What should I watch for?
Visit your doctor or health care professional for regular check ups. Check your blood pressure regularly. Ask your doctor or health care professional what your blood pressure should be, and when you should contact him or her. If you are a diabetic, check your blood sugar as directed.
You may need to be on a special diet while taking this medicine. Ask your doctor. Also, ask how many glasses of fluid you need to drink each day. You must not get dehydrated.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
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:
decreased urine output
fast or irregular heartbeat
flushed, dry skin
fruit-like breath odor
joint pain, stiffness, or swelling
loss of appetite
loss of mental alertness
lower back, side, or stomach pain
mood or mental changes
muscle pain or cramps
nausea or vomiting
numbness or tingling in the hands, feet, or lips
shortness of breath
swelling of face, hands, feet, ankles, or lower legs
unexplained weight loss
unusual tiredness or weakness
black, tarry stools
blood in the urine or stools
deep or fast breathing with dizziness
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
increase in heart rate
increased blood pressure
numbness of feet, hands, and around the mouth
pinpoint red spots on the skin
trembling, jerking of hands
unusual bleeding or bruising
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
pain in chest, groin, or legs, especially the calves
severe, sudden headache
sudden loss of coordination
sudden, severe weakness or numbness in the arm or leg
sudden, unexplained shortness of breath
unusual drowsiness, dullness, or feeling of sluggishness
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:
Decreased interest in sexual intercourse
difficulty with moving
feeling of constant movement of self or surroundings
inability to have or keep an erection
loss in sexual ability, desire, drive, or performance
muscle or bone pain
pain, swelling, or redness in joints
sensation of spinning
shorter than usual time to ejaculation of semen
trouble with hearing
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.