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Precautions

Do NOT use Toprol XL if:

• you might be allergic to the ingredient in Toprol XL or to another beta-blocker

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• you employ a slow heartrate (eg, bradycardia), some kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, really low systolic blood pressure levels (under 100 mm Hg), or severe circulation problems.

Contact your medical professional or health care provider right away if all of these sign up for you.

Some medical conditions may communicate with Toprol XL. Tell your physician or pharmacist in case you have any health conditions, particularly when these things connect with you:

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• if you are pregnant, planning to get pregnant, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• for those who have an adrenal gland tumor (pheochromocytoma), offer an overactive thyroid, or are scheduled to possess surgery

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• in case you have low blood pressure or perhaps a good reputation for cardiac event, slow or irregular heartbeat, heart failure, or any other heart disease; 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 good asthma.

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Some medicines may talk with Toprol XL. Tell your medical provider if you might be taking every other medicines, especially the following:

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• digoxin (digitalis, Lanoxin);

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• clonidine (Catapres);

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• ritonavir (Norvir);

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• terbinafine (Lamisil);
• a diuretic (water pill);

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• cold medicines, stimulant medicines, or weightloss pills;
• anti-malaria medications including 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), while others;
• an MAO inhibitor like isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);

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• a diabetes medication for example insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
• a heart medication including 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, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

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This is probably not a whole set of all interactions which could occur. Ask your medical provider if Toprol XL may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose associated with a medicine.

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Important safety information:

• Toprol XL might cause drowsiness, dizziness, or lightheadedness. These effects might be worse for it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you answer 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 inside the morning. Sit or lay down on the first symbol of any of these effects.

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• Patients taking medicine for blood pressure often feel tired or rundown for a couple weeks after starting treatment. Be sure to take your medicine in case you may well not feel "normal." Tell a medical expert in the event you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking your medical professional. If your medical professional decides you ought to don't use Toprol XL, you will need to stop Toprol XL gradually in accordance with your medical professional's instructions.

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• If a medical expert has instructed you to definitely look at blood pressure and pulse rate regularly, be sure to do so.
• Do not take any medicines used to treat colds or congestion without first consulting with your physician or pharmacist.

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• Diabetes patients - Toprol XL may hide signs and symptoms of low blood sugar, like rapid heartbeat. Be sure to watch out for other signs or low blood glucose levels. Low blood sugar levels may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also help make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. Check blood glucose levels levels closely. Ask your doctor before you decide to affect the dose of your diabetes medicine.
• Tell your medical professional or dentist which you take Toprol XL when you have any medical or dental treatments, emergency care, or surgery.

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• If you have a reputation any severe hypersensitivity, talk with your doctor. You might be at risk for an even more severe hypersensitivity should you encounter the substance that caused your allergy. Some medicines used to treat severe allergies could also not be well while you're using Toprol XL.

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• Lab tests, including liver and kidney function, blood pressure level, and handle blood cell counts, could possibly be performed when you use Toprol XL. These tests could be used to monitor your problem or search for side effects. Be sure to keep all doctor and lab appointments.

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• Toprol XL must be in combination with extreme care 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're pregnant. Toprol XL is found in breast milk. If you might be or will be breast-feeding whilst you use Toprol XL, consult a medical expert. Discuss any possible risks for your baby.

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