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Precautions

Do NOT use Bystolic if:

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• you've got moderate to severe heart block, uncontrolled heart failure, shock a result of serious heart related illnesses, very slow heartbeat, or very low blood pressure after a heart attack

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• you've got asthma or Raynaud syndrome

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• the patient can be a child with diabetes or heart failure

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• you take mibefradil.

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Contact a medical expert or health care provider right away if any of these affect you.

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Some medical conditions may interact with Bystolic. Tell your physician or pharmacist for those who have any medical conditions, in particular when any of the following apply to you:

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• if you happen to be pregnant, about to become pregnant, or are breast-feeding

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• in case you have allergies to medicines, foods, or any other substances, or are taking medicine for allergies

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• for those who have a good other heart problems (eg, heart failure, slow heartbeat)

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• when you have a history of liver or kidney problems, circulatory disease, lung or breathing problems (eg, chronic bronchitis, chronic obstructive pulmonary disease, emphysema), diabetes, low blood glucose, overactive thyroid, or glaucoma

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• in case you have Wolff-Parkinson-White syndrome, Down syndrome, or an adrenal gland tumor (pheochromocytoma)

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Some medicines may connect to Bystolic. Tell your doctor if you take any other medicines, especially any from the following:

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• Mibefradil since the probability of serious heart unwanted effects might be increased

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• Many prescription and nonprescription medicines (eg, useful for diabetes, infections, inflammation, aches and pains, blood pressure, high-cholesterol, seizures), multivitamin products, and herbal or vitamin supplements (eg, herbals, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may communicate with Bystolic, increasing the likelihood of negative effects.

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This might not be an entire list of all interactions that will occur. Ask your doctor if Bystolic may connect to other medicines that you take. Check with your health care provider prior to starting, stop, or customize the dose of the medicine.

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Important safety information:

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• Bystolic might cause drowsiness, dizziness, lightheadedness, or vision changes. These effects may be worse if you take it with alcohol or certain medicines. Use Bystolic with caution. Do not drive or perform other possible unsafe tasks before you recognize how you react for it.

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• Check with a medical expert before you drink alcohol while you consider Bystolic; it could increase the chance of Bystolic's negative effects.

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• Do NOT take a lot more than the recommended dose without checking with a medical expert.

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• Do not suddenly stop taking Bystolic. Sharp chest pain, irregular heartbeat, and quite often cardiac arrest may occur in case you suddenly stop Bystolic. The risk may be greater if you have certain types of coronary disease. Your doctor should slowly reduce your dose over many weeks in the event you need to stop taking it. This ought to be done even in the event you only take Bystolic for hypertension. Heart disease is normal and you may not know you have it. Limit exercising while you're lowering your dose. If new or worsened chest pain or any other cardiovascular disease occur, contact your doctor immediately. You might need to start taking Bystolic again.

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• Patients having medicine for high blood pressure often feel tired or run down for some weeks after starting treatment. Be sure to look at your medicine although you may might not feel "normal." Tell your doctor in case you develop any new symptoms.

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• Tell your physician or dentist which you take Bystolic when you have any medical or dental care, emergency care, or surgery.

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• If you've a reputation any severe hypersensitive reaction, talk with your medical professional. You could be in danger of a much more severe allergic attack should you touch the substance that caused your allergy. Some medicines accustomed to treat severe allergies may also not act as well while you might be using Bystolic.

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• Bystolic may decrease your blood glucose levels levels. This is more than likely to occur in infants and children, or perhaps patients who have diabetes or kidney problems. It may also occur after prolonged physical activity or during fasting. Low blood glucose levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; help make your vision change; give you a headache, chills, or tremors; or cause you to be more hungry. It is often a wise decision to transport a trusted source of glucose (eg, tablets or gel) to take care of low blood glucose levels. If this is unavailable, you must eat or drink a simple way to obtain sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your medical professional without delay if this type of happens.

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• Diabetes patients - Bystolic may hide indications of low blood sugar levels, like a rapid heartbeat. Be sure to watch for other signs and symptoms of low blood sugar. Check blood sugar levels closely. Ask your doctor before you customize the dose of your diabetes medicine.

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• Bystolic may obstruct certain lab tests, like the glaucoma screening ensure that you dobutamine stress echocardiography. Be sure your physician and lab personnel know you happen to be taking Bystolic.

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• Lab tests, including blood pressure levels, heart function, kidney function, and blood blood choleseterol levels, could possibly be performed while you employ Bystolic. These tests may be used to monitor your complaint or look for unwanted side effects. Be sure to keep all doctor and lab appointments.

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• Use Bystolic with caution within the elderly; they could possibly be more understanding of its effects.

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• Bystolic needs to be combined with extreme caution in children; safety and effectiveness in children haven't been confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, contact your physician. You will need to discuss the benefits and risks of using Bystolic while you are pregnant. It is not known if Bystolic is situated in breast milk. Do not breastfeed while taking Bystolic.

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