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Precautions

Do NOT use Toprol XL if:

• you're allergic to any ingredient in Toprol XL or another beta-blocker
• you use a slow heartrate (eg, bradycardia), some kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, minimal systolic blood pressure level (lower than 100 mm Hg), or severe blood flow problems.

Contact your doctor or health care provider straight away if all of these affect you.

Some health concerns may communicate with Toprol XL. Tell your medical professional or pharmacist in case you have any medical conditions, particularly if any of the following sign up for you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or other substances
• if you have an adrenal gland tumor (pheochromocytoma), offer an overactive thyroid, or are scheduled to own surgery
• in case you have low blood pressure levels or even a good reputation for heart attack, slow or irregular heartbeat, heart failure, or any other heart related illnesses; chest pain or angina; the circulation of blood 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 medical provider if you're taking another 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 for example chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to treat depression or mental illness, including bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), yet others;
• an MAO inhibitor like 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 such as nifedipine (Procardia, Adalat), quinidine (Quinaglute, Quinidex), propafenone (Rythmol), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem); or
• medicine for asthma or other breathing disorders, for example albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

This is probably not an entire listing of all interactions that could occur. Ask your health care provider if Toprol XL may connect to other medicines that you simply take. Check with your health care provider before you begin, stop, or customize the dose of any medicine.

Important safety information:

• Toprol XL could potentially cause drowsiness, dizziness, or lightheadedness. These effects could possibly 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 react to it.
• Toprol XL might cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or sleep the night at the first sign of all of these effects.
• Patients having medicine for high blood pressure often feel tired or run down for a couple weeks after starting treatment. Be sure to take your medicine in case you might not exactly feel "normal." Tell your physician 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 need to no more use Toprol XL, you need to stop Toprol XL gradually in accordance with your physician's instructions.
• If your physician has instructed you to look at the hypertension and heart rate regularly, be sure to take action.
• Do not take any medicines used to take care of colds or congestion without first speaking to a medical expert or pharmacist.
• Diabetes patients - Toprol XL may hide signs of low blood glucose, such as rapid heartbeat. Be sure to look for other signs or low blood glucose levels. Low blood glucose will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or allow you to more hungry. Check blood sugar levels levels closely. Ask your physician before you decide to affect the dose of the diabetes medicine.
• Tell your doctor or dentist which you take Toprol XL prior to deciding to receive any medical or dental hygiene, emergency care, or surgery.
• If you've got a good any severe hypersensitive reaction, talk with a medical expert. You may be vulnerable to a far more severe hypersensitivity if you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies may also not work as well while you're using Toprol XL.
• Lab tests, including liver and kidney function, blood pressure level, and finish blood cell counts, could possibly be performed as you use Toprol XL. These tests might be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL should be used with warning in children; safety and effectiveness in youngsters haven't been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your medical professional. You will need to discuss the rewards and perils of using Toprol XL while you're pregnant. Toprol XL is found in breast milk. If you're or will be breast-feeding while you use Toprol XL, consult your doctor. Discuss any possible risks for a baby.