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I have heart palpitation, dizziness and chest pain. This is good, but I also have low blood pressure. So I have to check it four times a day. But overall it works well.

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Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy.

Insulin: Beta-Blockers may enhance the hypoglycemic effect of Insulin.

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Beta-blockers can precipitate or aggravate symptoms of arterial insufficiency in patients with peripheral vascular disease.

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Only 27 persons with congestive heart failure would need to be treated with metoprolol succinate for one year to prevent one death.

The writing committee saw no need to reiterate the recommendations contained in those guidelines and chose to harmonize recommendations when appropriate and eliminate discrepancies.

Early treatment - 3 bolus injections of 5 mg given every two minutes.

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