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Precautions

Do NOT use Isoptin if:

• you're allergic to the ingredient in Isoptin
• you have certain heart disease (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block and never have a very pacemaker), suprisingly low blood pressure levels, or moderate to severe congestive heart failure (CHF)
• you've got atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway in the heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome
• you have shock because of serious heart problems
• you take dofetilide, otherwise you have taken disopyramide within the past two days.

Contact your physician or doctor without delay if some of these connect with you.

Some medical ailments may interact with Isoptin. Tell your medical professional or pharmacist when you have any health conditions, in particular when any with the following sign up for you:

• if you happen to be pregnant, intending to become pregnant, or are breast-feeding
• in case 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 blood pressure, or heart disease (eg, a very slow heartbeat, heart block, heart valve disease)
• when you have kidney or liver problems, muscular dystrophy, or a neuromuscular disease
• in case you consider another blood pressure level medicine or else you are being treated for cancer.

Some medicines may talk with Isoptin. Tell your health care provider in the event you consider another medicines, especially any from the following:

• Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir simply because they could raise the probability of Isoptin's unwanted side effects
• Phenobarbital, rifampin, or St. John's wort simply because they may decrease Isoptin'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 likelihood of their negative effects could possibly be increased by Isoptin.

This will not be a whole report on all interactions that may occur. Ask your health care provider if Isoptin may interact along with other medicines that you just take. Check along with your doctor before you start, stop, or customize the dose associated with a medicine.

Important safety information:

• Isoptin could cause drowsiness or dizziness. These effects may be worse should you go on it with alcohol or certain medicines. Use Isoptin with caution. Do not drive or perform other possible unsafe tasks before you understand how you react to it.
• Do not consume alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Isoptin; it may help to increase their effects. Ask your friendly phamacist when you have questions regarding which medicines could potentially cause drowsiness.
• Isoptin could potentially 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 take a nap on the first sign of the of these effects.
• Patients taking medicine for high blood pressure often feel tired or run down for a couple weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor should you develop any new symptoms.
• Tell a medical expert or dentist which you take Isoptin before you receive any medical or dental care, emergency care, or surgery.
• Lab tests, including liver function, kidney function, complete blood cell counts, and blood pressure, may be performed when you use Isoptin. These tests may be used to monitor your condition or check for unwanted side effects. Be sure to keep all doctor and lab appointments.
• Use Isoptin with caution inside the elderly; they may be more sensitive to its effects.
• Isoptin really should not be utilized in children younger 18 years; safety and effectiveness of these children never have been confirmed
• Pregnancy and breast-feeding: If you conceive, get hold of your doctor. You will need to discuss the benefits and perils associated with using Isoptin whilst you are pregnant. Isoptin are found in breast milk. If you might be or is going to be breast-feeding while you use Isoptin, check along with your doctor. Discuss any possible risks in your baby.