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Tell your doctor if your condition does not double dose of cialis. improve or if it worsensfor exampleif your routine blood pressure readings remain high or increaseif your chest pain or migraines occur more often

Tell your doctor right away if any of these unlikely but serious side effects occurvery slow heartbeatsevere dizzinessfaintingblue fingers/toestrouble breathingnew or worsening symptoms of heart failuresuch as shortness of breathswelling ankles/feetunusual tirednessunusual/sudden weight gainmental/mood changessuch as confusionmood cialis generika versand aus europa. swingsdepression

Shortness of breathbeing less able to exercise swelling of the anklesfeet or legs chest tightnesswheezingnoisy breathingdifficulty breathing chest painchanges in heart rate or palpitations swelling of the facelipstongue or throat which may cause difficulty in swallowing or breathingwhich may be signs of a serious allergic reaction yellowing of the skin or eyesjaundicegenerally feeling unwell.

Catecholamine depleting drugse.greserpinemonoamine oxidaseMAOinhibitorsmay have an additive effect when given with beta-blocking agentsObserve patients treated with TOPROL-XL plus a catecholamine depletor for evidence of hypotension or marked ventolin without prescription. bradycardiawhich may produce vertigosyncopeor postural hypotension.

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the relationship between plasma metoprolol levels and reduction in exercise heart rate is independent of the pharmaceutical formulation.

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