Instructions

Place the pill under the tongue and let it dissolve.

Do not swallow for at least 1 minute after taking this medicine.

Avoid eating or drinking for 5 minutes before and after the medicine has completely dissolved.

Do not chew or swallow it whole.

Take the medicine without food.

Peel back foil, carefully remove tablet using dry hands. Do not push the tablet through the foil.

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.

The first dose will be given by health care provider who will monitor for a severe allergic reaction. Later doses may be given by a health care provider or at home.

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.

Your doctor may prescribe other medications to reduce side effects. Follow instructions carefully.

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

Cautions

Always wash your hands after handling this medicine.

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

Do not use the medication any more than instructed.

Tell the doctor or pharmacist if you are pregnant, planning to be pregnant, or breastfeeding.

It is unknown if 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.

Contact your doctor immediately if you experience any swelling of your hands, face, lips, eyes, throat or tongue.

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.

• coughing
• mouth sores or irritation

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

• wheezing or difficulty breathing
• chest pain
• dizziness
• swelling of the face, mouth, tongue, or throat
• feeling of heat or flushing
• fast or irregular heart beats
• hoarseness or throat irritation
• red, burning, or itchy skin
• difficulty swallowing
• change in sound of voice

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.