- Very bad and sometimes deadly heart problems like abnormal heartbeats have happened with this drug. Abnormal heartbeats may happen because of electrolyte problems. Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Talk with the doctor if your child is taking any drugs that can cause a certain type of heartbeat that is not normal (prolonged QT interval). There are many drugs that can do this. Ask the doctor or pharmacist if you are not sure.
- Do not give this drug if your child takes any drugs (prescription or OTC, natural products, vitamins) that must not be taken with this drug, like certain drugs that are used for HIV, infections, or depression. Many other drugs interact with this drug and/or must not be taken with this drug. These drugs can raise the chance of very bad and sometimes deadly side effects. Talk with the doctor and pharmacist to make sure that it is safe for your child to use this drug with all of your child’s other drugs.
- Avoid giving your child grapefruit and grapefruit juice.
- Heart attacks and sudden death have happened with this drug. These effects have happened even in people who are not at risk. Tell the doctor if your child or a family member has ever had a long QT on ECG. Tell the doctor if your child has ever had heart problems like an abnormal heartbeat, heart disease, heart defects, or heart failure; lung failure; or electrolyte problems like low potassium, calcium, or magnesium levels. Tell the doctor if your child has very bad dehydration, poor nutrition, an eating disorder, kidney failure, or is throwing up. Tell the doctor if your child is taking insulin or a certain type of diuretic like spironolactone.
- Your child will need an ECG before starting this drug and during treatment. Talk with the doctor.
- Call the doctor right away if your child feels dizzy, has a fast heartbeat or a heartbeat that does not feel normal, or passes out.
- Do not give your child more of this drug than what the doctor told you to give. Giving more of this drug than you are told may raise the chance of very bad side effects.
- It is used to treat heartburn.
- It may be given to your child for other reasons. Talk with the doctor.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has any of these health problems: A bowel block, stomach or bowel bleeding, or a hole in the stomach or bowel.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Have your child quit smoking; raise head of the bed; avoid large meals before bed; lose weight; and avoid fatty foods, chocolate, caffeine, or citrus.
- Alcohol may interact with this drug. Be sure your child does not drink alcohol.
- Talk with the doctor before giving your child other drugs and natural products that may slow your child’s actions.
- This drug is not approved for use in children younger than 16 years of age. Very bad and sometimes deadly side effects have happened in these children. Talk with the doctor.
If your child is pregnant or breast-feeding a baby:
- Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- A fast heartbeat.
- A heartbeat that does not feel normal.
- Dizziness or passing out.
- Chest pain or pressure.
- Belly pain.
- Loose stools (diarrhea).
- Hard stools (constipation).
- Runny nose.
- Upset stomach.
- Give at least 15 minutes before meals and at bedtime.
- Shake well before use.
- Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug.
- Skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- Protect from light.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled. If you have any questions about this drug, please talk with the doctor, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.