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What are the precautions when taking this medicine?
• If you have a fast heartbeat or are taking medicines to control your heartbeat, talk with healthcare provider.
• If you have heart disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Talk with healthcare provider before using aspirin, aspirin-containing products, other pain medicines, blood thinners, garlic, ginseng, ginkgo, or vitamin E.
• Tell dentists, surgeons, and other healthcare providers that you use this medicine.
• Avoid grapefruit and grapefruit juice.
• Do not take St John's wort with this medicine. It may make this medicine less effective.
• 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.
• Use birth control that you can trust to prevent pregnancy while taking this medicine.
What are some possible side effects of this medicine?
• Low blood pressure.
• Feeling tired or weak.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.
• Not hungry.
• High blood sugar.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Anemia or low platelet count can rarely occur. Medicine may need to be stopped.
• Abnormal taste. This is usually reversible.
• Low potassium level. Signs include feeling tired, weak, numbness, or tingling; muscle cramps; constipation; vomiting; or fast heartbeat.
• Risk of infection. Avoid people with infections, colds, or flu.
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.
• Difficulty breathing.
• Chest pain or pressure or fast heartbeat.
• Severe dizziness or passing out.
• Significant change in thinking clearly and logically.
• Severe headache.
• Severe nausea or vomiting.
• Severe diarrhea.
• Significant weight loss.
• Unusual bruising or bleeding.
• Feeling extremely tired or weak.
• Any rash.
• No improvement in condition or feeling worse.