Instructions

Drink the medicine.

Do not mix this medicine with other liquids before using.

Store at room temperature or in the refrigerator. Do not freeze.

Keep the medicine away from heat and light.

Chilling this medicine may reduce its bad taste.

Shake the bottle well before using the medicine.

Drink at least 4 cups (32 ounces) of water after each dose.

To reduce constipation, eat high fiber foods, drink plenty of water and exercise.

This medicine can reduce the absorption of other medicines. Talk to your doctor or pharmacist about the best times to use this product.

If you are using this medicine regularly, it is important to take each dose of medicine on time. Keep taking the medicine even if you feel 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.

You may stop using this medicine if you no longer have symptoms.

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

Do not take the medicine more than six times during 24 hours.

Cautions

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

This medicine is associated with a rare but very serious medical condition. Please speak with your doctor about symptoms you should look out for while on this medicine. Notify your doctor immediately if you develop those symptoms.

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this 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.

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.

• constipation

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

• severe or persistent abdominal pain
• decreased appetite
• changes in memory, mood, or thinking
• confusion
• severe or persistent constipation
• coughing up blood or vomit that looks like coffee grounds
• mood changes
• muscle weakness
• stomach pain
• dark, tarry stool
• unusual or unexplained tiredness or weakness
• difficulty or discomfort urinating
• severe or persistent vomiting

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.