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Precautions

Do NOT use Isoptin if:

• you're allergic to the ingredient in Isoptin
• you have certain heart disease (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and don't have a pacemaker), suprisingly low blood pressure level, or moderate to severe congestive heart failure (CHF)
• you've atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway inside the heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome
• you have shock as a result of serious heart problems
• you consider dofetilide, or perhaps you have taken disopyramide within the past 2 days.

Contact your medical professional or physician without delay if any of these apply to you.

Some medical ailments may communicate with Isoptin. Tell your doctor or pharmacist when you have any health conditions, particularly if any in the following sign up for you:

• if you're pregnant, about to become pregnant, or are breast-feeding
• in case you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• if you have heart failure or possibly a recent heart attack with lung congestion, low blood pressure level, or heart disease (eg, a really slow heartrate, heart block, heart valve disease)
• when you have kidney or liver problems, muscular dystrophy, or a neuromuscular disease
• if you are taking another blood pressure medicine or perhaps you are being treated for cancer.

Some medicines may connect to Isoptin. Tell your medical provider if you consider some other medicines, especially any from the following:

• Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir given that they might increase the risk of Isoptin's unwanted effects
• Phenobarbital, rifampin, or St. John's wort given that they may decrease Isoptin's effectiveness
• Aldosterone blockers (eg, eplerenone), aspirin, carbamazepine, colchicine, cyclosporine, digoxin, dofetilide, doxorubicin, , dronedarone, eletriptan, erythromycin, everolimus, flecainide, HMG-CoA reductase inhibitors (eg, lovastatin, simvastatin), lithium, narcotic anesthetics (eg, fentanyl), paclitaxel, quinazolines (eg, terazosin), quinidine, ranolazine, theophyllines, or tolvaptan because the likelihood of their unwanted side effects could possibly be increased by Isoptin.

This is probably not an entire list of all interactions that will occur. Ask your health care provider if Isoptin may interact to medicines that you simply take. Check along with your health care provider before you decide to start, stop, or change the dose associated with a medicine.

Important safety information:

• Isoptin could cause drowsiness or dizziness. These effects might be worse if you go on it with alcohol or certain medicines. Use Isoptin with caution. Do not drive or perform other possible unsafe tasks before you know how you answer it.
• Do not are drinking alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) whilst you are using Isoptin; it may help to increase their effects. Ask your pharmacist if you have questions about which medicines could cause drowsiness.
• Isoptin could cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside the morning. Sit or lay down on the first sign from a of these effects.
• Patients having medicine for high blood pressure often feel tired or shabby for a few weeks after starting treatment. Be sure to take your medicine even if you might not exactly feel "normal." Tell your doctor in case you develop any new symptoms.
• Tell a medical expert or dentist which you take Isoptin before you decide to receive any medical or dental care, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, and blood pressure levels, might be performed while you use Isoptin. These tests could possibly be used to monitor your condition or search for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Isoptin with caution inside elderly; they may be more understanding of its effects.
• Isoptin mustn't be utilized in children younger 18 years; safety and effectiveness in these children never have been confirmed
• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the benefits and risks of using Isoptin while you are pregnant. Isoptin are found in breast milk. If you are or will probably be breast-feeding as you use Isoptin, check using your doctor. Discuss any possible risks in your baby.