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Precautions

Do NOT use Toprol XL if:

• you might be allergic to your ingredient in Toprol XL or to another beta-blocker
• you employ a slow heart rate (eg, bradycardia), certain types of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, suprisingly low systolic blood pressure level (below 100 mm Hg), or severe the circulation of blood problems.

Contact a medical expert or physician right away if some of these sign up for you.

Some health concerns may communicate with Toprol XL. Tell your doctor or pharmacist if you have any medical conditions, particularly if the following sign up for you:

• if you happen to be pregnant, about to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or another substances
• if you have an adrenal gland tumor (pheochromocytoma), come with an overactive thyroid, or are scheduled to possess surgery
• for those who have low hypertension or even a history of heart attack, slow or irregular heartbeat, heart failure, or any other heart related illnesses; chest pain or angina; blood circulation problems; or liver problems
• when you have diabetes mellitus, chronic obstructive pulmonary disease (COPD), bronchitis, breathing problems, or perhaps a good reputation for asthma.

Some medicines may interact with Toprol XL. Tell your doctor if you are taking another medicines, especially the following:

• digoxin (digitalis, Lanoxin);
• clonidine (Catapres);
• ritonavir (Norvir);
• terbinafine (Lamisil);
• a diuretic (water pill);
• cold medicines, stimulant medicines, or slimming capsules;
• anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to deal with depression or mental illness, including bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), among others;
• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• a diabetes medication like insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
• a heart medication for example nifedipine (Procardia, Adalat), quinidine (Quinaglute, Quinidex), propafenone (Rythmol), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem); or
• medicine for asthma or other breathing disorders, for example albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

This will not be a complete report on all interactions that will occur. Ask your doctor if Toprol XL may communicate with other medicines that you simply take. Check with your medical provider prior to starting, stop, or change the dose from a medicine.

Important safety information:

• Toprol XL could potentially cause drowsiness, dizziness, or lightheadedness. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks before you know how you reply to it.
• Toprol XL could potentially cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside morning. Sit or take a nap with the first symbol of all of these effects.
• Patients taking medicine for blood pressure often feel tired or shabby for a couple of weeks after starting treatment. Be sure to take your medicine even though you may not feel "normal." Tell your physician if you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking a medical expert. If your physician decides you ought to no longer use Toprol XL, you need to stop Toprol XL gradually in accordance with your medical professional's instructions.
• If a medical expert has instructed you to definitely look at blood pressure levels and heartrate regularly, be sure to do so.
• Do not take any medicines used to deal with colds or congestion without first talking to your doctor or pharmacist.
• Diabetes patients - Toprol XL may hide signs and symptoms of low blood glucose, such as rapid heartbeat. Be sure to watch out for other signs or low blood sugar levels. Low blood sugar levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or cause you to be more hungry. Check blood sugar levels levels closely. Ask a medical expert before you decide to affect the dose of your diabetes medicine.
• Tell your doctor or dentist which you take Toprol XL prior to deciding to receive any medical or dental treatments, emergency care, or surgery.
• If you might have a good any severe hypersensitivity, talk with your doctor. You may be vulnerable to a far more severe hypersensitivity if you come into contact with the substance that caused your allergy. Some medicines used to help remedy severe allergies may also not are well while you might be using Toprol XL.
• Lab tests, including liver and kidney function, blood pressure level, and handle blood cell counts, may be performed whilst you use Toprol XL. These tests could possibly be accustomed to monitor your condition or look for side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL needs to be combined with warning in youngsters; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact a medical expert. You will need to discuss the huge benefits and risks of using Toprol XL while you might be pregnant. Toprol XL can be found in breast milk. If you might be or will probably be breast-feeding whilst you use Toprol XL, seek advice from your medical professional. Discuss any possible risks in your baby.