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In additionthere are adverse reactions not listed above that have been reported with other beta-adrenergic blocking agents and should be considered potential adverse reactions to TOPROL-XL.

Do not stop taking this medication without consulting your doctorSome conditions may become worse when you suddenly stop this drugSome people who have suddenly stopped taking similar drugs have had chest painheart attackand irregular heartbeatIf your doctor decides you should no longer use this drughe or she may direct you to gradually decrease your dose over 1 to 2 weeks.

As with other beta-blocker medicinesTOPROL-XL may cause dizzinesslight-headednesstirednessor drowsiness in some peopleMake sure you know how you react to TOPROL-XL before you drive a caroperate machineryor do anything else that could be dangerous if you are dizzy or light-headed.

TOPROL-XL 95 tablets are white to off-whiteroundscored on one side and marked A/mS on the other sideThe score line is only there to help you break the tablet if you have difficulty swallowing it whole.

The following adverse reactions have been identified during post-approval use of TOPROL-XL or immediate-release metoprololBecause these reactions are reported voluntarily from a population of uncertain sizeit is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

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