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Precautions

Do NOT use Glucotrol XL if:

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

Contact your physician or health care provider straight away if some of these apply to you.

Some health concerns may interact with Glucotrol XL. Tell your doctor or pharmacist when you have any medical ailments, in particular when any from the following sign up for you:

• if you happen to be pregnant, intending to become pregnant, or are breast-feeding
• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or any other substances
• if you have had a serious allergic reaction (eg, an extreme rash, hives, , etc ., dizziness) to the other sulfonamide medicine, including acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• in case you have a good reputation for 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 have experienced poor nutrition
• for those who have inadequate health, a high fever, a severe infection, severe diarrhea, or high blood acid levels, or have experienced a serious 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
• for those who have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency
• if you will be having surgery.

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

• Beta-blockers (eg, propranolol) since the chance of low blood glucose could possibly be increased. They may also hide certain signs and symptoms of low blood sugar levels and earn it harder 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) because the chance of low blood glucose may 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) simply because they may decrease Glucotrol XL's effectiveness, producing high blood glucose levels
• Gemfibrozil because blood glucose may be increased or decreased.

This may not be a whole report on all interactions that could occur. Ask your doctor if Glucotrol XL may interact with medicines which you take. Check with your medical provider before starting, stop, or affect the dose of the medicine.

 Important safety information:

• Glucotrol XL may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you get it with alcohol or certain medicines. Use Glucotrol XL with caution. Do not drive or perform other possible unsafe tasks unless you understand how you reply to it.
• Do not drink alcohol while you are taking Glucotrol XL. It may raise the risk of low blood sugar. Rarely, alcohol may connect to Glucotrol XL and result in a serious reaction with symptoms like flushing, nausea, vomiting, dizziness, or stomach pain. Discuss questions or concerns with a medical expert.
• Carry an ID card at all times saying you might have diabetes. Check your blood glucose levels as directed from your doctor. If they are often higher or under they will be and you also take Glucotrol XL the same manner prescribed, tell your doctor.
• Proper diet, frequent exercise, and regular blood glucose testing are crucial for the best results with Glucotrol XL. Follow the eating and working out program presented to you because of your health care provider.
• It may be harder to manage your blood glucose levels in times of stress, such as fever, infection, injury, or surgery. Talk with your physician about how precisely to manage your blood glucose if all of these occur. Do not alter the dose of the medicine without checking with a medical expert.
• Glucotrol XL could potentially cause low blood sugar. Low blood glucose levels could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also build your pulse faster; make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It is a wise decision to hold a dependable source of glucose (eg, tablets or gel) to treat low blood sugar levels. If this is not available, you need to eat or drink a quick way to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell a medical expert immediately if this happens. To prevent low blood sugar levels, eat meals simultaneously daily and do not skip meals.
• Risk of low blood sugar levels might be increased by severe or prolonged exercise, having a drink, or skipping meals.
• Glucotrol XL is a sulfonylurea. It may boost the risk of death from heart problems. Talk with a medical expert regarding the benefits and risks of this or other therapies to treat your condition.
• You may see the tablet shell in your stool with many brands of Glucotrol XL. This is normal and never a cause for concern.
• Glucotrol XL could potentially cause you to become sunburned easier. Avoid the sun, sunlamps, or tanning booths until you recognize how you respond to Glucotrol XL. Use a sunscreen or wear protective clothing should you should be outside for more than a small amount of time.
• Tell your medical professional or dentist that you take Glucotrol XL before you decide to have any medical or dentistry, emergency care, or surgery.
• Lab tests, including fasting blood glucose and hemoglobin A_1c, may be performed while you use Glucotrol XL. These tests may be used to monitor your trouble or look for negative effects. Be sure to keep all doctor and lab appointments.
• Use Glucotrol XL with caution in the elderly; they could possibly be more responsive to its effects, especially low blood glucose levels.
• Glucotrol XL shouldn't be employed in children; safety and effectiveness in youngsters have not been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your physician. You will need to discuss the rewards and perils of using Glucotrol XL while you might be pregnant. Glucotrol XL shouldn't be employed for at least one month prior to the expected delivery date given it might cause low blood glucose levels in the baby. It is not known if Glucotrol XL can be found in breast milk. Do not breast-feed while taking Glucotrol XL.

When employed for a long time, Glucotrol XL may not act as well. If your blood sugar has become under control and after that becomes tough to manage, contact your medical professional. Do not change the dose of your respective medicine without checking with your doctor.