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All medicines can have side effectsSometimes they are seriousmost of the time they are notYou may need medical treatment if you get some of the side effects.

To reduce your risk of side effectsyour doctor may direct you to start this medication at a low dose and gradually increase your doseFollow your doctor’s instructions carefullyThe dosage is based on your medical condition and response to treatment.

The relative beta 1selectivity of metoprolol has been confirmed by the following1In normal subjectsmetoprolol is unable to reverse the beta 2mediated vasodilating effects of epinephrineThis contrasts with the effect of nonselective beta-blockerswhich completely reverse the vasodilating effects of epinephrine2In asthmatic patientsmetoprolol reduces FEV 1 and FVC significantly less than a nonselective beta-blockerpropranololat equivalent beta 1receptor blocking doses.

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