Instructions

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.

This medicine may affect your blood sugar levels. If you have diabetes, talk to your doctor before changing the dose of your diabetes medicine.

If the rod comes through the skin, call your doctor right away.

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

Cautions

This medicine is associated with an increased risk of serious heart problems, heart attack, and stroke. Please speak with your doctor about the risks and benefits of using this medicine. Contact your doctor immediately if you experience chest pain or difficulty breathing.

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

Do not breastfeed while on this medicine.

Do not use this medicine if you are pregnant. If you become pregnant, contact your doctor immediately.

This medicine can cause birth defects. Speak with your doctor about birth control methods that should be used while on this medicine.

This medicine may reduce sperm count.

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

If you have a painful erection or an erection for more than 4 hours, seek medical care right away.

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.

• acne
• hair loss
• headaches
• problems with sexual functions or desire
• pain, heat, swelling or redness at the incision site

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

• agitated feeling or trouble sleeping
• breast lumps
• breast pain or swelling
• breathing interruption during sleep
• chest or jaw pain
• confusion
• depression or feeling sad
• swelling of the legs, feet, and hands
• fainting
• numbness or tingling in hands and feet
• fast or irregular heart beats
• sudden leg pain, swelling, warmth or redness
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• shakiness
• shortness of breath
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• sweating
• waking up at night to urinate
• difficulty or discomfort urinating
• increased urinary frequency
• 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.