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Precautions

Do NOT use Toprol XL if:

• you might be allergic to any ingredient in Toprol XL as well as to another beta-blocker
• you employ a slow heart rate (eg, bradycardia), some kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, very low systolic blood pressure level (less than 100 mm Hg), or severe circulation problems.

Contact your medical professional or doctor without delay if all of these sign up for you.

Some health conditions may communicate with Toprol XL. Tell your physician or pharmacist when you have any medical ailments, in particular when any of the following affect you:

• if you happen to be pregnant, planning to conceive, or are breast-feeding
• if you happen to be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• in case you have an adrenal gland tumor (pheochromocytoma), offer an overactive thyroid, or are scheduled to possess surgery
• if you have low blood pressure levels or perhaps a reputation cardiac event, slow or irregular heartbeat, heart failure, or any other heart related illnesses; chest pain or angina; blood flow problems; or liver problems
• if 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 might be taking any other medicines, especially any of the following:

• digoxin (digitalis, Lanoxin);
• clonidine (Catapres);
• ritonavir (Norvir);
• terbinafine (Lamisil);
• a diuretic (water pill);
• cold medicines, stimulant medicines, or weightloss pills;
• anti-malaria medications including chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to help remedy depression or mental illness, including bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), and others;
• an MAO inhibitor including isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• a diabetes medication including insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
• a heart medication for example 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, like 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 which could occur. Ask your health care provider if Toprol XL may connect to other medicines that you take. Check with your health care provider prior to starting, stop, or alter the dose of the medicine.

Important safety information:

• Toprol XL may 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 know how you reply to it.
• Toprol XL could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside morning. Sit or lay down on the first symbol of all of these effects.
• Patients taking medicine for blood pressure 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 a medical expert in case you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking a medical expert. If your medical professional decides you should no more use Toprol XL, you need to stop Toprol XL gradually as outlined by your doctor's instructions.
• If a medical expert has instructed that you check your blood pressure levels and heartrate regularly, be sure to take action.
• Do not take any medicines used to treat colds or congestion without first talking to your medical professional or pharmacist.
• Diabetes patients - Toprol XL may hide signs of low blood sugar, including rapid heartbeat. Be sure to await other signs or low blood sugar levels. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It might also build your vision change; give you a headache, chills, or tremors; or cause you to be more hungry. Check blood sugar levels levels closely. Ask your medical professional prior to deciding to customize the dose of your respective diabetes medicine.
• Tell your physician or dentist which you take Toprol XL before you get any medical or dentistry, emergency care, or surgery.
• If you've got a good any severe hypersensitivity, talk with your doctor. You might be in danger of a more severe allergic attack in case you come into contact with the substance that caused your allergy. Some medicines used to deal with severe allergies might also not are well while you might be using Toprol XL.
• Lab tests, including liver and kidney function, blood pressure, and finished blood cell counts, might be performed while you use Toprol XL. These tests could be utilized to monitor your problem or look for side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL must be combined with careful attention in children; safety and effectiveness in kids have not been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact a medical expert. You will need to discuss the advantages and perils of using Toprol XL while you might be pregnant. Toprol XL is found in breast milk. If you are or will be breast-feeding when you use Toprol XL, check with your medical professional. Discuss any possible risks for your baby.