What should I watch for?
Tell your doctor or health care professional if your symptoms do not start to get better or if they get worse.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine 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 may interfere with the effect of this medicine. Avoid alcoholic drinks.
If you are taking another medicine that also causes drowsiness, you may have more side effects. Give your health care provider a list of all medicines you use. Your doctor will tell you how much medicine to take. Do not take more medicine than directed. Call emergency for help if you have problems breathing or unusual sleepiness.
This medicine can irritate your stomach or cause bleeding problems. Do not spoke cigarettes or drink alcohol. Do not lie down for 30 minutes after taking this medicine to prevent irritation to your throat.
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:
Burning feeling in the chest or stomach
tenderness in the stomach area
difficult or troubled breathing
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
shakiness and unsteady walk
shortness of breath
tightness in the chest
unsteadiness, trembling, or other problems with muscle control or coordination
Incidence not known
continuing ringing or buzzing or other unexplained noise in the ears
difficulty with swallowing
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
fast, pounding, or irregular heartbeat or pulse
flushing or redness of the skin
painful or difficult urination
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
sores, ulcers, or white spots on the lips or in the mouth
unusual bleeding or bruising
unusual tiredness or weakness
unusually warm skin
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Agitation or combativeness
black, tarry stools
blue lips and fingernails
change in consciousness
cold, clammy skin
coughing that sometimes produces a pink frothy sputum
decreased awareness or responsiveness
difficult, fast, or noisy breathing, sometimes with wheezing
expressed fear of impending death
extremely high fever or body temperature
fast or deep breathing
fast, weak pulse
holding false beliefs that cannot be changed by fact
irregular, fast or slow, or shallow breathing
loss of consciousness
loss of strength or energy
muscle pain or weakness
pale or blue lips, fingernails, or skin
pale, clammy skin
swelling in the legs and ankles
unusual excitement, nervousness, or restlessness
vomiting of blood or material that looks like coffee grounds
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:
Feeling of constant movement of self or surroundings
sensation of spinning
unable to sleep
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.