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This drug should not be used with the following medications because very serious interactions may occur: ketorolac, mifepristone.

If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: ACE inhibitors (e.g., lisinopril, enalapril), acetazolamide, antacids, anti-seizure medications (e.g., phenytoin, valproic acid), "blood thinners" (e.g., warfarin, heparin, ticlopidine), certain diabetes drugs (sulfonylureas such as glyburide), certain drugs used to treat gout (uricosuric drugs such as probenecid, sulfinpyrazone), corticosteroids (e.g., dexamethasone), ginkgo biloba, lepirudin, methotrexate, pemetrexed, salicylates (e.g., salsalate), spironolactone, SSRI antidepressants (e.g., fluoxetine, fluvoxamine).

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), other muscle relaxants, psychiatric medicines (e.g., chlorpromazine, risperidone, trazodone).

Check the labels on all your medicines (e.g., cough-and-cold products, pain relievers/fever reducers) because they may contain aspirin and/or aspirin-related drugs (NSAIDs such as ibuprofen or naproxen) or ingredients that may cause drowsiness. Ask your pharmacist about using those products safely.

This medication may interfere with certain laboratory tests (including urine 5-HIAA/VMA tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness/dizziness, persistent nausea/vomiting, ringing in the ears.

NOTES: Do not share this medication with others.

This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.

MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised May 2010 Copyright(c) 2010 First DataBank, Inc.