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Precautions

Do NOT use Betapace if:

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• you've got certain cardiovascular disease (eg, severe low heartrate, uncontrolled heart failure, certain types of abnormal heartbeat rhythm), low blood potassium or magnesium levels, severe kidney problems, or even a good asthma

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• you consider cisapride, astemizole, terfenadine, mibefradil, dofetilide, or perhaps a theophylline (eg, aminophylline).

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Contact your doctor or physician without delay if all of these apply to you.

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Some medical ailments may interact with Betapace. Tell a medical expert or pharmacist in case you have any medical ailments, in particular when any from the following affect you:

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• if you're pregnant, intending to become pregnant, or are breast-feeding

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• in case you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• if you might be scheduled for surgery.

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Some medicines may communicate with Betapace. Tell your doctor if you take some other medicines, especially any in the following:

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• Indomethacin or phenylpropanolamine because they will often decrease Betapace's effectiveness

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• Amiodarone, antiarrhythmics (eg, quinidine, propafenone), arsenic, cisapride , dofetilide, droperidol, H₁ antagonists (eg, astemizole, terfenadine), ketanserin, macrolides and ketolides (eg, erythromycin, azithromycin), mefloquine, phosphodiesterase type 5 inhibitors (eg, sildenafil), phenothiazines (eg, thioridazine), quinolones (eg, ciprofloxacin), or ziprasidone since the chance of abnormal heart rhythms could possibly be increased

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• Bupivacaine, cocaine, epinephrine, insulin, lidocaine, meglitinide antidiabetics (eg, nateglinide), nifedipine, or quinazolines (eg, prazosin) as the likelihood of their side effects could possibly be increased by Betapace

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This may not be an entire list of all interactions that could occur. Ask your medical provider if Betapace may interact with other medicines that you take. Check with your health care provider before starting, stop, or affect the dose of the medicine.

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Important safety information:

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• Betapace might cause drowsiness, dizziness, or lightheadedness. These effects might be worse should you take it with alcohol or certain medicines. Use Betapace with caution. Do not drive or perform other possibly unsafe tasks and soon you understand how you respond to it.

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• Pregnancy and breast-feeding: If you get pregnant, contact your physician. You will need to discuss the benefits and perils of using Betapace while you might be pregnant. Betapace is found in breast milk. Do not breastfeed while taking Betapace.

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