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  Calcium channel blockers and digoxin (Lanoxin) can lower blood pressure and heart rate to dangerous levels when administered together with metoprolol. Metoprolol can mask the early warning symptoms of low blood sugar (hypoglycemia) and should be used with caution in patients receiving treatment for diabetes. Fluoxetine (Prozac) can increase blood levels of metopropol by reducing breakdown of metoprolol.and increase the side effects from metoprolol.
  Patients were randomized and treated as soon as possible after their arrival in the hospital.once their clinical condition had stabilized and their hemodynamic status had been carefully evaluated. Subjects were ineligible if they had hypotension.bradycardia.peripheral signs of shock.and/or more than minimal basal rales as signs of congestive heart failure. Initial treatment consisted of intravenous followed by oral administration of Lopressor or placebo.given in a coronary care or comparable unit. Oral maintenance therapy with Lopressor or placebo was then continued for 3 months. After this double-blind period.all patients were given Lopressor and followed up to 1 year.
  Q. If a 42-year-old male has Ebstein's anomaly and has been cardioverted three times.is it safe to take metoprolol?
  If you have high blood pressure.keep using Lopressor even if you feel well. High blood pressure often has no symptoms. You may need to use Lopressor for the rest of your life.
  There have been rare reports of reversible alopecia.agranulocytosis.and dry eyes. Discontinuation of the drug should be considered if any such reaction is cheap lopressor classification otherwise explicable. There have been very rare reports of weight gain.arthritis.and retroperitoneal fibrosis (relationship to Lopressor has not been definitely established).
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