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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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