- This drug may cause very bad and sometimes deadly liver and spleen problems. Signs may not happen until these problems become very bad. Call the doctor right away if your child has signs of liver or spleen problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, throwing up, or yellow skin or eyes.
- This drug may change cholesterol levels and raise your child’s chance of heart disease. Talk with the doctor.
- It is used to treat anemia.
- 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: Kidney disease, liver disease, or prostate cancer.
- If your child is a male and has breast cancer.
- If your child is a female and has breast cancer with high calcium levels.
If your child is pregnant:
- Do not give this drug to your child if she is pregnant.
- 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.
- If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
- Have your child’s blood pressure and heart rate checked often. Talk with your child’s doctor.
- Have your child’s blood work checked. Talk with your child’s doctor.
- This drug may affect certain lab tests. Tell all of your child’s health care providers and lab workers that your child takes this drug.
- Your child may bleed more easily. Make sure your child is careful and avoids injury. Be sure your child has a soft toothbrush.
- This drug does not help you to be better at sports.
- Use with care in children. Talk with the doctor.
- This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.
If your child is pregnant or breast-feeding a baby:
- This drug may cause harm to the unborn baby if your child takes it during pregnancy. If your child is pregnant or gets pregnant while taking this drug, call the doctor right away.
- Tell the doctor if your child is breast-feeding a baby. You will need to talk about any risks to the baby.
- 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.
- For males, erections (hard penis) that happen often or that last a long time.
- Pimples (acne).
- Shortness of breath, a big weight gain, swelling in the arms or legs.
- Not able to pass urine or change in how much urine is passed.
- Muscle weakness.
- Any unexplained bruising or bleeding.
- Very nervous and excitable.
- For females, a deep voice, facial hair, or pimples.
If your child has menstrual periods:
- Period (menstrual) changes.
- Loose stools (diarrhea).
- Nervous and excitable.
- Not able to sleep.
If your child is or may be sexually active:
- Change in sex ability.
- Give this drug with or without food. Give with food if it causes an upset stomach.
- 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 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.