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Precautions

Do NOT use Calan if:

• you happen to be allergic to any ingredient in Calan
• you might have certain heart problems (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and never have a pacemaker), very low blood pressure levels, or moderate to severe congestive heart failure (CHF)
• you've got atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway in the heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome
• you've got shock because of serious heart problems
• you take dofetilide, or you have taken disopyramide within the past 48 hours.

Contact your medical professional or physician straight away if these affect you.

Some medical conditions may connect to Calan. Tell a medical expert or pharmacist for those who have any medical ailments, particularly when any of the following affect you:

• if you might be pregnant, about to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have heart failure or a recent heart attack with lung congestion, low blood pressure levels, or heart problems (eg, a really slow heartbeat, heart block, heart valve disease)
• in case you have kidney or liver problems, muscular dystrophy, or even a neuromuscular disease
• if you take another hypertension medicine or you are being treated for cancer.

Some medicines may interact with Calan. Tell your doctor if you are taking every other medicines, especially any in the following:

• Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir given that they might increase the probability of Calan's unwanted effects
• Phenobarbital, rifampin, or St. John's wort because they may decrease Calan'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 probability of their unwanted effects might be increased by Calan.

This might not be an entire listing of all interactions that may occur. Ask your doctor if Calan may interact with other medicines that you take. Check with your medical provider before you begin, stop, or change the dose associated with a medicine.

Important safety information:

• Calan might cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Calan with caution. Do not drive or perform other possible unsafe tasks until you know the method that you reply to it.
• Do not are drinking alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Calan; it might enhance their effects. Ask your friendly phamacist when you have questions about which medicines may cause drowsiness.
• Calan could cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside morning. Sit or lie down at the first sign of any of these effects.
• Tell your doctor or dentist which you take Calan before you have any medical or dental treatments, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, electrocardiogram (ECG), and blood pressure level, could be performed as you use Calan. These tests may be used to observe your trouble or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Calan with caution within the elderly; they could be more responsive to its effects.
• Calan shouldn't be employed in childen; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your physician. You will need to discuss the benefits and perils associated with using Calan while you happen to be pregnant. Calan is available in breast milk. If you are or will likely be breast-feeding as you use Calan, check with your physician. Discuss any possible risks for your baby.