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Precautions

Do NOT use Toprol XL if:

• you're allergic to any ingredient in Toprol XL or to another beta-blocker
• you employ a slow heartrate (eg, bradycardia), some types of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, very low systolic blood pressure (under 100 mm Hg), or severe the circulation of blood problems.

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Contact your physician or doctor straight away if some of these apply to you.

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

• if you're pregnant, about to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, and other substances

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• when you have an adrenal gland tumor (pheochromocytoma), come with an overactive thyroid, or are scheduled to have surgery
• for those who have low blood pressure level or a good cardiac arrest, slow or irregular heartbeat, heart failure, and other heart problems; chest pain or angina; blood flow problems; or liver problems
• in case you have diabetes mellitus, chronic obstructive pulmonary disease (COPD), bronchitis, breathing problems, or a reputation asthma.

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Some medicines may interact with Toprol XL. Tell your medical provider if you're taking some other medicines, especially any of these:

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• digoxin (digitalis, Lanoxin);

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• clonidine (Catapres);

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• ritonavir (Norvir);
• terbinafine (Lamisil);

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• a diuretic (water pill);

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• cold medicines, stimulant medicines, or weightloss pills;

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• anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);

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• 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 including isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);

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• a diabetes medication such as 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 any other breathing disorders, including albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

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This may not be an entire listing of all interactions which could occur. Ask your health care provider if Toprol XL may talk with other medicines that you simply take. Check with your health care provider before you start, stop, or change the dose of the medicine.

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Important safety information:

• Toprol XL may cause drowsiness, dizziness, or lightheadedness. These effects could possibly be worse with it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks unless you understand how you react to it.

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• Toprol XL could cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially in the morning. Sit or lie down on the first manifestation of any of these effects.

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• Patients having medicine for high blood pressure often feel tired or run-down for a few weeks after starting treatment. Be sure to take your medicine in case you might not feel "normal." Tell your medical professional 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 ought to don't use Toprol XL, you will have to stop Toprol XL gradually as outlined by a medical expert's instructions.

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• If a medical expert has instructed you to look at your blood pressure level and heart rate regularly, be sure to do this.

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• Do not take any medicines used to treat colds or congestion without first seeing your physician or pharmacist.

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• Diabetes patients - Toprol XL may hide indications of low blood sugar levels, like rapid heartbeat. Be sure to look for other signs or low blood glucose. Low blood glucose may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It can also you could make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. Check blood sugar levels levels closely. Ask your medical professional when you customize the dose of the diabetes medicine.

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• Tell your medical professional or dentist that you just take Toprol XL prior to deciding to receive any medical or dental care, emergency care, or surgery.

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• If you have a good reputation for any severe hypersensitivity, talk with your physician. You could be vulnerable to a more severe hypersensitivity if you touch the substance that caused your allergy. Some medicines used to take care of severe allergies could also not are well while you are using Toprol XL.

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• Lab tests, including liver and kidney function, blood pressure levels, and finish blood cell counts, could be performed whilst you use Toprol XL. These tests could possibly be used to monitor your complaint or pay attention to side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL must be used in combination with extreme caution in children; safety and effectiveness in children have not been confirmed.

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• Pregnancy and breast-feeding: If you get pregnant, contact your physician. You will need to discuss the rewards and perils associated with using Toprol XL while you're pregnant. Toprol XL can be found in breast milk. If you are or will probably be breast-feeding when you use Toprol XL, seek advice from a medical expert. Discuss any possible risks for a baby.

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