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before taking this medication, tell your doctor if you are taking any of the following medicines an angiotensin-converting-enzyme ace inhibitor such as benazepril lotensin , enalapril vasotec , captopril capoten , lisinopril prinivil, zestril , quinapril accupril , ramipril altace , fosinopril monopril , moexipril univasc , trandolapril mavik , and others; a beta-blocker such as acebutolol sectral , atenolol tenormin , bisoprolol zebeta , carvedilol coreg , labetalol normodyne, trandate , metoprolol lopressor, toprol xl , propranolol inderal , and others; a water pill diuretic such as hydrochlorothiazide hctz, hydrodiuril, others , chlorothiazide diuril , chlorthalidone hygroton, thalitone , furosemide lasix , torsemide demadex , bumetanide bumex , ethacrynic acid edecrin , triamterene dyrenium, maxzide, dyazide , amiloride midamor , spironolactone aldactone , and others; a medicine used to treat myasthenia gravis such as pyridostigmine mestinon or neostigmine prostigmin ; an oral or injectable anticoagulant such as warfarin coumadin , heparin, ardeparin normiflo , dalteparin fragmin , danaparoid orgaran , enoxaparin lovenox , or tinzaparin innohep ; phenytoin dilantin , valproic acid depakene, others , or sodium valproate depakote ; an oral diabetes medicine such as glipizide glucotrol , glyburide micronase, diabeta , and others; methotrexate folex pfs, rheumatrex dose pack, others ; acetazolamide diamox, others ; probenecid benemid ; or sulfinpyrazone anturane .
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advise patients 1 to avoid operating automobiles and machinery or engaging in other tasks requiring alertness until the patient s response to therapy with lopressor has been determined; 2 to contact the physician if any difficulty in breathing occurs; 3 to inform the physician or dentist before any type of surgery that he or she is taking lopressor.
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