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Precautions

Do NOT use Glucotrol XL if:

• you happen to be allergic to your ingredient in Glucotrol XL
• you have certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma)
• you've got moderate to severe burns, or extremely high blood acid levels (acidosis)
• you might have type 1 diabetes
• you're pregnant and are within 30 days from the expected delivery date.

Contact your doctor or health care provider immediately if any of these connect with you.

Some medical conditions may talk with Glucotrol XL. Tell your doctor or pharmacist if you have any health conditions, especially if any of the following sign up for you:

• if you might be pregnant, about to become pregnant, or are breast-feeding
• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or another substances
• in case you have had an extreme allergic reaction (eg, a severe rash, hives, the like, dizziness) to any other sulfonamide medicine, like acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), probenecid, sulfamethoxazole, valdecoxib, or zonisamide
• if you have a good liver, kidney, thyroid, or heart problems
• for those who have stomach or bowel problems (eg, stomach or bowel narrowing or blockage, stomach paralysis), are drinking alcoholic beverages, or have experienced poor nutrition
• when you have very poor health, a high fever, an extreme infection, severe diarrhea, or high blood acid levels, or also have a serious injury
• for those who 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
• when you have a condition called glucose 6-phosphate dehydrogenase (G6PD) deficiency
• if you will be having surgery.

Some medicines may talk with Glucotrol XL. Tell your doctor if you might be taking another medicines, especially any of the following:

• Beta-blockers (eg, propranolol) as the probability of low blood glucose could be increased. They may also hide certain signs of low blood sugar levels making it more challenging 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 risk of low blood glucose levels could possibly 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) given that they may decrease Glucotrol XL's effectiveness, resulting in high blood sugar
• Gemfibrozil because blood glucose levels may be increased or decreased.

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

 Important safety information:

• Glucotrol XL could potentially cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse should you get it with alcohol or certain medicines. Use Glucotrol XL with caution. Do not drive or perform other possible unsafe tasks before you discover how you respond to it.
• Do not are drinking alcohol while you might be taking Glucotrol XL. It may boost the chance of low blood glucose levels. Rarely, alcohol may connect to Glucotrol XL and create a serious reaction with symptoms such as flushing, nausea, vomiting, dizziness, or stomach pain. Discuss questions or concerns with your doctor.
• Carry an ID card constantly saying you've diabetes. Check your glucose levels as directed because of your doctor. If they are often higher or under they will be and you also take Glucotrol XL just as prescribed, tell your physician.
• Proper diet, regular exercise, and regular blood sugar testing are essential for the most powerful results with Glucotrol XL. Follow the dieting and exercise program given to you through your physician.
• It could be harder to regulate your blood glucose levels during periods of stress, such as fever, infection, injury, or surgery. Talk with your medical professional about how to control your blood glucose if some of these occur. Do not customize the dose of your medicine without checking with your doctor.
• Glucotrol XL could cause low blood sugar levels. Low blood sugar could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart rhythm faster; make your vision change; give you a headache, chills, or tremors; or cause you to more hungry. It is really a wise decision to hold the best supply of glucose (eg, tablets or gel) to deal with low blood glucose levels. If this is not available, you should eat or drink a simple method to obtain sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will lift up your blood glucose levels level quickly. Tell your medical professional right away should this happen. To prevent low blood glucose levels, eat meals simultaneously on a daily basis and do not skip meals.
• Risk of low blood sugar might be increased by severe or prolonged exercise, alcohol consumption, or skipping meals.
• Glucotrol XL can be a sulfonylurea. It may boost the risk of death from heart problems. Talk with a medical expert concerning the benefits and perils of this or other therapies to treat your complaint.
• You may notice the tablet shell in your stool with a few brands of Glucotrol XL. This is normal rather than a reason for concern.
• Glucotrol XL could potentially cause you to become sunburned easier. Avoid the sun, sunlamps, or tanning booths before you recognize how you answer Glucotrol XL. Use a sunscreen or wear protective clothing in the event you must be outside for more than a short period of time.
• Tell your physician or dentist that you just take Glucotrol XL before you have any medical or dental hygiene, emergency care, or surgery.
• Lab tests, including fasting blood sugar levels and hemoglobin A_1c, may be performed whilst you use Glucotrol XL. These tests may be used to monitor your condition or pay attention to unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Glucotrol XL with caution inside the elderly; they may be more responsive to its effects, especially low blood sugar.
• Glucotrol XL mustn't be used in children; safety and effectiveness in youngsters weren't confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your medical professional. You will need to discuss the advantages and perils associated with using Glucotrol XL while you might be pregnant. Glucotrol XL shouldn't be employed for no less than one month prior to the expected delivery date since it could potentially 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 by extended periods of time, Glucotrol XL might not work as well. If your blood sugar levels has been manageable and then becomes hard to manage, contact your physician. Do not change the dose of your respective medicine without checking with a medical expert.