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Your patient returns to your office 4 weeks following his initial appointment in Part One with only moderate reduction in symptomology and an increase in nightly symptoms to 1 time per week.

Your patient returns to your office 4 weeks following his initial appointment in Part One with only moderate reduction in symptomology and an increase in nightly symptoms to 1 time per week. Upon closer inspection of his medical records you notice that he has also been prescribed metoprolol (25 mg/day extended release) for uncontrolled familial hypertension.

What is the mechanism of action of metoprolol, and why is this an important issue in this patient?

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Be sure to contrast the differences between your prescribed/discussed medication in Part 1 and the metoprolol you have just discovered.

Also, include your new patient plan with medication changes and details of dose and mechanism of action?

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