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Precautions

Do NOT use Toprol XL if:

• you're allergic to the ingredient in Toprol XL in order to another beta-blocker
• you use a slow heart rate (eg, bradycardia), certain kinds of irregular heartbeat (eg, atrioventricular [AV] block, sick sinus syndrome), moderate to severe heart failure, really low systolic blood pressure level (under 100 mm Hg), or severe blood flow problems.

Contact your medical professional or physician immediately if all of these connect with you.

Some health conditions may talk with Toprol XL. Tell your doctor or pharmacist for those who have any medical conditions, particularly when the following sign up for you:

• if you are pregnant, about to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, and other substances
• when you have an adrenal gland tumor (pheochromocytoma), offer an overactive thyroid, or are scheduled to get surgery
• for those who have low hypertension or a reputation cardiac arrest, slow or irregular heartbeat, heart failure, or other heart related illnesses; chest pain or angina; the circulation of blood problems; or liver problems
• when you have diabetes mellitus, chronic obstructive pulmonary disease (COPD), bronchitis, breathing problems, or even a history of asthma.

Some medicines may communicate with Toprol XL. Tell your medical provider if you are taking every other medicines, especially any of the following:

• digoxin (digitalis, Lanoxin);
• clonidine (Catapres);
• ritonavir (Norvir);
• terbinafine (Lamisil);
• a diuretic (water pill);
• cold medicines, stimulant medicines, or diet pills;
• anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
• medicine to deal with depression or mental illness, such as bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), and others;
• an MAO inhibitor for example isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• a diabetes medication for example insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
• a heart medication such as nifedipine (Procardia, Adalat), quinidine (Quinaglute, Quinidex), propafenone (Rythmol), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem); or
• medicine for asthma and other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).

This may not be a total listing of all interactions that could occur. Ask your medical provider if Toprol XL may talk with other medicines which you take. Check with your health care provider before you begin, stop, or affect the dose from a medicine.

Important safety information:

• Toprol XL may cause drowsiness, dizziness, or lightheadedness. These effects could possibly be worse with it with alcohol or certain medicines. Use Toprol XL with caution. Do not drive or perform other possible unsafe tasks unless you discover how you reply to it.
• Toprol XL may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially within the morning. Sit or take a nap at the first symbol of all of these effects.
• Patients having medicine for hypertension often feel tired or rundown for some weeks after starting treatment. Be sure to take your medicine in case you might not feel "normal." Tell your doctor in case you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking your physician. If a medical expert decides you must no more use Toprol XL, you will have to stop Toprol XL gradually according to your physician's instructions.
• If your doctor has instructed you to definitely look at blood pressure levels and heartbeat regularly, be sure to do so.
• Do not take any medicines used to treat colds or congestion without first talking to your physician or pharmacist.
• Diabetes patients - Toprol XL may hide indications of low blood glucose levels, for example rapid heartbeat. Be sure to look for other signs or low blood glucose levels. Low blood glucose could make you anxious, sweaty, weak, dizzy, drowsy, or faint. It might also help make your vision change; give you a headache, chills, or tremors; or allow you to more hungry. Check blood glucose levels levels closely. Ask your physician when you affect the dose of the diabetes medicine.
• Tell your doctor or dentist that you just take Toprol XL before you have any medical or dental care, emergency care, or surgery.
• If you might have a good reputation for any severe allergic reaction, talk with a medical expert. You could be vulnerable to a more severe allergic reaction should you touch the substance that caused your allergy. Some medicines used to take care of severe allergies might also not be well while you're using Toprol XL.
• Lab tests, including liver and kidney function, hypertension, and complete blood cell counts, may be performed while you use Toprol XL. These tests may be utilized to monitor your problem or check for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL needs to be combined with warning in children; safety and effectiveness in kids have not been confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your physician. You will need to discuss the rewards and perils of using Toprol XL while you're pregnant. Toprol XL is situated in breast milk. If you are or will probably be breast-feeding when you use Toprol XL, check with a medical expert. Discuss any possible risks in your baby.