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Precautions

Do NOT use Toprol XL if:

• you might be allergic to the ingredient in Toprol XL in order to another beta-blocker
• you have a very slow pulse rate (eg, bradycardia), some kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, minimal systolic blood pressure level (under 100 mm Hg), or severe circulation problems.

Contact your doctor or physician without delay if any of these affect you.

Some health conditions may connect to Toprol XL. Tell a medical expert or pharmacist when you have any health concerns, particularly if any of these connect with you:

• if you might be pregnant, about to conceive, 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 other substances
• for those who have an adrenal gland tumor (pheochromocytoma), provide an overactive thyroid, or are scheduled to get surgery
• if you have low blood pressure level or possibly a history of cardiac arrest, slow or irregular heartbeat, heart failure, or any other heart related illnesses; chest pain or angina; blood flow problems; or liver problems
• when you have diabetes mellitus, chronic obstructive pulmonary disease (COPD), bronchitis, breathing problems, or possibly a reputation asthma.

Some medicines may talk with Toprol XL. Tell your health care provider if you happen to be taking another 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 for example chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to deal with depression or mental illness, such as bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), among others;
• an MAO inhibitor for example isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• a diabetes medication like 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 and other breathing disorders, including albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

This is probably not an entire list of all interactions that could occur. Ask your health care provider if Toprol XL may talk with other medicines that you simply take. Check with your doctor prior to starting, stop, or alter the dose associated with a medicine.

Important safety information:

• Toprol XL may cause drowsiness, dizziness, or lightheadedness. These effects could possibly be worse if you take it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks before you know how you react to it.
• Toprol XL might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially within the morning. Sit or take a nap on the first symbol of some of these effects.
• Patients having medicine for blood pressure often feel tired or run-down for a couple of weeks after starting treatment. Be sure to take your medicine in case you may well not feel "normal." Tell a medical expert should you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking your medical professional. If a medical expert decides you should no longer use Toprol XL, you will have to stop Toprol XL gradually in accordance with your medical professional's instructions.
• If your physician has instructed one to check your blood pressure level and heartrate regularly, be sure to do so.
• Do not take any medicines used to deal with colds or congestion without first consulting with a medical expert or pharmacist.
• Diabetes patients - Toprol XL may hide signs and symptoms of low blood sugar levels, for example rapid heartbeat. Be sure to await other signs or low blood sugar. Low blood sugar levels might make you anxious, sweaty, weak, dizzy, drowsy, or faint. It can also build your vision change; give you a headache, chills, or tremors; or allow you to more hungry. Check blood sugar levels levels closely. Ask a medical expert before you customize the dose of your respective diabetes medicine.
• Tell a medical expert or dentist that you simply take Toprol XL prior to deciding to receive any medical or dental care, emergency care, or surgery.
• If you have a history of any severe hypersensitive reaction, talk with a medical expert. You could be at risk for a more severe allergic attack if you come into contact with the substance that caused your allergy. Some medicines used to deal with severe allergies could also not are well while you're using Toprol XL.
• Lab tests, including liver and kidney function, blood pressure levels, and finished blood cell counts, might be performed when you use Toprol XL. These tests might be accustomed to monitor your complaint or check for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL must be used with careful attention in youngsters; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your physician. You will need to discuss the advantages and perils of using Toprol XL while you are pregnant. Toprol XL is situated in breast milk. If you're or will probably be breast-feeding when you use Toprol XL, check with a medical expert. Discuss any possible risks in your baby.