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Dose-response for reduction in DBP1 mg/kg vsplacebo for change in SBPand 2 mg/kg vsplacebo for change in SBP and DBP.

Metoprolol is metabolized predominantly by CYP2D6an enzyme that is absent in allopurinol online. about 8of Caucasianspoor metabolizersand about 2of most other populationsCYP2D6 can be inhibited by a number of drugsPoor metabolizers and extensive metabolizers who concomitantly use CYP2D6 inhibiting drugs will have increasedseveral-foldmetoprolol blood levelsdecreasing metoprolol’s cardioselectivitysee DRUG INTERACTIONS

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HypotensionTreat underlying bradycardiaConsider intravenous vasopressor infusionsuch as dopamine or norepinephrine.

When gradually stopping this medicationit is recommended that you temporarily limit physical activity to decrease strain on the heartGet medical help right away if you develop chest pain/tightness/pressurechest pain spreading to the jaw/neck/armunusual sweatingtrouble breathingor fast/irregular heartbeat.

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toprol is just a brand name of metoprolol they are the same drug.