What should I watch for?
Visit your health care professional for regular checks on your progress. You should have a complete check-up every 6 months. You will need a regular breast and pelvic exam. You should also discuss the need for regular mammograms with your health care professional, and follow his or her guidelines.
This medicine can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your doctor or health care professional if you feel you are retaining fluid.
If you have any reason to think you are pregnant; stop taking this medicine at once and contact your doctor or health care professional.
Tobacco smoking increases the risk of getting a blood clot or having a stroke, especially if you are more than 35 years old. You are strongly advised not to smoke.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.
If you are going to have elective surgery, you may need to stop taking this medicine beforehand. Consult your health care professional for advice prior to scheduling the surgery.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
full or bloated feeling
heavy non-menstrual vaginal bleeding
pressure in the stomach
swelling of the abdominal or stomach area
Bloating or swelling of the face, arms, hands, legs, or feet
change in vaginal discharge
increased clear or white vaginal discharge
pain or feeling of pressure in the pelvis
rapid weight gain
tingling of the hands or feet
unusual weight gain or loss
Incidence not known
Abdominal or stomach pain
change in vision
chest pain or discomfort
clear or bloody discharge from nipple
coughing up blood
difficulty with speaking
dimpling of the breast skin
dizziness or lightheadedness
headache, severe and throbbing
inability to move the arms, legs, or facial muscles
inability to speak
loss of appetite
lump in the breast or under the arm
numbness or weakness in your arm or leg, or on one side of your body
pain or discomfort in the arms, jaw, back, or neck
pain or redness in your lower leg (calf)
persistent crusting or scaling of the nipple
poor insight and judgment
problems with memory, vision, speech, or walking
redness or swelling of the breast
shortness of breath
sore on the skin of the breast that does not heal
sudden or severe headache
sudden shortness of breath or troubled breathing
trouble recognizing objects
trouble thinking and planning
unusual tiredness or weakness
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
body aches or pain
general feeling of discomfort or illness
loss of voice
muscle aches and pains
pain in the arms or legs
pain or tenderness around the eyes and cheekbones
stuffy or runny nose
tightness of the chest or wheezing
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.