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Check with your doctor as soon as possible if any of the following side effects occur:
Slowfastor irregular heartbeat fainting difficulty breathing seizures dizziness confusion nausea vomiting increased sweating.
Liver functionLiver disease or reduced liver function may cause this medication to build up in the bodycausing side effectsIf you have liver problemsdiscuss with your doctor how this medication may affect your medical conditionhow your medical condition may affect the dosing and effectiveness of this medicationand whether any special monitoring is neededYour doctor may want to test your liver function regularly with blood tests while you are taking this medication.
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before using this medication, tell your doctor or pharmacist of all prescription and non-prescription herbal products you may use, especially of other beta-blockers including eye drops ace inhibitors adrenergic neurone blockers such as guanethidine alprostadil anaesthetics antihistamines antiretroviral medicines used to treat aids adrenaline also known as epinephrine alcohol aldesleukin alpha-blockers such as prazosin alprostadil angiotensin-ii receptor antagonists baclofen barbiturates calcium channel blockers such as diltiazem and nifedipine celecoxib citalopram cimetidine clonidine corticosteroids diazoxide digoxin dobutamine ergotamine medicines for migraine escitalopram hydralazine levodopa lidocaine lignocaine medicines for abnormal heart rhythm anti-arrhythmics such as amiodarone and propafenone medicines for depression medicines for diabetes including insulin medicines for anxiety medicines to prevent malaria medicines for fungal infections medicines for mental illness such as phenothiazines methysergide methyldopa minoxidil moxisylyte moxonidine monoamine-oxidase inhibitors maois non-steroidal anti-inflammatory drugs nsaids including indomethacin nitrates nitroglycerine noradrenaline norepinephrine oestrogens pilocarpine paroxetine quinidine rifampicin sleeping tablets sodium nitroprusside tizanidine water tablets.
