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Your doctor will have explained why you are being treated with TOPROL-XL and told you what dose to take.

To prevent chest paina second heart attackor migraine headachesit is very important to take this medication regularly as prescribedThis drug should not be used to treat chest pain or migraines when they occurUse other medications to relieve sudden attacks as directed by your doctorfor examplenitroglycerin tablets placed under the tongue for chest paintriptandrugs such as sumatriptan for migrainesConsult your doctor or pharmacist for details.

If you have any concerns about taking this medicineask your doctor or pharmacist.

If TOPROL-XL is used in the setting of pheochromocytomait should be given in combination with an alpha blockerand only after the alpha blocker has been initiatedAdministration of beta-blockers alone in the setting of pheochromocytoma has been associated with a paradoxical increase in blood pressure due to the attenuation of beta-mediated vasodilatation in skeletal muscle.

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