Instructions

Swallow the medicine without crushing or chewing it.

This medicine may be taken with or without food.

Try to avoid taking the medicine at bedtime.

Store at room temperature away from heat, light, and moisture. Do not keep in the bathroom.

It may take several weeks for this medicine to fully work.

It is important that you keep taking each dose of this medicine on time even if you are feeling well.

If you forget to take a dose on time, take it as soon as you remember. If it is almost time for the next dose, do not take the missed dose. Return to your normal schedule. Do not take 2 doses at one time.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Tell your doctor if symptoms do not get better or if they get worse.

Keep all appointments for medical exams and tests while on this medicine.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

This medicine is associated with an increased risk for seizures. Please ask your doctor whether you may be at risk for having a seizure while on this medicine.

Do not use the medication any more than instructed.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

Please check with your doctor before drinking alcohol while on this medicine.

Family should check on the patient often. Call the doctor if patient becomes more depressed, has thoughts of suicide, or shows changes in behavior.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

During pregnancy, this medicine should be used only when clearly needed. Talk to your doctor about the risks and benefits.

Do not share this medicine with anyone who has not been prescribed this medicine.

Some patients have serious side effects from this medicine. Ask your pharmacist to show you the information from the Food and Drug Administration (FDA) and discuss it with you.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• agitated feeling or trouble sleeping
• change in appetite
• constipation
• dizziness or drowsiness
• dry mouth
• headaches
• high blood pressure
• muscle pain
• nausea and vomiting
• problems with sexual functions or desire
• sore throat
• stomach upset or abdominal pain
• sweating
• weight loss

If you have any of the following side effects, you may be getting too much medicine. Please contact your doctor to let them know about these side effects.

• confusion
• diarrhea
• fainting
• hallucinations (unusual thoughts, seeing or hearing things that are not real)
• pain in the joints
• tight or rigid muscles
• muscle trembling

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• chest pain
• pain in the eye
• fast or irregular heart beats
• seizures
• shortness of breath
• suicidal thoughts
• blurring or changes of vision
• seeing halos or colors around lights

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.