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What are the precautions when taking this medicine?
• Disease symptoms may worsen before improving.
• If you have mental illness, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Birth control pills and other hormone-based birth control may not work to prevent pregnancy. Use another form of birth control while taking this medicine.
What are some possible side effects of this medicine?
• Flushing. Wearing layers of clothes or summer clothes and cool environment may help.
• Increased bone pain, blood in urine, and difficulty urinating. Usually resolved 1-2 weeks after treatment has started.
• Weakened bones with long-term use.
• Feeling tired or weak.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Mood changes.
• Inability to sleep.
• Short-term vaginal bleeding.
• Change in sexual ability or desire. This is usually reversible.
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 depression, suicidal thoughts, nervousness, emotional ups and downs, abnormal thinking, anxiety, or lack of interest in life.
• Significant change in thinking clearly and logically.
• Severe behavioral problems.
• Severe headache.
• Severe nausea or vomiting.
• Swelling or pain of leg or arm.
• Increased bone pain after 2-4 weeks of treatment.
• Severe back pain.
• Feeling extremely tired or weak.
• Unable to pass urine.
• Sudden change in vision.
• Vaginal bleeding for more than 2 months.
• Severe skin irritation.
• Any rash.
• No improvement in condition or feeling worse.