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Precautions

Do NOT use Tenormin if:

• you are allergic to the ingredient in Tenormin

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• you've a very slow heartbeat, heart block, uncontrolled heart failure, shock due to serious cardiovascular disease, or low blood pressure from a cardiac arrest

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• you've got an untreated adrenal gland tumor (pheochromocytoma)

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• you consider mibefradil.

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Contact your doctor or physician right away if these sign up for you.

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Tell your doctor if you might have any medical conditions, especially if any from the following apply to you:

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• if you are pregnant, planning to conceive, or are breast-feeding

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• should you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• if you've allergies to medicines, foods, or other substances

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• if you have a good reputation for any severe allergic reaction

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• if you've a good reputation for lung or breathing problems (eg, asthma, chronic bronchitis, chronic obstructive pulmonary disease [COPD], emphysema), heart disease (eg, heart failure, conduction problems, left ventricle problems), blood vessel problems, diabetes, kidney problems, an adrenal gland tumor, or perhaps an overactive thyroid.

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Some medicines may connect to Tenormin. Tell your doctor should you take any of the following medicines.

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• Clonidine as the likelihood of severe hypertension could be increased

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• Mefloquine for the reason that probability of irregular heartbeat could possibly be increased

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• Amiodarone, calcium channel blockers (eg, diltiazem, verapamil), catecholamine-depleting medicines (eg, reserpine), digoxin, disopyramide, flecainide, ketanserin, mibefradil, or quinidine given that they could raise the likelihood of Tenormin's side effects

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• Indomethacin or phenylpropanolamine because it may decrease Tenormin's effectiveness

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• Bupivacaine, lidocaine, or quinazolines (eg, alfuzosin) because the chance of their unwanted side effects might be increased by Tenormin.

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This may not be a complete list of all interactions which could occur. Ask your medical provider if Tenormin may interact with other medicines that you take. Check with your doctor prior to starting, stop, or alter the dose from a medicine.

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Important safety information:

• Tenormin could cause dizziness or drowsiness. These effects may be worse invest the it with alcohol or certain medicines. Use Tenormin with caution. Do not drive or perform other possible unsafe tasks and soon you recognize how you reply to it.

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• Tenormin could cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, specially in the morning. Sit or sleep the night in the first symbol of these effects.

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• Tell your physician or dentist which you take Tenormin when you receive any medical or dental care, emergency care, or surgery.

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• Tenormin may lessen the volume of blood that flows to your feet and hands. This could cause them to feel cold therefore making you more sensitive to the cold. Dress warmly in winter. Be careful when you're in the cold for very long durations. Ask you doctor for more info.

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• If you've got a history of any severe hypersensitive reaction, talk with a medical expert. You may be vulnerable to a much more severe hypersensitive reaction in case you encounter the substance that caused your allergy. Some medicines used to deal with severe allergies could also not work as well while you happen to be using Tenormin.

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• Patients who take medicine for hypertension often feel tired or run-down for a couple weeks after starting treatment. Be sure to take your medicine even though you may well not feel "normal." Tell your physician if you develop any new symptoms.

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• Diabetes patients- Tenormin may hide signs of low blood sugar say for example a rapid heartbeat. Other symptoms, for example sweating, may still occur. Check your blood glucose levels regularly. Ask a medical expert when you change the dose of your diabetes medicine.

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• Check your blood pressure level and pulse regularly, as directed through your doctor. Ask a medical expert or pharmacist for help if you happen to be unsure the best way to properly measure your blood pressure levels or pulse.

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• Lifestyle changes could also help reduce your hypertension. Talk with your medical professional about appropriate diet and use programs that may be helpful to you.

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• Lab tests, including hypertension and heart function tests, could be performed while you use Tenormin. These tests could possibly be used to monitor your problem or check for unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Tenormin with caution inside elderly; they may be more responsive to its effects, especially dizziness.

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• Tenormin ought to be used with extreme care in kids; safety and effectiveness in kids haven't been determined.

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• Pregnancy and breast-feeding: Tenormin is shown to damage the fetus. If you become pregnant, contact a medical expert. You will need to discuss the advantages and risks of using Tenormin while you're pregnant. Tenormin is located in breast milk. If you are or is going to be breast-feeding whilst you use Tenormin, check with your physician. Discuss any possible risks in your baby.

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