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What are the precautions when taking this medicine?
• If you have a fast heartbeat, talk with healthcare provider.
• If you have heart disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have had an irritated pancreas, talk with healthcare provider.
• If you have had recent stomach surgery or any stomach problems, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• 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 take St John's wort with this medicine. It may make this medicine less effective.
• Avoid grapefruit and grapefruit juice.
• 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.
What are some possible side effects of this medicine?
• Anemia, low white blood cell count, and low platelet count. Medicine may need to be stopped.
• 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.
• High blood sugar.
• Muscle pain.
• Runny nose.
• Feeling tired or weak.
• Skin irritation.
• Fast heartbeat can rarely occur.
• Liver 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.
• Chest pain or pressure, fast heartbeat, or passing out.
• Difficulty breathing.
• Severe nausea or vomiting.
• Severe diarrhea.
• Severe belly pain.
• Severe headache.
• Significant weight gain.
• Severe swelling or pain of hands or feet.
• Unusual bruising or bleeding.
• Dark urine or yellow skin or eyes.
• Feeling extremely tired or weak.
• Sudden change or loss of vision.
• Any rash.
• No improvement in condition or feeling worse.