Special precautions

• Alpha blockers (medicine for high blood pressure) - This medicine should not be used at the same time as Xatral .
• Atenolol (e.g., Tenormin) - Using this medicine at the same time as Xatral can cause very low blood pressure and a slower heart beat.
• Cimetidine (e.g., Tagamet) - Using this medicine at the same time as Xatral can cause there to be more Xatral in your body.
• Diltiazem (e.g., Cardizem) - Using this medicine at the same time as Xatral can cause very low blood pressure.
• Itraconazole (e.g., Sporanox) or
• Ketoconazole (e.g., Nizoral) or
• Ritonavir (e.g., Norvir) - these medicines may cause there to be more Xatral in your body and they should not be used at the same time as Xatral .

Other medical problems - the presence of other medical problems may affect the use of Xatral . Make sure you tell your doctor if you have any other medical problems, especially:

• Prostatic carcinoma (cancer of the prostate) - this medical condition may have the same symptoms as your medical condition. Your doctor will want to know because different treatment is need for prostatic carcinoma.
• Liver disease, moderate or severe - Patients with this condition should not use Xatral .

Side effects

• Rare

• Chest pain;  fast, pounding, or irregular heartbeat or pulse;  painful or prolonged erection of the penis 

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome.

• More Common

• Dizziness 

• Less common

• Abdominal pain;  acid or sour stomach ;  belching;  body aches or pain;  chills;  congestion ;  cough;  cough producing mucus;  decreased interest in sexual intercourse;  difficulty breathing;  difficulty having a bowel movement (stool);  dryness or soreness of throat;  ear congestion;  fever;  headache;  heartburn ;  hoarseness;  inability to have or keep an erection;  indigestion;  loss in sexual ability, desire, drive, or performance;  loss of voice;  nasal congestion;  nausea;  pain;  pain or tenderness around eyes and cheekbones;  runny nose;  shortness of breath;  sneezing;  sore throat;  stomach discomfort, upset, or pain;  stuffy or runny nose;  tender, swollen glands in neck;  tightness in chest;  trouble in swallowing ;  unusual tiredness or weakness;  wheezing;  voice changes 

• Rare

• Rash 

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Keep all appointments with your doctor.

Don’t let anyone else take your medicines.

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