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What are the precautions when taking this medicine?
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Avoid alcohol (includes wine, beer, and liquor).
• Talk with healthcare provider before using other: aspirin, aspirin-containing products, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain medicines, 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.
• Skin irritation.
• Hair loss. Hair usually grows back when medicine is stopped.
• For females, no menstrual cycle.
• Mouth irritation or mouth sores.
• Change in color of urine to brown or orange.
• Liver damage can rarely occur.
• Lung damage can rarely occur.
• Other forms of cancer can rarely occur later in life.
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.
• Difficulty breathing.
• Severe belly pain.
• Severe nausea or vomiting.
• Severe diarrhea.
• Unusual bruising or bleeding.
• Dark urine or yellow skin or eyes.
• Feeling extremely tired or weak.
• Any rash.
• No improvement in condition or feeling worse.