Side Effects
Side effects, that may go away during treatment, include nausea, vomiting,
bleeding between menstrual periods, breast tenderness, or weight change.
If they continue or are bothersome, check with your doctor. Check with
your doctor as soon as possible if you experience persistent or recurrent
abnormal vaginal bleeding, a missed menstrual period, dizziness or fainting,
swelling of fingers or ankles, headache, or difficulty wearing contact
lenses. Contact your doctor immediately if you experience sharp or crushing
chest pain, sudden shortness of breath, sudden severe headache or leg pain,
yellow skin or eyes, changes in vision, numbness of an arm or leg, or severe
stomach pain. If you notice other effects not listed above, contact your
doctor, nurse, or pharmacist.
Precautions
Smoking cigarettes while using this medicine may increase your risk of stroke,
heart attack, blood clots, high blood pressure, or other diseases of the
heart and blood vessels. If you have vomiting or diarrhea for any reason,
your medicine may not work as well. Taking certain antibiotics or anticonvulsants
while you are using this medicine may decrease the effectiveness of this
medicine. To prevent pregnancy, use an additional form of birth control until
your next period. If you have any questions, contact your doctor, nurse,
or pharmacist. Before you have any medical or dental treatments, emergency
care, or surgery, tell the doctor or dentist that you are using this medicine.
If you wear contact lenses and you develop problems with them, contact your
doctor. Before you begin taking any new medicine, either prescription or
over-the-counter, check with your doctor or pharmacist. This medicine may
cause dark skin patches on your face. Exposure to the sun may make these
patches darker. If patches develop, use a sunscreen or protective clothing
when exposed to the sun, sunlamps, or tanning booths. Use of this medicine
will not prevent the spread of sexually transmitted diseases (STDs). Do not
use this medicine if you are pregnant. If you suspect that you could be pregannt,
contact your doctor immediately. This medicine is excreted in breast milk.
If you are or will be breast-feeding while you are using this medicine, check
with your doctor or pharmacist to discuss the risks to your baby.
Drug Interactions
Tell your doctor of all nonprescription and prescription medication you may
use, especially any nitrate medications (e.g., nitroglycerin, isosorbide
dinitrate), nitroprusside (any "nitric oxide donor" medicines), cimetidine,
erythromycin, azole antifungals (e.g., itraconazole, ketoconazole), mibefradil,
rifamycins (e.g., rifampin) or high blood pressure medicines.
Missed Dose
If you miss a dose, do not double the next dose. Instead, skip the missed dose
and resume your usual dosing schedule.
Storage
Store at room temperature away from light and moisture. Keep this and all medications
out of the reach of children.
Notes
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT
USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of
the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME,
obtain refills before your supply runs out.
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