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Precautions

Do NOT use Calan if:

• you might be allergic to any ingredient in Calan
• you've got certain heart problems (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and do not use a pacemaker), suprisingly low blood pressure levels, or moderate to severe congestive heart failure (CHF)
• you've atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway inside the heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome
• you might have shock as a result of serious heart problems
• you are taking dofetilide, otherwise you have taken disopyramide within the past 48 hours.

Contact your medical professional or physician straight away if any of these connect with you.

Some medical ailments may connect to Calan. Tell your medical professional or pharmacist for those who have any health conditions, particularly if any with the following affect you:

• if you're pregnant, about to become pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or other substances
• in case you have heart failure or perhaps a recent heart attack with lung congestion, low hypertension, or heart problems (eg, a very slow heartrate, heart block, heart valve disease)
• if you have kidney or liver problems, muscular dystrophy, or perhaps a neuromuscular disease
• if you take another blood pressure level medicine or else you are being treated for cancer.

Some medicines may connect to Calan. Tell your medical provider if you are taking some other medicines, especially any of the following:

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

This may not be a total set of all interactions that may occur. Ask your health care provider if Calan may connect to other medicines that you just take. Check with your doctor before starting, stop, or customize the dose from a medicine.

Important safety information:

• Calan might cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Calan with caution. Do not drive or perform other possible unsafe tasks before you know the way you respond to it.
• Do not are drinking alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Calan; it may well add to their effects. Ask the pharmacist for those who have questions on which medicines might cause drowsiness.
• Calan may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside the morning. Sit or lie down at the first sign associated with a of these effects.
• Tell a medical expert or dentist which you take Calan when you have any medical or dental hygiene, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, electrocardiogram (ECG), and blood pressure, may be performed whilst you use Calan. These tests could be used to observe your trouble or look for unwanted effects. Be sure to keep all doctor and lab appointments.
• Use Calan with caution inside the elderly; they may be more responsive to its effects.
• Calan shouldn't be found in childen; safety and effectiveness in kids weren't confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your physician. You will need to discuss the benefits and risks of using Calan while you're pregnant. Calan is located in breast milk. If you happen to be or will probably be breast-feeding while you use Calan, check with your doctor. Discuss any possible risks for a baby.