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Precautions

Do NOT use Toprol XL if:

• you happen to be allergic to the ingredient in Toprol XL as well as to another beta-blocker
• you employ a slow heart rate (eg, bradycardia), certain types 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 circulation problems.

Contact your medical professional or doctor straight away if some of these affect you.

Some health concerns may interact with Toprol XL. Tell a medical expert or pharmacist when you have any medical conditions, in particular when any of the following apply to you:

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

Some medicines may connect to Toprol XL. Tell your doctor if you're taking every other medicines, especially these things:

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

This is probably not an entire listing of all interactions that could occur. Ask your medical provider if Toprol XL may communicate with other medicines that you simply take. Check with your health care provider before you start, stop, or customize the dose from a medicine.

Important safety information:

• Toprol XL might cause drowsiness, dizziness, or lightheadedness. These effects might 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 recognize how you respond to it.
• Toprol XL could cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside the morning. Sit or lay down in the first sign of some of these effects.
• Patients who take medicine for high blood pressure levels often feel tired or run-down for some weeks after starting treatment. Be sure to take your medicine even though you might not exactly feel "normal." Tell a medical expert if you develop any new symptoms.
• Do not suddenly stop using Toprol XL without first talking a medical expert. If your medical professional decides you should no more use Toprol XL, you will have to stop Toprol XL gradually according to a medical expert's instructions.
• If a medical expert has instructed one to look at your blood pressure levels and heart rate regularly, be sure to take action.
• Do not take any medicines used to treat colds or congestion without first talking to a medical expert or pharmacist.
• Diabetes patients - Toprol XL may hide signs and symptoms of low blood glucose, for example rapid heartbeat. Be sure to watch for other signs or low blood glucose. Low blood glucose levels may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It can also make your vision change; give you a headache, chills, or tremors; or allow you to more hungry. Check blood sugar levels levels closely. Ask a medical expert before you customize the dose of one's diabetes medicine.
• Tell your doctor or dentist that you just take Toprol XL prior to deciding to get any medical or dental care, emergency care, or surgery.
• If you've got a good reputation for any severe allergic reaction, talk with your physician. You could possibly be vulnerable to a more severe allergic reaction in case you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies can also not work as well while you might be using Toprol XL.
• Lab tests, including liver and kidney function, hypertension, and handle blood cell counts, might be performed as you use Toprol XL. These tests might be used to monitor your problem or check for side effects. Be sure to keep all doctor and lab appointments.
• Toprol XL must be in combination with warning in kids; safety and effectiveness in kids weren't confirmed.
• Pregnancy and breast-feeding: If you conceive, contact your doctor. You will need to discuss the benefits and perils of using Toprol XL while you are pregnant. Toprol XL can be found in breast milk. If you are or will probably be breast-feeding while you use Toprol XL, seek advice from a medical expert. Discuss any possible risks for a baby.