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Precautions

Do NOT use Calan if:

• you're allergic to the ingredient in Calan
• you've certain cardiovascular disease (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and do not use a pacemaker), suprisingly low hypertension, or moderate to severe congestive heart failure (CHF)
• you've got atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway inside heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome
• you have shock on account of serious heart problems
• you consider dofetilide, otherwise you have taken disopyramide within the past two days.

Contact your physician or health care provider straight away if all of these affect you.

Some health conditions may talk with Calan. Tell your medical professional or pharmacist when you have any medical conditions, particularly when any in the following connect with you:

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

Some medicines may communicate with Calan. Tell your doctor if you consider another medicines, especially any with the following:

• Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir since they might increase the likelihood of Calan's unwanted side effects
• Phenobarbital, rifampin, or St. John's wort given that 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 pain relievers (eg, fentanyl), paclitaxel, quinazolines (eg, terazosin), quinidine, ranolazine, theophyllines, or tolvaptan because the risk of their negative effects may be increased by Calan.

This is probably not a whole set of all interactions that will occur. Ask your health care provider if Calan may interact with other medicines that you take. Check with your medical provider before you begin, stop, or affect the dose of the medicine.

Important safety information:

• 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 and soon you know the way you answer it.
• Do not consume alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Calan; it might help to increase their effects. Ask your friendly phamacist for those who have queries about which medicines may cause drowsiness.
• Calan could potentially cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or sleep the night at the first sign from a of these effects.
• Tell your doctor or dentist which you take Calan when you receive any medical or dental care, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, electrocardiogram (ECG), and blood pressure levels, might be performed whilst you use Calan. These tests could be used to watch your problem or look for side effects. Be sure to keep all doctor and lab appointments.
• Use Calan with caution inside the elderly; they may be more understanding of its effects.
• Calan should not be employed in childen; safety and effectiveness in youngsters haven't been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your doctor. You will need to discuss the benefits and risks of using Calan while you are pregnant. Calan is located in breast milk. If you happen to be or will probably be breast-feeding while you use Calan, check with a medical expert. Discuss any possible risks to your baby.