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I have atrial fibrillation - beats to 180 very irregular beat, converted in 45 minutes in ER. Started me on Toprol 25 once a day. Heart rate now around 60-70, blood PSI 120/70 side effects so far include problems sleeping, restlessness also drowsy on and off. Only been taking this drug for a week now, perhaps the side effects will reduce in time.

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Other less common side effects include increased liver enzymes, weight gain, and dry eyes.

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Coreg as well, but it helps my heart, so I'm okay with it.

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At low doses, metoprolol selectively blocks cardiac beta-1-adrenergic receptors with little activity against beta2-adrenergic receptors of the lungs and vascular smooth muscle.

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