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Precautions

Do NOT use Glucotrol XL if:

• you might be allergic to any ingredient in Glucotrol XL
• you have certain severe problems linked to diabetes (eg, diabetic ketoacidosis, diabetic coma)
• you've got moderate to severe burns, or quite high blood acid levels (acidosis)
• you've type 1 diabetes
• you might be pregnant and therefore are within one month in the expected delivery date.

Contact a medical expert or physician right away if any of these affect you.

Some health conditions may connect to Glucotrol XL. Tell your physician or pharmacist for those who have any medical ailments, especially if any with the following connect with you:

• if you happen to be pregnant, about to get pregnant, or are breast-feeding
• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or other substances
• when you have had an extreme allergic reaction (eg, an extreme rash, hives, , etc ., dizziness) to your other sulfonamide medicine, for example acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• for those who have a history of liver, kidney, thyroid, or heart problems
• when you have stomach or bowel irregularity (eg, stomach or bowel narrowing or blockage, stomach paralysis), are drinking alcoholic beverages, or have had poor nutrition
• if you have inadequate health, a top fever, a severe infection, severe diarrhea, or high blood acid levels, or also have an intense injury
• in case you have a good reputation for certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]), or low blood sodium levels
• if you have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency
• if you will be having surgery.

Some medicines may communicate with Glucotrol XL. Tell your medical provider if you might be taking every other medicines, especially any from the following:

• Beta-blockers (eg, propranolol) for the reason that risk of low blood glucose levels could possibly be increased. They may also hide certain signs and symptoms of low blood sugar levels and make it tougher to notice
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), anticoagulants (eg, warfarin), azole antifungals (eg, miconazole, ketoconazole), chloramphenicol, clofibrate, fenfluramine, insulin, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nonsteroidal anti-inflammatory medicines (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), or sulfonamides (eg, sulfamethoxazole) for the reason that likelihood of low blood sugar might be increased
• Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine, terbutaline), or thyroid supplements (eg, levothyroxine) because they may decrease Glucotrol XL's effectiveness, resulting in high blood sugar levels
• Gemfibrozil because blood glucose could possibly be increased or decreased.

This will not be a total listing of all interactions that could occur. Ask your health care provider if Glucotrol XL may interact with medicines that you take. Check with your doctor prior to starting, stop, or customize the dose associated with a medicine.

 Important safety information:

• Glucotrol XL could potentially cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects might be worse should you go with alcohol or certain medicines. Use Glucotrol XL with caution. Do not drive or perform other possible unsafe tasks before you know how you respond to it.
• Do not drink alcohol while you happen to be taking Glucotrol XL. It may raise the chance of low blood glucose levels. Rarely, alcohol may interact with Glucotrol XL and create a serious reaction with symptoms like flushing, nausea, vomiting, dizziness, or stomach pain. Discuss any queries or concerns with your medical professional.
• Carry an ID card all the time saying you have diabetes. Check your blood sugar as directed because of your doctor. If they are often higher or under they ought to be and you also take Glucotrol XL the same manner prescribed, tell a medical expert.
• Proper diet, frequent exercise, and regular blood glucose testing are crucial for the most powerful results with Glucotrol XL. Follow the eating and working out program directed at you from your health care provider.
• It could be harder to control your blood glucose levels during times of stress, such as fever, infection, injury, or surgery. Talk with a medical expert about how exactly to manipulate your blood sugar if some of these occur. Do not change the dose of the medicine without checking with a medical expert.
• Glucotrol XL could cause low blood sugar levels. Low blood sugar levels will make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also you could make your pulse faster; help make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It can be a good plan to transport a trusted source of glucose (eg, tablets or gel) to take care of low blood sugar levels. If this is not available, you must eat or drink an instant way to obtain sugar like ordinary sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood sugar levels level quickly. Tell your doctor immediately in such a circumstance. To prevent low blood sugar, eat meals simultaneously every day , nor skip meals.
• Risk of low blood glucose could be increased by severe or prolonged exercise, having a drink, or skipping meals.
• Glucotrol XL is really a sulfonylurea. It may raise the risk of death from cardiovascular disease. Talk with your medical professional concerning the benefits and risks of this and other therapies to help remedy your complaint.
• You may see the tablet shell with your stool with a few brands of Glucotrol XL. This is normal and never a contributing factor for concern.
• Glucotrol XL may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths and soon you know how you respond to Glucotrol XL. Use a sunscreen or wear protective clothing if you have to be outside for more than a limited time.
• Tell your physician or dentist that you take Glucotrol XL prior to deciding to have any medical or dental hygiene, emergency care, or surgery.
• Lab tests, including fasting blood sugar and hemoglobin A_1c, might be performed while you use Glucotrol XL. These tests could possibly be used to monitor your complaint or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Glucotrol XL with caution inside the elderly; they could possibly be more sensitive to its effects, especially low blood sugar.
• Glucotrol XL shouldn't be found in children; safety and effectiveness in kids haven't been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact a medical expert. You will need to discuss the advantages and perils associated with using Glucotrol XL while you're pregnant. Glucotrol XL shouldn't be employed for at least four weeks ahead of the expected delivery date because it might cause low blood glucose inside the baby. It is not known if Glucotrol XL is located in breast milk. Do not breast-feed while taking Glucotrol XL.

When used for extended periods of time, Glucotrol XL may well not be well. If your blood sugar levels may be manageable and after that becomes hard to manage, contact your physician. Do not change the dose of your medicine without checking with your doctor.