhas been associated with prolongation of first dose hypotension and syncope.

Low blood sugarheadachehungerweaknesssweatingconfusionirritabilitydizzinessfast heart rateor feeling jittery;

When gradually stopping this medicationit is recommended that you temporarily limit physical activity to decrease strain on the heartSeek immediate medical attention if you developworsening chest paintightness/pressure in the chestchest pain spreading to the jaw/neck/armunusual sweatingtrouble breathingor fast/irregular heartbeat.

Adults may take InnoPran XL with or without foodbut take it the same way each time.

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2 cardiac failure beta-blockers, like innopran xl, can cause depression of myocardial contractility and may precipitate heart failure and cardiogenic shock.