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The manual wheelchair has been doing use for years and possesses been subject to many changes. The constant feature has been that this chair is self propelled by pushing on the hand edges that surround the wheels. The owner actually pushes the wheels around and around to get from one location to the other. In addition to that, the footrests with a manual wheelchair is easy to remove as well as the user can walk the chair forward with his feet. Metoprolol can be an anti-hypertensive (blood pressure) drug classified like a selective beta-1 receptor blocker, also called a beta adrenergic blocker. Metoprolol is sold within the brands Lopressor and Toprol-XL and is also accessible in immediate-release and prolonged-release formulations. In addition to high blood pressure, metoprolol is prescribed to treat conditions including angina pectoris (chest pain) abnormal heart rhythms, migraine, tremors, congestive heart failure, bleeding through the esophagus, negative effects of antipsychotics, and to prevent second strokes.