Labetalol

pronounced as (la bet' a lole)

Brand Name(s): Normodyne®, Trandate®, Normozide®(as a combination product containing Labetalol, Hydrochlorothiazide) ¶, Trandate HCT®(as a combination product containing Labetalol, Hydrochlorothiazide) ¶, also available generically

Why is this medicine prescribed?

Labetalol is used to treat high blood pressure. Labetalol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.

Are there other uses for this medicine?

Labetalol is also used sometimes to manage angina (chest pain) and to treat patients with tetanus. Talk to your doctor about the possible risks of using this medication for your condition.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used?

Labetalol comes as a tablet to take by mouth. Take two or three times a day. Take it around the same times every day.

Take labetalol exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Your doctor may start you on a low dose of labetalol and gradually increase your dose to allow your body to adjust to the medication. Talk to your doctor about how you feel and about any symptoms you experience during this time.

Labetalol controls high blood pressure but does not cure it. Continue to take labetalol even if you feel well. Do not stop taking labetalol without talking to your doctor. If you suddenly stop taking labetalol, you may experience serious heart problems.

What special precautions should I follow?

Before taking labetalol,

  • tell your doctor or pharmacist if you are allergic to this drug, any part of this drug, or any other drugs, foods or substances. Tell your doctor or pharmacist about the allergy and what symptoms you had.
  • tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take while taking labetalol. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
  • the following nonprescription or herbal products may interact with labetalol: cimetidine. Be sure to let your doctor and pharmacist know that you are taking this medication before you start taking labetalol. Do not start this medication while taking labetalol without discussing with your healthcare provider.
  • tell your doctor if you have a slow or irregular heartbeat, heart failure, or asthma or other lung diseases. Your doctor may tell you not to take labetalol.
  • tell your doctor if you have or have ever had diabetes, pheochromocytoma (a tumor that develops on a gland near the kidneys and may cause high blood pressure and fast heartbeat), or heart, kidney, or liver disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking labetalol, call your doctor.
  • you should know that labetalol may increase the risk of hypoglycemia (low blood sugar) and prevent the warning signs and symptoms that would tell you that your blood sugar is low. Let your doctor know if you are unable to eat or drink normally or are vomiting while you are taking labetalol. You should know the symptoms of low blood sugar and what to do if you have these symptoms.
  • you should know that labetalol may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start taking labetalol. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.
  • you should know that if you have allergic reactions to different substances, your reactions may be worse while you are taking labetalol, and your allergic reactions may not respond to the usual doses of injectable epinephrine.
  • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking labetalol.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget to take a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What should I do in case of overdose?

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help . If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Symptoms of overdose may include:

  • slow heartbeat
  • dizziness, fainting
  • fatigue or weakness
  • difficulty breathing
  • seizures

What side effects can this medicine cause?

Labetalol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • dizziness or lightheadedness
  • tiredness
  • headache
  • nausea, vomiting, constipation, gas

Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately or get emergency medical treatment:

  • shortness of breath or difficulty breathing
  • swelling of the feet and lower legs
  • sudden weight gain
  • chest pain
  • rapid, pounding, or irregular heartbeat
  • yellowing of the skin or whites of eyes, tenderness on the right upper side of the stomach, itching, loss of appetite, pale stools, or dark urine
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( https://www.fda.gov/Safety/MedWatch ) or by phone ( 1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Keep all medication out of sight and reach of children as many containers are not child-resistant. Always lock safety caps. Place the medication in a safe location – one that is up and away and out of their sight and reach. https://www.upandaway.org Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Use a medicine take-back program. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website https://goo.gl/c4Rm4p for more information.

What other information should I know?

Keep all appointments with your doctor and the laboratory. Your doctor may order certain laboratory tests to check your body's response to labetalol.

Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking labetalol.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies.

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