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If you have diabetesthis product may mask the fast/pounding heartbeat you would usually feel when your blood sugar falls too lowhypoglycemiaOther symptoms of low blood sugarsuch as dizziness and sweatingare unaffected by this drugThis product may also make it harder to control your blood sugarCheck your blood sugar regularly as directed and share the results with your doctorTell Ponstel online your doctor right away if you have symptoms of high blood sugar such as increased thirst/urinationYour doctor may need to adjust your diabetes medicationexercise programor diet.

Beta-adrenergic blockade may mask certain clinical signs of hyperthyroidismsuch as tachycardiaAbrupt withdrawal of beta-blockade may precipitate a thyroid storm.

Read the entire detailed patient monograph for Toprol XLMetoprolol Succinate)

Beta-blockers may mask tachycardia occurring with hypoglycemiabut other manifestations such as dizziness and sweating may not be significantly affected.

Central Nervous SystemReversible mental depression progressing to catatoniaan acute reversible syndrome characterized by disorientation for time and placeshort-term memory lossemotional labilityclouded sensoriumand decreased performance on neuropsychometrics.

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this medication also increases the area under the plasma concentration time curve auc and concentration of metoprolol in blood serum, slows absorption of itraconazole and ketoconazole.

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