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Because coronary artery disease is common and may be unrecognized, avoid abruptly discontinuing metoprolol succinate extended-release in patients treated only for hypertension.

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Usually, the first dose of metoprolol is 100 mg a day taken in either one or two doses.

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Metoprolol may also produce severe first-, second-, or third-degree heart block.

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Patients in whom the physician wishes to delay therapy for any other reason should be started on metoprolol tartrate tablets, 100 mg twice daily, as soon as their clinical condition allows.

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be sure to mention the medications listed in the important warning section and any of the following angiotensin-converting enzyme ace inhibitors such as benazepril lotensin, in lotrel , captopril, enalapril vasotec, in vaseretic , fosinopril, lisinopril in zestoretic , moexipril univasc , perindopril aceon, in prestalia , quinapril accupril, in quinaretic , ramipril altace , and trandolapril mavik, in tarka ; angiotensin receptor blockers such as candesartan atacand, in atacand hct , eprosartan teveten , irbesartan avapro, in avalide , losartan cozaar, in hyzaar , olmesartan benicar, in azor, in benicar hct, in tribenzor , telmisartan micardis, in micardis hct, in twynsta , and valsartan in exforge hct ; beta blockers such as atenolol tenormin, in tenoretic , labetalol trandate , metoprolol lopressor, toprol xl, in dutoprol , nadolol corgard, in corzide , and propranolol hemangeol, inderal, innopran ; diuretics water pills ; lithium lithobid ; and methotrexate otrexup, rasuvo, trexall .


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