Instructions

Swallow the medicine without crushing or chewing it.

Sit or stand upright for 10 minutes after taking the medicine. Do not lie down.

Swallow with a full glass (8 oz) of water unless your doctor gives you different instructions.

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

Drink plenty of water while on this medicine.

Avoid dairy products, calcium-enriched juice or any other high calcium foods within 3 hours before or after taking this medicine.

Do not take any medicine containing calcium, magnesium, aluminum, bismuth, zinc or iron (such as antacids, vitamins, quinapril, didanosine, sucralfate) for 3 hours before or 3 hours after this medicine.

This medicine can make you sensitive to the sun. Use sunscreen or protective clothing when in sun.

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.

Talk to your doctor before taking other medicines, including aspirins and ibuprofen containing products. Speak to your doctor about which medicines are safe to use while you are on this medicine.

Keep using this medicine for the full number of days that it is prescribed. Do not stop the medicine even if you start to feel better.

Your tongue may turn a dark color while taking this medicine. This is harmless and will go away when you stop the medicine.

This medicine can cause permanent change in teeth color in children.

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

Cautions

This medicine is not approved for use in children younger than 18.

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

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.

Do not drink beverages with alcohol while on this medicine.

Please tell your doctor if you have moderate to severe diarrhea while on this medicine. Do not treat the diarrhea with over-the-counter diarrhea medicine.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

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

Do not share this medicine with anyone who has not been prescribed this medicine.

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
• headaches
• nausea
• stomach upset or abdominal pain
• changes in taste or unpleasant taste
• vaginal itching or discharge

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

• bleeding or bruising
• confusion
• severe, watery or bloody diarrhea
• dizziness
• ear problems (ringing in the ears, hearing loss)
• fainting
• fever or chills
• numbness or tingling in hands and feet
• severe or persistent headache
• fast or irregular heart beats
• signs of kidney damage (such as change in urine color or bubbly urine)
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• sore or stiff neck
• seizures
• red, peeling or blistering skin
• difficulty speaking
• severe stomach or bowel pain
• bloody or dark, tarry stools
• swelling in the neck or throat
• increased urinary frequency
• difficulty or discomfort urinating
• blurring or changes of vision
• vision problems - blind spots or dark spots
• 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.