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Precautions

Do NOT use Toprol XL if:

• you happen to be allergic to your ingredient in Toprol XL or another beta-blocker
• you possess a slow pulse rate (eg, bradycardia), some kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, really low systolic hypertension (lower than 100 mm Hg), or severe circulation problems.

Contact your doctor or health care provider without delay if all of these connect with you.

Some medical conditions may talk with Toprol XL. Tell your medical professional or pharmacist for those who have any health concerns, especially if these things apply to you:

• if you're pregnant, intending to get pregnant, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, and other substances
• if you have an adrenal gland tumor (pheochromocytoma), provide an overactive thyroid, or are scheduled to possess surgery
• in case you have low blood pressure level or perhaps a good heart attack, slow or irregular heartbeat, heart failure, or any other heart related illnesses; chest pain or angina; circulation problems; or liver problems
• when you have diabetes mellitus, chronic obstructive pulmonary disease (COPD), bronchitis, breathing problems, or possibly a good asthma.

Some medicines may communicate with Toprol XL. Tell your health care provider if you are taking any other medicines, especially these things:

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

This is probably not a total list of all interactions which could occur. Ask your health care provider if Toprol XL may connect to other medicines that you simply take. Check with your doctor before you begin, stop, or affect the dose associated with a medicine.

Important safety information:

• Toprol XL could potentially cause drowsiness, dizziness, or lightheadedness. These effects could possibly be worse invest the it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks until you discover how you respond to it.
• Toprol XL may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or take a nap on the first symbol of some of these effects.
• Patients who take medicine for hypertension often feel tired or run down for some weeks after starting treatment. Be sure to take your medicine although you may may not feel "normal." Tell your physician if you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking your doctor. If a medical expert decides you ought to will no longer use Toprol XL, you simply must stop Toprol XL gradually as outlined by your medical professional's instructions.
• If your doctor has instructed you to definitely look at the blood pressure levels and heartbeat regularly, be sure to do this.
• Do not take any medicines used to help remedy colds or congestion without first talking to your doctor or pharmacist.
• Diabetes patients - Toprol XL may hide signs and symptoms of low blood glucose levels, for example rapid heartbeat. Be sure to look for other signs or low blood sugar. Low blood sugar might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It could also build your vision change; give you a headache, chills, or tremors; or make you more hungry. Check blood glucose levels levels closely. Ask a medical expert before you alter the dose of one's diabetes medicine.
• Tell your medical professional or dentist that you just take Toprol XL prior to deciding to have any medical or dental treatments, emergency care, or surgery.
• If you've got a good any severe allergic attack, talk with your doctor. You could be in danger of a more severe hypersensitivity if you touch the substance that caused your allergy. Some medicines used to deal with severe allergies may also not work as well while you happen to be using Toprol XL.
• Lab tests, including liver and kidney function, blood pressure, and handle blood cell counts, could possibly be performed as you use Toprol XL. These tests may be employed to monitor your condition or look for negative effects. Be sure to keep all doctor and lab appointments.
• Toprol XL must be used with careful attention in children; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your physician. You will need to discuss the huge benefits and risks of using Toprol XL while you might be pregnant. Toprol XL is situated in breast milk. If you're or is going to be breast-feeding while you use Toprol XL, check with your medical professional. Discuss any possible risks for your baby.