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Directions
Follow the directions for using this medicine provided
by your doctor. This medicine comes with a patient information
leaflet. Ask your doctor, nurse, or pharmacist any questions
that you may have before using this medicine. Try to take this
medicine at the same time every day, not more than 24 hours
apart. If you have any questions, contact your doctor, nurse, or
pharmacist.
Precautions
Do not smoke cigarettes while using this
medicine. It 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.
Be sure to tell your doctor if you are using any nitrate
medications (e.g., nitroglycerin, isosorbide dinitrate),
nitroprusside (any "nitric oxide donor" medicines), cimetidine,
erythromycin, azole antifungals (e.g., itraconazole), mibefradil,
ketoconazole, rifamycins (e.g., rifampin) or high blood pressure
medicines.
Side
Effects
Known side effects include nausea, vomiting, breast tenderness,
bleeding between menstrual periods, 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.
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