Instructions

Carefully follow the instructions provided for mixing the medicine with water.

Measure the dose of liquid medicine carefully. Use the measuring device that comes with the medicine. If you do not have one, please ask your pharmacist for help.

Use only cool or cold water to mix the medicine. Do not use hot water.

Gently and slowly shake the bottle to mix the medicine with water. Do not shake hard.

Use a new syringe to measure each dose.

Drink the medicine immediately after mixing.

Take the medicine without a meal or with a meal low in calcium (50 milligrams or less).

This medicine will work best if you take it at about the same time every day.

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

Please ask your doctor, nurse, or pharmacist how to discard unused medicines safely.

Do not take any medicine containing calcium, magnesium, aluminum, selenium, bismuth, zinc or iron (e.g. antacids, vitamins, quinapril, didanosine, sucralfate) for 4 hours before or 2 hours after this medicine.

Do not eat any dairy or other high calcium foods for 4 hours before or 2 hours after this medicine.

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

If you forget a dose, just wait. Use the next dose at the usual time. Do not use 2 doses at once.

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 a rare, but serious problem of the liver. Speak to your doctor about the early signs of liver problems and the benefits and risks of using this medicine.

It is very important that you carefully measure the amount of medicine you take. Your healthcare provider or pharmacist should show you the correct way to measure this medicine.

Do not use the medication any more than instructed.

Do not breastfeed while on this medicine.

This medicine can hurt a new baby in the womb. If you become pregnant while on this medicine, tell your doctor immediately. Your doctor may switch you to a different medicine.

Women must use reliable forms of birth control while taking this medicine and for 1 week after stopping to prevent pregnancy.

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.

Always refill this medicine before it runs out.

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.

• diarrhea
• numbness or tingling in hands and feet
• headaches
• muscle pain
• nausea
• skin tingling

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

• chest or jaw pain
• changes in memory, mood, or thinking
• cough up blood
• fainting
• sudden leg pain, swelling, warmth or redness
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• red, burning, or itchy skin
• shortness of breath
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• blurring or changes of vision

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.