ข้อควรระวังอย่างหนึ่งของการให้ยา beta blocker คือคนไข้ที่เป็น reactive airway disease อย่าง COPD อาจกระตุ้น exacerbation ได้ แต่ถ้าคนไข้ต้องใช้ beta-blocker จริงๆ ก็สามารถใช้กลุ่ม beta 1 selective ได้ ซึ่ง metoprolol ก็เป็นหนึ่งในนั้น ที่น่าสนใจคือ ...
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