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The combination of Propranolol with thiazide-like diuretics and peripheral vasodilators has been shown to be compatible and generally more effective than Propranolol alone. 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. Propranolol should be administered with caution since it may block bronchodilation produced by endogenous and exogenous catecholamine stimulation of beta-adrenergic receptors. You have ischemic heart disease.