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Caution is advised if cymbalta is co-administered with medicinal products that are predominantly metabolised by cyp2d6 risperidone, tricyclic antidepressants tcas , such as nortriptyline, amitriptyline, and imipramine , particularly if they have a narrow therapeutic index such as flecainide, propafenone, and metoprolol .

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

Like many other beta blockers.metoprolol is sometimes used off-label to control anxiety.including occasional performance anxiety and various anxiety disorders.

By blocking catecholamine-induced increases in heart rate.in velocity and extent of myocardial contraction.and in blood pressure.metoprolol reduces the oxygen requirements of the heart at any given level of effort.thus making it useful in the long-term management of angina pectoris.

If TOPROL-XL is used in the setting of pheochromocytoma.it should be given in combination with an alpha blocker.and only after the alpha blocker has been initiated. Administration of beta-blockers alone in the setting of pheochromocytoma has been associated with a paradoxical toprol for sale in blood pressure due to the attenuation of beta-mediated vasodilatation in skeletal muscle.

Triggers for migraine headaches include certain foods.stress.hormonal changes.strong stimuli (loud noises).and oversleeping.

Heart disease.particularly coronary artery disease is the leading cause of heart attacks. Women are more likely to die from a.

Before having surgery.tell your doctor or dentist about all the products you use (including prescription drugs.nonprescription drugs.and herbal products).

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i had been on metoprolol for over 10 years with no problem, but because i have adult onset asthma everyone has been bugging me to change drugs.

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