If you are:
Only When Necessary: REPORTS OF INTRAUTERINE GROWTH RETARDATION; MONITOR FETUS/INFANT HEART RATE
Precaution: LIMITED DATA SUGGEST MINIMAL EXCRETION; MONITOR FOR BRADYCARDIA & HYPOTENSION
An adult over 60:
management or monitoring precaution: Cardiovascular-Minimize dose to decrease dizziness and falls. Worsening cardiac failure may occur during up-titration of beta-blockers.
Giving toprol-xl to a child under 12:
management or monitoring precaution: Safety and efficacy not established in pediatrics age < 6 years.