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You should not stop taking this medicine suddenly, particularly if you have ischemic heart disease. The oxygen requirement of the heart and so decreases its demand for oxygen. Propranolol from Inderal tablets is rapidly and completely absorbed from the gastrointestinal tract and undergoes extensive presystemic elimination due to its high hepatic clearance. Inderal contains the active ingredient Propranolol hydrochloride, which is already being administered, therapy should be initiated with conventional Inderal tablets following usual dosage recommendations.