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Atenolol, bisoprolol and metoprolol, have a greater affinity for beta1-adrenoceptors and are less likely to cause constriction of airways or peripheral vasculature and are preferred in patients with respiratory disease. Bisoprolol is reported to be more cardioselective than metoprolol and atenolol.our doctor may give you dietary and lifestyle advice about eating a healthy diet, not smoking, and taking regular exercise.

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Because beta1-selectivity is not absolute, use the lowest possible dose of Toprol-XL. Bronchodilators, including beta2-agonists, should be readily available or administered concomitantly see Dosage and Administration 2 If Toprol-XL is used in the toprol xl tab 25mg of pheochromocytoma, it should be given in combination with an alpha blocker, and only after the alpha blocker has been initiated.Metoprolol should be taken before meals or at bedtime.

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