Instructions

DO NOT take this medicine by mouth.

Use the palm of your hand to apply the medicine to clean, intact, dry skin on your shoulder or upper arm. This area should be covered by clothing. Wait for the gel to dry before putting on your clothing. Do not use the medicine on any other area of your body.

Keep the medicine at room temperature. Avoid heat and direct light.

Please ask your doctor, nurse, or pharmacist how to discard unused medicines safely.

Gently rub the medicine into area until evenly spread.

Wash your hands before and after handling this medicine.

Do not touch your eyes, nose or mouth after handling the medicine.

Do not shower, bathe, or swim for at least 2 hours after applying the 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.

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

Cautions

This medicine may increase the risk of cancer. Ask your doctor about the benefits and risks.

This medicine is not safe for women or children. Wash the area where you applied this medication thoroughly before you have skin to skin contact with another person. Keep clothing that has touched the medicine away from women, children, and pets until they can be washed in warm water.

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

Do not use the medication any more than instructed.

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.

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.

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

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

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.

• acne
• burning or stinging
• hair loss
• headaches
• itching
• nausea and vomiting
• red, burning, or itchy skin
• problems with sexual functions or desire

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

• agitated feeling or trouble sleeping
• anger or hostile feelings
• decreased awareness or responsiveness
• breast pain or swelling
• chest pain
• changes in memory, mood, or thinking
• swelling of the legs, feet, and hands
• fast or irregular heart beats
• sudden leg pain, swelling, warmth or redness
• signs of liver damage (such as yellowing of eye or skin, dark urine, or unusual tiredness)
• shortness of breath
• light colored stool
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• sweating
• waking up at night to urinate
• difficulty or discomfort urinating
• 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.