Copegus [DSC]; Moderiba; Moderiba 1200 Dose Pack; Moderiba 800 Dose Pack; Rebetol; Ribasphere; Ribasphere RibaPak; RibaTab [DSC]
- Do not give this drug alone to your child to treat hepatitis C infection.
- A very bad blood problem called hemolytic anemia can happen with this drug. This can make heart disease worse and lead to very bad and sometimes deadly heart attacks. Tell your doctor if you have ever had heart problems. Do not take this drug if you have ever had very bad heart disease or heart problems that are not being treated. Call your doctor right away if you have chest pain while taking this drug.
If your child is pregnant:
- Do not give this drug to your child if she is pregnant. Use during pregnancy may cause birth defects or loss of the unborn baby. If your child gets pregnant or plans on getting pregnant while taking this drug, call the doctor right away.
If your child is or may be sexually active:
- Special care is needed to be sure your child or your child’s sex partner does not get pregnant. Two forms of birth control are needed during care and for 6 months after care ends. Talk with the doctor.
- Do not give this drug to your child if his sex partner is pregnant. Talk with the doctor.
- If your child or your child’s sex partner gets pregnant while taking this drug or within 6 months after stopping this drug, call the doctor right away.
- It is used to treat hepatitis C infection.
- 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: Autoimmune hepatitis, liver problems other than hepatitis C, kidney problems, sickle cell anemia, or thalassemia major.
- If your child has ever had very bad heart problems or heart problems that are not controlled.
- If your child is of childbearing age but is not using 2 kinds of birth control or if your child is planning to get pregnant during care or within 6 months after care has ended.
- If your child is taking didanosine.
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.
- 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 blood work checked as you have been told by the doctor. Talk with the doctor.
- Your child may need to have an ECG checked while taking this drug. Talk with the doctor.
- Get your child an eye exam as you have been told by the doctor.
- Have your child’s lung function checked as you have been told by the doctor. Talk with the doctor.
- If your child has high blood sugar (diabetes), talk with the doctor. This drug can raise blood sugar.
- If your child has had an organ transplant, talk with the doctor.
- This drug does not stop the spread of diseases like HIV or hepatitis that are passed through blood. Be sure needles and other things like toothbrushes or razors are not shared. Talk with the doctor.
- Watch for gout attacks.
- Alcohol may interact with this drug. Be sure your child does not drink alcohol.
- Take care of your child’s teeth. See a dentist often.
- Your child may have more chance of getting infections. Have your child wash hands often. Avoid crowds and people with infections, colds, or flu.
- This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk 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 a female of childbearing age, she must take a pregnancy test each month while taking this drug and for 6 months after care ends.
If your child is or may be sexually active:
- This drug does not stop the spread of diseases like HIV or hepatitis that are passed through having sex. Be sure your child does not have any kind of sex without using a latex or polyurethane condom. Talk with the doctor.
- If your child is a male and has a female sex partner who may get pregnant, she will need a pregnancy test each month during care and for 6 months after your child stops this drug.
- If your child has sex without using 2 kinds of birth control, if you think your child may be pregnant, or if your child misses her period, call the doctor right away.
- 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.
- Signs of a pancreas problem (pancreatitis) like very bad stomach pain, very bad back pain, or very bad upset stomach or throwing up.
- Change in eyesight.
- Loss of eyesight.
- Pale skin.
- Feeling confused.
- Very bad and sometimes deadly lung problems have happened with this drug. Call the doctor right away if your child has lung or breathing problems like trouble breathing, shortness of breath, or a cough that is new or worse.
- Drugs like this one have raised the chance of suicidal thoughts or actions in children and young adults. The risk may be greater in people who have had these thoughts or actions in the past. All people who take this drug need to be watched closely. Call the doctor right away if signs like low mood (depression), nervousness, restlessness, grouchiness, panic attacks, or changes in mood or actions are new or worse. Call the doctor right away if any thoughts or actions of suicide occur.
- 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.
- The ability of the bone marrow to make blood cells may be lowered. This can lead to very bad bleeding problems or infections. Tell the doctor right away if your child has signs of infection like fever, chills, or sore throat; any bruising or bleeding; or if your child feels very tired or weak.
- Flu-like signs.
- Not able to sleep.
- Upset stomach or throwing up.
- Loose stools (diarrhea).
- Not hungry.
- Belly pain.
- Hair loss.
- Feeling tired or weak.
- Muscle or joint pain.
- Dry skin.
- Dry mouth.
- Give this drug with food.
- Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child’s doctor.
- 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.
- It is important that your child does not miss or skip a dose of this drug during treatment.
- Do not have your child use longer than you have been told by your child’s doctor.
- This drug may be used along with interferon or peginterferon. If your child is using one of these drugs, read the patient fact sheet that comes with it.
- If your child has trouble swallowing, talk with the doctor.
- Have your child swallow whole. Do not let your child chew, break, or crush.
- 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.
- 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 take 2 doses at the same time or extra doses.
- If you are not sure what to do if you miss giving your child a dose, call the doctor.
Tablets and capsules:
- Store at room temperature.
- Store liquid (solution) at room temperature or in a refrigerator. Do not freeze.
All oral products:
- Store in a dry place. Do not store in a bathroom.
- Keep lid tightly closed.
- 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.
- 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.