Xenical

Xenical blocks some of the fat that you eat, keeping it from being absorbed by your body.
Xenical is used together with a reduced-calorie diet and weight maintenance to treat obesity in people with certain risk factors (such as diabetes, high blood pressure, and high cholesterol or triglycerides).
Do not take Xenical if you are allergic to orlistat, or if you have gallbladder problems, or chronic malabsorption syndrome (an inability to absorb food and nutrients properly).
Before taking Xenical, tell your doctor if you have an underactive thyroid, a history of gallstones or pancreatitis, type 1 or type 2 diabetes, an eating disorder, liver disease, or if you take other weight-loss medications (prescription or over-the-counter).
Do not give over-the-counter orlistat (Alli) to a child younger than 18 years old. Prescription orlistat (Xenical) should not be used by anyone age 12 to 18 without the advice of a doctor. Xenical should be used only by the person it was prescribed or recommended for and should never be shared with another person, especially someone who has a history of eating disorder. Keep the medication in a secure place where others cannot get to it.
Xenical is only part of a complete program of treatment that also includes diet, exercise, and weight control. Your daily intake of fat, protein, and carbohydrates should be evenly divided over all of your daily meals. Follow your diet, medication, and exercise routines very closely.
Take Xenical during or within 1 hour after a meal that contains some fat (no more than 30% of the calories for that meal). Xenical is usually taken 3 times daily. If you skip a meal or you eat a meal that does not contain any fat, skip your Xenical dose for that meal. The fat content of your daily diet should not be greater than 30% of your total daily caloric intake. Avoid a diet that is high in fat. High-fat meals taken in combination with Xenical can increase your risk of unpleasant side effects on your stomach or intestines.
Read the label of all food items you consume, paying special attention to the number of servings per container. Your doctor, nutrition counselor, or dietitian can help you develop a healthy eating plan.
Your doctor may recommend you take vitamin and mineral supplements while you are taking Xenical. This medication can make it harder for your body to absorb fat-soluble vitamins, such as vitamins A, D, E, and K. Follow your doctor's instructions about the type of multi-vitamin or mineral supplement to use. Take the supplement at least 2 hours before or after you take Xenical.
Do not take Xenical if you are allergic to orlistat, or if you have:
• chronic malabsorption syndrome (an inability to absorb food and nutrients properly); or
• gallbladder problems.
Before taking Xenical, tell your doctor if you are allergic to any drugs, or if you have:
• an underactive thyroid;
• a history of gallstones;
• a history of pancreatitis;
• liver disease;
• type 1 or type 2 diabetes;
• an eating disorder (anorexia or bulimia); or
• if you take any other weight-loss medications (prescription or over-the-counter).
If you have any of these conditions, you may not be able to use Xenical, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking Xenical can make it harder for your body to absorb certain vitamins. These vitamins are important if you are nursing a baby. Do not use Xenical without telling your doctor if you are breast-feeding a baby.
Do not give over-the-counter orlistat (Alli) to a child younger than 18 years old. Prescription orlistat (Xenical) should not be used by anyone age 12 to 18 without the advice of a doctor. Xenical should be used only by the person it was prescribed or recommended for and should never be shared with another person, especially someone who has a history of eating disorder. Keep the medication in a secure place where others cannot get to it.
Take Xenical exactly as directed on the label, or as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Xenical comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
Xenical is only part of a complete program of treatment that also includes diet, exercise, and weight control. Your daily intake of fat, protein, and carbohydrates should be evenly divided over all of your daily meals. Follow your diet, medication, and exercise routines very closely.
Take Xenical with a full glass of water. Take Xenical during or within 1 hour after a meal that contains some fat (no more than 30% of the calories for that meal). Xenical is usually taken 3 times daily.
If you skip a meal or you eat a meal that does not contain any fat, skip your Xenical dose for that meal.
The fat content of your daily diet should not be greater than 30% of your total daily caloric intake. For example, if you eat 1200 calories per day, no more than 360 of those calories should be in the form of fat.
Read the label of all food items you consume, paying special attention to the number of servings per container. Your doctor, nutrition counselor, or dietitian can help you develop a healthy eating plan.
Your doctor may recommend you take vitamin and mineral supplements while you are taking Xenical. This medication can make it harder for your body to absorb fat-soluble vitamins, such as vitamins A, D, E, and K. Follow your doctor's instructions about the type of multi-vitamin or mineral supplement to use.
Take the supplement at least 2 hours before or after you take Xenical.
Store Xenical at room temperature away from moisture and heat. Keep the bottle tightly closed.
Keep track of how many pills have been used from each new bottle of this medicine. Xenical is a drug that may be misused as a weight-loss aid, and you should be aware if any person in the household is using this medicine improperly or without a prescription.
Take the missed dose as soon as you remember, but no more than 1 hour after eating a meal. If it has been more than an hour since your last meal, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
If you miss a meal, or if you have a meal without fat, you can skip your dose of Xenical for that meal also.


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking Xenical and call your doctor at once if you have severe pain in your upper stomach spreading to your back, nausea and vomiting, and a fast heart rate. These could be signs of pancreatitis.
The following side effects occur commonly with the use of Xenical. They are the natural effects of Xenical's fat-blocking action and are actually signs that the medication is working properly. These side effects are usually temporary and may lessen as you continue treatment with Xenical:
• oily spotting in your undergarments;
• oily or fatty stools;
• orange or brown colored oil in your stool;
• gas with discharge, an oily discharge;
• loose stools, or an urgent need to go to the bathroom, inability to control bowel movements;
• an increased number of bowel movements;
• stomach pain, nausea, vomiting, diarrhea, rectal pain; or
• weakness, dark urine, clay-colored stools, itching, loss of appetite, or jaundice (yellowing of the skin or eyes).
Other side effects that may occur while taking Xenical include:
• problems with your teeth or gums;
• cold symptoms such as stuffy nose, sneezing, cough;
• fever, chills, sore throat, flu symptoms;
• headache, back pain; or
• mild skin rash.
Before taking Xenical, tell your doctor if you are using any of the following drugs:
• insulin or diabetes medications you take by mouth;
• cyclosporine (Gengraf, Neoral, Sandimmune);
• digoxin (digitalis, Lanoxin, Lanoxicaps);
• levothyroxine (Synthroid, Levoxyl, Levothroid); or
• a blood thinner such as warfarin (Coumadin).
If you are using any of these drugs, you may not be able to use Xenical, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Xenical. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Nadolol

Nadolol is used for:

Long-term management of chest pain or high blood pressure. It may be used alone or with other high blood pressure medicines. It may also be used for other conditions as determined by your doctor.

Nadolol is a beta-blocker. It works by interfering with certain body chemicals, which causes the heart to beat with less force and pump out less blood. This allows the heart to beat more slowly and regularly. By blocking these chemicals, blood vessels are relaxed and widened, allowing blood pressure to decrease.

Do not suddenly stop taking Nadolol . Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop Nadolol . The risk may be greater if you have certain types of heart disease. Your doctor should slowly lower your dose over several weeks if you need to stop taking it. This should be done even if you only take Nadolol for high blood pressure. Heart disease is common and you may not know you have it. Limit physical activity while you are lowering your dose. If new or worsened chest pain or other heart problems occur, contact your doctor right away. You may need to start taking Nadolol again.

Some medical conditions may interact with Nadolol . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

* if you are pregnant, planning to become pregnant, or are breast-feeding

* if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

* if you have allergies to medicines, foods, or other substances

* if you have breathing problems (including chronic obstructive pulmonary disease [COPD]), diabetes, congestive heart failure, overactive thyroid, kidney or circulation problems, or a tumor on your adrenal gland, or you are about to have major surgery

Some MEDICINES MAY INTERACT with Nadolol . Tell your health care provider if you are taking any other medicines, especially any of the following:

* Mibefradil because the risk of serious heart side effects may be increased

* Many prescription and nonprescription medicines (eg, used for infections, inflammation, aches and pains, high blood pressure, heart problems, irregular heartbeat, diabetes, depression, mental or mood problems, immune system suppression, allergic reactions, asthma, high cholesterol, seizures), multivitamin products, and herbal or dietary supplements (eg, herbal teas, coenzyme Q10, garlic, ginseng, ginkgo, St. John's wort) may interact with Nadolol , increasing the risk of side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nadolol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Use Nadolol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

* Take Nadolol by mouth with or without food.

* Take Nadolol on a regular schedule to get the most benefit from it. Taking Nadolol at the same time each day will help you remember to take it.

* Continue to take Nadolol even if you feel well. Do not miss any doses.

* Do not suddenly stop taking Nadolol . You may have an increased risk of side effects (eg, chest pain, heart palpitations, sweating, headache). If you need to stop Nadolol or add a new medicine, your doctor will gradually lower your dose.

* If you miss a dose of Nadolol , take it as soon as you remember if it is more than 8 hours before the next scheduled dose. If it is less than 8 hours until your next dose, skip the missed dose and return to your normal dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Nadolol .

* Nadolol may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Nadolol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

* Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.

* Do not suddenly stop taking Nadolol without talking with your health care provider, especially if you have heart disease. The dose should be reduced gradually over a period of 1 to 2 weeks. If chest pain becomes worse or heart problems develop, Nadolol should be restarted at least temporarily along with other medical treatment.

* If your doctor has instructed you to check your blood pressure and heart rate regularly, be sure to do so.

* Tell your doctor or dentist that you take Nadolol before you receive any medical or dental care, emergency care, or surgery.

* If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.

* Diabetes patients- Nadolol may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or make you more hungry. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

* Lab tests, including blood pressure, electrocardiogram (ECG), heart rate, and heart function tests, may be performed while you use Nadolol . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

* Nadolol should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

* PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nadolol while you are pregnant. Nadolol is found in breast milk. If you are or will be breast-feeding while you use Nadolol , check with your doctor. Discuss any possible risks to your baby.

If you stop taking Nadolol suddenly, you may have WITHDRAWAL symptoms. These may include fast heartbeat, low blood pressure, chest pain, and nervousness.

Store Nadolol at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep bottle tightly closed. Keep Nadolol out of the reach of children and away from pets.

Caduet

Atorvastatin is in a group of drugs called HMG CoA reductase inhibitors, or "statins." Atorvastatin blocks the production of cholesterol (a type of fat) in the body.
Amlodipine is in a group of drugs called calcium channel blockers. Amlodipine relaxes the blood vessels, improving blood flow and making it easier for the heart to pump.
Caduet is used to treat high blood pressure (hypertension) or chest pain (angina) that occurs with high cholesterol or triglyceride levels.
Caduet may also be used for other purposes not listed in this medication guide.
This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment. Do not take this medication if you are allergic to amlodipine (Norvasc) or atorvastatin (Lipitor), or if you have liver disease.
Before taking Caduet, tell your doctor if you have liver problems, heart disease, congestive heart failure, a serious illness or infection, or if you are taking other heart or blood pressure medications.
This medication is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.
Avoid drinking alcohol. Both alcohol and atorvastatin can be damaging to the liver. Alcohol can also further lower blood pressure and can increase some of the side effects of Caduet. Caduet can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.
Your doctor may occasionally change your dose to make sure you get the best results from this medication.
This medication is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.
Take the medicine with a full glass of water.
You may take this medication with or without food. Caduet is usually taken once a day. Try to take your dose at the same time each day. Follow your doctor's instructions.
To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your liver function may also need to be tested. Do not miss any scheduled appointments.
You may need to stop using the medication if you have an injury, serious infection or illness, seizures, metabolic disorders, or any type of surgery. Tell any doctor or other healthcare provider who treats you that you are taking Caduet.
If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.
Store Caduet at room temperature away from moisture and heat.
Avoid eating foods that are high in fat or cholesterol. This medication will not be as effective in treating your condition if you do not follow the diet plan recommended by your doctor.
Avoid drinking alcohol. Both alcohol and atorvastatin can be damaging to the liver. Alcohol can also further lower blood pressure and can increase some of the side effects of Caduet. Caduet can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Grapefruit and grapefruit juice may interact with Caduet. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.
Amlodipine and atorvastatin is available with a prescription under the brand name Caduet. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Caduet 5 mg - amlodipine/40 mg atorvastatin-white tablets
Caduet 5 mg - amlodipine/80 mg atorvastatin-white tablets
Caduet 10 mg - amlodipine/40 mg atorvastatin-blue tablets
Caduet 10 mg - amlodipine/80 mg atorvastatin-blue tablets
Caduet 5 mg - amlodipine/10 mg atorvastatin-white tablets
Caduet 5 mg - amlodipine/20 mg atorvastatin-white tablets
Caduet 10 mg - amlodipine/10 mg atorvastatin-blue tablets
Caduet 10 mg - amlodipine/20 mg atorvastatin-blue tablets
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Vagifem

Vagifem should not be used to prevent heart disease, heart attacks, strokes, or dementia. Estrogens have been shown to increase the risk of heart disease (including heart attack), stroke, dementia, serious blood clots (eg, in the lungs or legs), cancer of the uterus, and breast cancer in some women. Tell your doctor right away if you have unusual vaginal bleeding while you use Vagifem . Talk with your doctor if you have questions about the benefits and risks of using Vagifem .

Vagifem should be used for the shortest possible time at the lowest effective dose to minimize the risk of these side effects. Talk with your doctor regularly about your need to use Vagifem .

Vagifem is used for:

Treating itching, burning, and dryness in or around the vaginal area in women past menopause.

Vagifem is vaginal female hormone tablet. It works by replacing female hormones in women who are no longer able to produce the proper amount of hormone.

Use Vagifem as directed by your doctor. Check the label on the medicine for exact dosing instructions.

* An extra patient leaflet is available with Vagifem . Talk to your pharmacist if you have questions about this information.

* To use, tear off a single applicator, separate the plastic wrap, and remove the applicator from the plastic wrap.

* Select the position for vaginal insertion that is most comfortable for you (lying on the bed, squatting, or standing with one leg on a stool).

* Use the finger of one hand to press the applicator plunger. Use the other hand to gently and comfortably guide the applicator into the vagina. If the tablet falls out of the applicator before inserting the filled applicator, use a new applicator with a fresh tablet.

* Insert the tablet as far into the vagina as it can comfortably go without force.

* After inserting the filled applicator, gently press the plunger until you hear a click and the plunger is fully depressed. This will eject the tablet inside your vagina. The tablet will dissolve slowly over several hours.

* After depressing the plunger, gently remove the applicator and throw it away. Do not reuse the applicator.

* You may insert the tablet-filled applicator any time of day. You should use the applicator at the same time each day.

* Grapefruit and grapefruit juice may increase the risk of Vagifem 's side effects. Talk to your doctor before including grapefruit or grapefruit juice in your diet while you are taking Vagifem .

* If you miss a dose of Vagifem , use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Vagifem .

* Vagifem may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Vagifem with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

* Limit alcoholic beverages while you are using Vagifem .

* Vagifem may cause dark skin patches on your face (melasma). Exposure to the sun may make these patches darker and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding the use of sunscreens and protective clothing.

* Vagifem may increase the risk of blood clots. The risk may be greater if you smoke (especially in women older than 35 years of age).

* Contact your doctor if vaginal bleeding of unknown cause occurs. This could be a sign of a serious condition requiring immediate medical attention.

* Contact your doctor if vaginal discomfort occurs or if you suspect you have developed an infection while taking Vagifem .

* Follow your doctor's instructions for examining your breasts, and report any lumps immediately.

* If you wear contact lenses and you develop problems with them, contact your doctor.

* If you will be having surgery or will be confined to a chair or bed for a long period of time (eg, a long plane flight), notify your doctor beforehand. Special precautions may need to be taken in these circumstances while you are taking Vagifem .

* Vagifem may increase the risk of breast and endometrial cancer. Your doctor may prescribe another hormone (progestin) to decrease this risk.

* Vagifem may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Vagifem .

* Your doctor should reevaluate you every 3 to 6 months to determine whether or not you need to continue taking Vagifem .

* Diabetes patients - Vagifem may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

* Lab tests, including physical exams and blood pressure, may be performed while you use Vagifem . You should have breast and pelvic exams, and a Pap test at least once a year. You should also have periodic mammograms as determined by your doctor. Be sure to keep all doctor and lab appointments.

* Vagifem should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.

* PREGNANCY and BREAST-FEEDING: Do not use Vagifem if you are pregnant. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. Vagifem is found in breast milk. If you are or will be breast-feeding while you use Vagifem , check with your doctor. Discuss any possible risks to your baby.

Store Vagifem at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vagifem out of the reach of children and away from pets.

* If you have any questions about Vagifem , please talk with your doctor, pharmacist, or other health care provider.

* Vagifem is to be used only by the patient for whom it is prescribed. Do not share it with other people.

* If your symptoms do not improve or if they become worse, check with your doctor.

Labetalol

It is used for treating high blood pressure. It may be used alone or in combination with other medicines, such as diuretics. It may also be used for other conditions as determined by your doctor.

Labetalol is an adrenergic receptor blocker. It works by blocking both alpha and beta receptors in the body, which results in the lowering of blood pressure.

Do NOT use Labetalol if:

* you are allergic to any ingredient in Labetalol

* you have second- or third-degree heart block, moderate to severe first-degree heart block after a heart attack, heart failure, abnormal heart function test (eg, electrocardiogram [ECG]), or shock caused by serious heart problems

* you have asthma, obstructive airway disease, or other breathing disorders

* you have severe slow heartbeat or severe low blood pressure

Contact your doctor or health care provider right away if any of these apply to you.

Use Labetalol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

* Labetalol is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Labetalol at home, a health care provider will teach you how to use it. Be sure you understand how to use Labetalol . Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.

* Do not use Labetalol if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.

* Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.

* Because severe dizziness may occur upon standing, remain lying down immediately after and for up to 3 hours after receiving your dose. Talk with your doctor about how to gradually become active after your dose.

* If you miss a dose of Labetalol , use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Labetalol .

* Labetalol may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Labetalol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

* Labetalol may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

* Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.

* Do not suddenly stop using Labetalol without first checking with your doctor. Suddenly stopping Labetalol may result in chest pain or temporary symptoms such as shaking, sweating, headache, irregular heartbeat, and general unwell feeling. If your doctor decides that you should stop using Labetalol , your dosage should be reduced over a period of 1 to 2 weeks and you should be carefully monitored.

* Tell your doctor or dentist that you use Labetalol before you receive any medical or dental care, emergency care, or surgery.

* If you have a history of any severe allergic reaction, talk with your doctor. You may be at risk for an even more severe allergic reaction if you come into contact with the substance that caused your allergy. Some medicines used to treat severe allergies may also not work as well while you are using Labetalol .

* Labetalol may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Labetalol .

* If your doctor has instructed you to check your blood pressure and heart rate regularly, be sure to do so.

* Diabetes patients - Labetalol may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

* Diabetes patients - Labetalol may hide signs of low blood sugar, such as a rapid heartbeat. Be sure to watch for other signs of low blood sugar. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your vision change; give you a headache, chills, or tremors; or make you more hungry. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.

* Lab tests, including kidney and liver function tests, may be performed while you use Labetalol . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

* Labetalol should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

* PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Labetalol while you are pregnant. Labetalol is found in breast milk. If you are or will be breast-feeding while you use Labetalol , check with your doctor. Discuss any possible risks to your baby.