Instructions

This medicine may be taken with or without food.

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

Avoid grapefruit and grapefruit juice while on this medicine.

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.

The foods you eat can change how well this medicine works. Tell your doctor about the types of food you normally eat. Ask your doctor for a list of foods that can affect this medicine. Do not significantly change the foods you normally eat while on this medicine.

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

Cautions

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.

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

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.

Please check with your doctor before drinking alcohol while on this medicine.

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

Do not breastfeed while on this medicine. This medicine can pass through breast milk to the baby.

Do not take St. John's wort while on this medicine.

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.

• chest pain
• dizziness or drowsiness
• dry mouth
• lack of energy and tiredness
• high blood pressure
• nausea
• skin tingling, burning or prickly feeling
• stomach upset or abdominal pain
• weakness

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

• loss of balance
• worsening chest pain or crushing feeling
• confusion
• severe, watery or bloody diarrhea
• swelling of the face, mouth, tongue, or throat
• fainting
• cold hands or feet
• hallucinations (unusual thoughts, seeing or hearing things that are not real)
• severe or persistent headache
• fast or irregular heart beats
• muscle aches, spasms or abnormal movements
• pale or blue skin, lips or fingernails
• restlessness
• shortness of breath
• slurred speech
• severe stomach pain that spreads to the back
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• sweating at night
• unsteadiness while walking
• blurring or changes of vision
• severe or persistent vomiting
• weakness on one side of the body

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.