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What are the precautions when taking this medicine?
• Talk with healthcare provider before receiving any vaccinations. Use with this medicine may either increase the risk of serious infection or make the vaccination less effective.
• If you have kidney disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have a weakened heart, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• You may bleed more easily. Be careful. Avoid injury. Use soft toothbrush, electric razor.
• Talk with healthcare provider before using aspirin, aspirin-containing products, other pain medicines, blood thinners, garlic, ginseng, ginkgo, or vitamin E.
• Use birth control that you can trust to prevent pregnancy while taking this medicine.
• If you are a male and sexually active, protect your partner from pregnancy. Use birth control that you can trust.
What are some possible side effects of this medicine?
• Risk of infection. Avoid people with infections, colds, or flu.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Anemia, low white blood cell count, and low platelet count.
• Change in color of urine to orange or red.
• Belly pain.
• Hair loss. Hair usually grows back when medicine is stopped.
• Mouth irritation. Frequent mouth care with a soft toothbrush or cotton swabs and rinsing mouth may help.
• Low potassium level. Signs include feeling tired, weak, numbness, or tingling; muscle cramps; constipation; vomiting; or fast heartbeat.
• Heart damage can rarely occur.
Reasons to call healthcare provider immediately
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, or anal itching or pain.
• Fast heartbeat.
• Difficulty breathing.
• Persistent cough.
• Severe nausea or vomiting.
• Severe diarrhea.
• Unusual bruising or bleeding.
• Signs of low potassium.
• Dark urine or yellow skin or eyes.
• Feeling extremely tired or weak.
• Any rash.
• No improvement in condition or feeling worse.