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Precautions

Do NOT use Glucotrol XL if:

• you are allergic to any ingredient in Glucotrol XL
• you might have certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma)
• you have moderate to severe burns, or high blood acid levels (acidosis)
• you've got type 1 diabetes
• you are pregnant and therefore are within 1 month of the expected delivery date.

Contact your physician or doctor immediately if these apply to you.

Some health conditions may interact with Glucotrol XL. Tell your medical professional or pharmacist if you have any medical ailments, particularly if any from the following affect you:

• if you're pregnant, planning to conceive, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or another substances
• for those who have had an intense hypersensitive reaction (eg, an intense rash, hives, the like, dizziness) to any other sulfonamide medicine, such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• for those who have a history of liver, kidney, thyroid, or heart problems
• when you have stomach or irregularity (eg, stomach or bowel narrowing or blockage, stomach paralysis), are drinking alcoholic beverages, or experienced poor nutrition
• for those who have inadequate health, a top fever, a severe infection, severe diarrhea, or high blood acid levels, or have experienced a severe injury
• in case you have a good certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]), or low blood sodium levels
• when you have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency
• if you will be having surgery.

Some medicines may communicate with Glucotrol XL. Tell your medical provider if you might be taking some other medicines, especially any with the following:

• Beta-blockers (eg, propranolol) for the reason that probability of low blood glucose levels may be increased. They may also hide certain indications of low blood glucose levels and earn it more challenging to notice
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), anticoagulants (eg, warfarin), azole antifungals (eg, miconazole, ketoconazole), chloramphenicol, clofibrate, fenfluramine, insulin, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nonsteroidal anti-inflammatory medicines (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), or sulfonamides (eg, sulfamethoxazole) for the reason that likelihood of low blood glucose levels might be increased
• Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine, terbutaline), or thyroid supplements (eg, levothyroxine) because they may decrease Glucotrol XL's effectiveness, resulting in high blood glucose levels
• Gemfibrozil because blood sugar could be increased or decreased.

This will not be a total report on all interactions that will occur. Ask your medical provider if Glucotrol XL may interact with other medicines that you take. Check with your medical provider before you begin, stop, or affect the dose from a medicine.

 Important safety information:

• Glucotrol XL could cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse should you get it with alcohol or certain medicines. Use Glucotrol XL with caution. Do not drive or perform other possible unsafe tasks before you understand how you reply to it.
• Do not consume alcohol while you happen to be taking Glucotrol XL. It may boost the probability of low blood glucose. Rarely, alcohol may communicate with Glucotrol XL and spark a serious reaction with symptoms like flushing, nausea, vomiting, dizziness, or stomach pain. Discuss any queries or concerns with your medical professional.
• Carry an ID card always which says you might have diabetes. Check your blood glucose levels as directed by your doctor. If they are often higher or under they must be and you also take Glucotrol XL the same manner prescribed, tell a medical expert.
• Proper diet, regular exercise, and regular blood glucose levels testing are crucial for optimum results with Glucotrol XL. Follow the dieting and exercise program provided to you by your health care provider.
• It could be harder to control your blood glucose levels in times of stress, including fever, infection, injury, or surgery. Talk with your physician about how precisely to manage your blood sugar if any of these occur. Do not alter the dose of the medicine without checking with a medical expert.
• Glucotrol XL might cause low glucose levels. Low blood sugar levels will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also help make your pulse faster; make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It is really a good plan to carry the best way to obtain glucose (eg, tablets or gel) to deal with low blood glucose. If this is not available, you must eat or drink an instant way to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose level quickly. Tell your doctor immediately in such a circumstance. To prevent low blood sugar, eat meals at the same time every day and never skip meals.
• Risk of low blood glucose levels could be increased by severe or prolonged exercise, alcohol consumption, or skipping meals.
• Glucotrol XL is really a sulfonylurea. It may boost the risk of death from cardiovascular disease. Talk with your physician concerning the benefits and perils associated with this or another therapies to take care of your complaint.
• You may see the tablet shell inside your stool with a few brands of Glucotrol XL. This is normal rather than a cause for concern.
• Glucotrol XL may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you understand how you react to Glucotrol XL. Use a sunscreen or wear protective clothing should you must be outside for more than a short period of time.
• Tell your physician or dentist which you take Glucotrol XL before you have any medical or dental treatments, emergency care, or surgery.
• Lab tests, including fasting blood sugar and hemoglobin A_1c, may be performed while you use Glucotrol XL. These tests might be used to monitor your trouble or search for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Glucotrol XL with caution within the elderly; they might be more understanding of its effects, especially low glucose levels.
• Glucotrol XL really should not be used in children; safety and effectiveness in children haven't been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your medical professional. You will need to discuss the rewards and perils associated with using Glucotrol XL while you happen to be pregnant. Glucotrol XL should not be used for a minimum of one month ahead of the expected delivery date since it may cause low blood sugar inside the baby. It is not known if Glucotrol XL is located in breast milk. Do not breast-feed while taking Glucotrol XL.

When used by long periods of time, Glucotrol XL might not work as well. If your blood sugar may be in order after which becomes difficult to manage, contact a medical expert. Do not customize the dose of one's medicine without checking with your medical professional.