Instructions

Swallow the medicine without crushing or chewing it.

Do not mix the medicine with water ahead of time or save medicine that has been mixed with water for later use.

If medicine is mixed with food, use it immediately after mixing. Throw away any leftover food. Do not save for later use.

If unable to swallow the capsule, open capsule and sprinkle contents into 2 tablespoons of applesauce or 2 ounces of water and swallow right away.

This medicine may be taken with or without food.

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

Take the medicine first thing in the morning.

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.

If you forget to take a dose on time, take it as soon as possible in the morning or early afternoon. If you don't remember until later in the day, do not take the missed dose - return to regular schedule next day.

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

This medicine can be habit-forming. If you use this medicine regularly for a long time, it can lead to withdrawal symptoms when you stop. Please use this medicine only as directed.

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

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.

Do not use the medication any more than instructed.

This medicine may cause dizziness or fainting. Do not stand or sit up quickly.

If possible, avoid using with alcohol, marijuana, or other medicines that can cause dizziness or drowsiness. These include allergy/cold products, muscle relaxers, sleep aids, and pain relievers.

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.

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.

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

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
• decreased appetite
• dizziness
• headaches
• high blood pressure
• nausea
• nervousness
• stomach upset or abdominal pain
• weight loss

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

• anger or hostile feelings
• change in behavior
• chest or jaw pain
• pale, blue or cold fingers, toes or nails
• numbness or tingling in hands and feet
• sores or blisters on hands or feet
• hallucinations (unusual thoughts, seeing or hearing things that are not real)
• fast or irregular heart beats
• irritability
• mood changes
• uncontrollable movement of face, tongue, arms or legs
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• suicidal thoughts
• excessive or unusual sweating
• 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.