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Precautions

Do NOT use Glucotrol XL if:

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

Contact your physician or doctor immediately if some of these sign up for you.

Some health conditions may connect to Glucotrol XL. Tell your medical professional or pharmacist for those who have any medical ailments, particularly if any with the following connect with you:

• if you happen to be pregnant, likely to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• for those who have had an extreme hypersensitivity (eg, a serious rash, hives, , etc ., dizziness) to any other sulfonamide medicine, for example acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• in case you have a reputation liver, kidney, thyroid, or heart problems
• for those who have stomach or bowel irregularity (eg, stomach or bowel narrowing or blockage, stomach paralysis), consume alcohol, or have experienced poor nutrition
• if you have bad health, a high fever, a serious infection, severe diarrhea, or high blood acid levels, or also have a severe injury
• if you have a good reputation for certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]), or low blood sodium levels
• if you have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency
• if you'll be having surgery.

Some medicines may talk with Glucotrol XL. Tell your medical provider if you're taking any other medicines, especially any from the following:

• Beta-blockers (eg, propranolol) since the probability of low blood glucose could possibly be increased. They may also hide certain warning signs of low blood sugar 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) as the probability of low blood sugar levels 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, causing high blood glucose levels
• Gemfibrozil because blood sugar levels could possibly be increased or decreased.

This may not be a total listing of all interactions that will occur. Ask your doctor if Glucotrol XL may interact to medicines which you take. Check with your doctor before you start, stop, or affect the dose of any medicine.

 Important safety information:

• Glucotrol XL might cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects could possibly be worse in case you go on it with alcohol or certain medicines. Use Glucotrol XL with caution. Do not drive or perform other possible unsafe tasks until you know how you reply to it.
• Do not are drinking alcohol while you happen to be taking Glucotrol XL. It may raise the likelihood of low blood sugar. Rarely, alcohol may connect to Glucotrol XL and cause a serious reaction with symptoms for example 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 glucose levels as directed by your doctor. If they are often higher or under they must be and also you take Glucotrol XL the same manner prescribed, tell your medical professional.
• Proper diet, frequent exercise, and regular blood glucose levels testing are crucial for the most powerful results with Glucotrol XL. Follow the eating and working out program presented to you from your health care provider.
• It could be harder to control your blood glucose during times of stress, such as fever, infection, injury, or surgery. Talk with a medical expert about how to manage your blood sugar levels if these occur. Do not customize the dose of your respective medicine without checking with your medical professional.
• Glucotrol XL could cause low glucose levels. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your pulse faster; you could make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It is often a wise decision to carry a trusted supply of glucose (eg, tablets or gel) to treat low blood glucose levels. If this is not available, you must eat or drink a simple method to obtain sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will increase your blood sugar level quickly. Tell your medical professional immediately take place. To prevent low blood glucose levels, eat meals concurrently each day and do not skip meals.
• Risk of low blood glucose could be increased by severe or prolonged exercise, drinking alcohol, or skipping meals.
• Glucotrol XL can be a sulfonylurea. It may improve the risk of death from heart disease. Talk with your physician regarding the benefits and perils associated with this or another therapies to treat your trouble.
• You may see the tablet shell with your stool with many brands of Glucotrol XL. This is normal rather than a contributing factor for concern.
• Glucotrol XL might cause you to become sunburned with less effort. Avoid the sun, sunlamps, or tanning booths before you understand how you reply to Glucotrol XL. Use a sunscreen or wear protective clothing in the event you has to be outside for more than a short time.
• Tell your physician or dentist which you take Glucotrol XL before you receive any medical or dental hygiene, emergency care, or surgery.
• Lab tests, including fasting blood glucose levels and hemoglobin A_1c, could be performed whilst you use Glucotrol XL. These tests could be used to monitor your problem or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Glucotrol XL with caution inside the elderly; they might be more understanding of its effects, especially low glucose levels.
• Glucotrol XL should not be used in children; safety and effectiveness in youngsters have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your physician. You will need to discuss the rewards and perils of using Glucotrol XL while you're pregnant. Glucotrol XL should not be used by at least one month prior to the expected delivery date given it might cause low blood glucose levels inside the baby. It is not known if Glucotrol XL is situated in breast milk. Do not breast-feed while taking Glucotrol XL.

When useful for a long time, Glucotrol XL might not exactly act as well. If your blood sugar continues to be manageable and then becomes tough to manage, contact your medical professional. Do not change the dose of your medicine without checking with your physician.