This medicine may also interact with the following medications:

-aluminum hydroxide gel
-antipyrine
-barbiturates like phenobarbital
-chlorpromazine
-cimetidine
-haloperidol
-lidocaine
-lithium
-medicines for diabetes
-medicines that relax muscles for surgery
-NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
-phenytoin
-reserpine
-rifampin
-steroid medicines like prednisone or cortisone
-theophylline
-thyroid medicines

They need to know if you have any of these conditions:

-circulation problems, or blood vessel disease
-decreased urine
-diabetes
-gout
-heart disease
-immune system problems
-kidney disease
-liver disease
-lung or breathing disease, like asthma
-pheochromocytoma
-thyroid disease
-an unusual or allergic reaction to this propranolol, hydrochlorothiazide, sulfa drugs, other drugs, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular check-ups. Contact your doctor right away if your symptoms worsen. Check your blood pressure and pulse rate regularly. Ask your health care professional what your blood pressure and pulse rate should be, and when you should contact them.
Do not stop taking this medicine suddenly. This could lead to serious heart-related effects.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.
Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
Talk to your health care professional about your risk of skin cancer. You may be more at risk for skin cancer if you take this medicine.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture. Keep the container tightly closed. Do not freeze. Avoid exposure to extreme heat. Throw away any unused drug after the expiration date.