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When gradually stopping this medicationit is recommended that you temporarily limit physical activity to decrease strain on the heartGet medical help right away if you develop chest pain/tightness/pressurechest pain spreading to the jaw/neck/armunusual sweatingtrouble breathingor fast/irregular heartbeat.
Do not skip doses or stop taking Bystolic without first talking to your doctorStopping suddenly may make your condition worse or cause other serious heart problems such as severe chest pain or heart attackYou may need to use less and less before you stop the medication completelyIf you need surgerytell the surgeon ahead of time that you are using Bystolic.
Alsoto avoid a potentially serious or life-threatening conditiontell your healthcare provider if you are taking or plan to take any prescription or over-the-counter medicationsvitaminsor herbal productsincluding:
Certain CYP2D6 inhibitorssuch as some antiarrhythmics like quinidine or propafenone or certain antidepressants such as fluoxetine or paroxetineetcOther beta blockers Digitalis Certain calcium channel blockerssuch as verapamil and diltiazemAntiarrhythmic agentssuch as disopyramide)
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