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What are the precautions when taking this medicine?
• If you have been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine.
• Wear disease medical alert identification.
• 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.
• Do not run out of this medicine.
• Do not take St John's wort with this medicine. It may make this medicine less effective.
• Avoid exposure to chickenpox and measles.
• If you have diabetes, talk with healthcare provider. This medicine can increase blood sugar.
• If you have glaucoma or cataracts, talk with healthcare provider.
• If you have high blood pressure, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have osteoporosis, talk with healthcare provider.
• If you have seizures, talk with healthcare provider.
• If you have stomach ulcers, talk with healthcare provider.
• If you have thyroid disease, talk with healthcare provider.
• If you have tuberculosis, talk with healthcare provider.
• If you have a weakened heart, talk with healthcare provider.
• If you are being treated for any infection, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Tell dentists, surgeons, and other healthcare providers that you use this medicine.
• Avoid grapefruit and grapefruit juice.
• Avoid alcohol (includes wine, beer, and liquor).
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
• Do not use this medicine to treat an asthma attack.
• Do not put coverings (bandages, dressings, make-up) over the area unless told to do so by healthcare provider.
What are some possible side effects of this medicine?
• Mouth infection.
• Nasal congestion.
• Nasal irritation.
• Skin irritation.
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.
• Feeling extremely tired, weak, or irritable; trembling; having a fast heartbeat, confusion, sweating, or dizziness if you missed a dose or recently stopped this medicine.
• Unable to get breathing attack under control. Get emergency medical care right away. • Peak flow measurement low.
• Severe nasal irritation.
• Severe mouth irritation.
• Severe skin irritation.
• Any rash.
• No improvement in condition or feeling worse.