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Precautions

Do NOT use Calan if:

• you happen to be allergic to any ingredient in Calan

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• you might have certain heart related illnesses (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and never possess a pacemaker), really low blood pressure levels, or moderate to severe congestive heart failure (CHF)

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• 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

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• you are taking dofetilide, or perhaps you have taken disopyramide within the past 48 hours.

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Contact a medical expert or doctor right away if any of these sign up for you.

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Some health concerns may talk with Calan. Tell your medical professional or pharmacist if you have any health concerns, particularly if any of the following apply to you:

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• if you might be pregnant, likely to become pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• if you have allergies to medicines, foods, or other substances
• if you have heart failure or possibly a recent heart attack with lung congestion, low hypertension, or heart related illnesses (eg, an extremely slow heart rate, heart block, heart valve disease)
• for those who have kidney or liver problems, muscular dystrophy, or even a neuromuscular disease
• if you consider another hypertension medicine or you are being treated for cancer.

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Some medicines may talk with Calan. Tell your medical provider if you take every other medicines, especially any in the following:

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

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• 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 be increased by Calan.

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This will not be a whole set of all interactions that could occur. Ask your health care provider if Calan may interact with other medicines that you simply take. Check with your health care provider prior to starting, stop, or change the dose of any medicine.

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Important safety information:

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• Calan may cause dizziness. This effect may be worse invest the it with alcohol or certain medicines. Use Calan with caution. Do not drive or perform other possible unsafe tasks before you know how you reply to it.
• Do not consume alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Calan; it may well help to increase their effects. Ask the pharmacist when you have questions on which medicines could cause drowsiness.

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• Calan may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or sleep the night in the first sign associated with a of these effects.

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• Tell a medical expert or dentist that you take Calan when you get any medical or dentistry, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, electrocardiogram (ECG), and blood pressure level, might be performed whilst you use Calan. These tests could possibly be used to evaluate your complaint or check for negative effects. Be sure to keep all doctor and lab appointments.

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• Use Calan with caution inside elderly; they could be more understanding of its effects.
• Calan really should not be used in childen; safety and effectiveness in kids weren't confirmed.

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• Pregnancy and breast-feeding: If you conceive, contact your doctor. You will need to discuss the benefits and perils associated with using Calan while you are pregnant. Calan is found in breast milk. If you might be or will be breast-feeding while you use Calan, check with your medical professional. Discuss any possible risks in your baby.

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