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Precautions

Do NOT use Calan if:

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• you might be allergic to any ingredient in Calan

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• you've got certain heart related illnesses (eg, left ventricular dysfunction, sick sinus syndrome, second- or third-degree heart block , nor possess a pacemaker), minimal hypertension, or moderate to severe congestive heart failure (CHF)

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• you've atrial fibrillation or flutter and a pre-excitation syndrome (extra conduction pathway inside heart), such as Wolff-Parkinson-White (WPW) syndrome or Lown-Ganong-Levine (LGL) syndrome

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• you've got shock due to serious heart problems

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• you are taking dofetilide, or perhaps you have taken disopyramide within the past 48 hours.

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Contact your medical professional or physician right away if all of these apply to you.

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Some medical ailments may talk with Calan. Tell a medical expert or pharmacist for those who have any health conditions, especially if any of the following sign up for you:

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• in case you have heart failure or even a recent heart attack with lung congestion, low blood pressure, or heart disease (eg, a very slow pulse rate, heart block, heart valve disease)

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Some medicines may connect to Calan. Tell your doctor if you are taking every other medicines, especially any from the following:

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• Beta-blockers (eg, propranolol), clonidine, disopyramide, ketolides (eg, telithromycin), macrolides (eg, erythromycin), or ritonavir because they may increase the risk of Calan's unwanted side effects

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• Phenobarbital, rifampin, or St. John's wort given that they may decrease Calan's effectiveness

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• 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-killer (eg, fentanyl), paclitaxel, quinazolines (eg, terazosin), quinidine, ranolazine, theophyllines, or tolvaptan because the likelihood of their unwanted effects might be increased by Calan.

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This might not be an entire listing of all interactions that could occur. Ask your health care provider if Calan may communicate with other medicines which you take. Check with your health care provider before you begin, stop, or alter the dose associated with a medicine.

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• Calan might cause dizziness. This effect may be worse with it with alcohol or certain medicines. Use Calan with caution. Do not drive or perform other possible unsafe tasks before you know how you respond to it.

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• Do not drink alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you're using Calan; it may enhance their effects. Ask your friendly phamacist if you have questions on which medicines might cause drowsiness.

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• Calan could potentially cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside morning. Sit or lay down at the first sign of any of these effects.

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• Tell your physician or dentist that you just take Calan when you get any medical or dental hygiene, emergency care, or surgery.

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• Lab tests, including liver function, kidney function, complete blood cell counts, electrocardiogram (ECG), and blood pressure level, might be performed when you use Calan. These tests may be used to monitor your condition or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.

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• Calan should not be found in childen; safety and effectiveness in kids are not confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, contact your physician. You will need to discuss the benefits and perils associated with using Calan while you might be pregnant. Calan is located in breast milk. If you're or will likely be breast-feeding when you use Calan, check with your medical professional. Discuss any possible risks to your baby.

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