Instructions

Swallow the medicine without crushing or chewing it.

This medicine may be taken with or without food.

Taking a plain (non-coated) aspirin 30 minutes before this medicine may help reduce flushing. Ask your doctor or pharmacist if this is right for you.

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

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

Store unopened bottles in the refrigerator. After opening, store the medicine at room temperature away from heat, light, and moisture. Do not store in the bathroom.

Discard any unused medicine 3 months after opening.

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.

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

Cautions

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

Do not use the medication any more than instructed.

This medicine may reduce your body's ability to fight infections. Avoid contact with people with colds, flu or other infections. Contact your doctor if you develop fever, cough, sore throat, or chills.

Speak with your health care provider before receiving any vaccinations.

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.

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.

• feeling of heat or flushing
• itching
• nausea and vomiting
• red, burning, or itchy skin
• stomach upset or abdominal pain

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

• loss of balance
• changes in memory, mood, or thinking
• difficulty concentrating
• confusion
• cough that does not go away
• coughing up blood or vomit that looks like coffee grounds
• high fever
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• seizures
• blistering or peeling of the skin
• difficulty speaking
• bloody or dark, tarry stools
• blurring or changes of vision
• weakness

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.