- This drug may cause very bad and sometimes deadly kidney problems. The chance may be higher if your child has ever had kidney problems. Your child will be watched closely by the doctor. Talk with the doctor.
- This drug may cause very bad and sometimes deadly liver problems. The chance may be higher if your child has ever had liver problems. Your child will be watched closely by the doctor. Talk with the doctor.
- If your child has kidney or liver problems, talk with your child’s doctor. This drug may need to be avoided or the dose may need to be changed with certain types of kidney or liver problems.
- This drug may raise the chance of very bad and sometimes deadly stomach or bowel side effects like ulcers or bleeding. The risk is greater in older people. The risk is also greater in people who have had stomach or bowel ulcers or bleeding before. These problems may occur without warning signs. Talk with the doctor.
- It is used to get rid of iron when too much is in the body.
- 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: Cancer, certain blood or bone marrow problems (low platelets, high-risk myelodysplastic syndrome/MDS), kidney disease, or liver disease.
- If your child is using another drug like this one.
If your child is breast-feeding a baby:
- Talk with the doctor if your child is breast-feeding a baby or plans to breast-feed a baby.
- 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.
- Very bad and sometimes deadly blood cell problems may happen. You will need to have blood tests while you take this drug. Talk with your doctor. Tell your doctor right away if you have any signs of infection.
- Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
- Have your child’s blood work checked often. Talk with your child’s doctor.
- Have your child get an eye exam as you have been told by the doctor.
- Have your child’s hearing tested before starting this drug and while taking it.
- Do not give your child antacids that have aluminum in them with this drug.
- Do not switch between different forms of this drug without first talking with the doctor.
- If giving to your child, the dose of this drug may need to be changed as your child’s weight changes. Have your child’s weight checked often. Talk with the doctor before changing your child’s dose.
If your child is or may be sexually active:
- Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also, like a condom, when taking this drug.
If your child is pregnant:
- Tell the doctor if your child is pregnant or becomes pregnant. You will need to talk about the benefits and risks of your child using this drug while pregnant.
- 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 or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- Signs of bleeding like throwing up blood or throw up that looks like coffee grounds; coughing up blood; blood in the urine; black, red, or tarry stools; bleeding from the gums; vaginal bleeding that is not normal; bruises without a reason or that get bigger; or any bleeding that is very bad or that you cannot stop.
- Feeling very tired or weak.
- Change in hearing.
- Hearing loss.
- Change in eyesight.
- Very bad belly pain.
- Rashes may happen with this drug. This drug may need to be stopped for some types of rashes. If your child gets a rash while taking this drug, call your child’s doctor right away to find out what to do.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if your child has signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in the mouth, throat, nose, or eyes.
- Belly pain.
- Upset stomach or throwing up.
- Loose stools (diarrhea).
Tablets for suspension:
- Give on an empty stomach. Give 30 minutes before a meal.
- Mix the tablet with fruit juice (orange, apple) or water until melted and have your child drink right away. Do not let your child chew or swallow it whole.
- After drinking, rinse the rest of the drug in the glass with more juice or water and have your child drink.
- Give on an empty stomach or with a light meal.
- Give this drug by mouth with water or other liquid.
- If your child cannot swallow tablets, the tablet may be crushed and added to a small amount of soft food. Give the mixture right away. Do not store for future use.
- The 90 mg tablet must not be crushed using certain types of tablet crushers. If you will be crushing the 90 mg tablet, talk with the doctor or pharmacist.
- Give this drug at the same time of day.
- To gain the most benefit, do not miss giving your child doses.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, 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.
- Check with your pharmacist about how to throw out unused drugs.
- 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.
- 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.