Copegus; 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, worsening liver function, 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.
- 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 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. 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.
If your child is breast-feeding a baby:
- 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.
- Signs of a pancreas problem (pancreatitis) like very bad stomach pain, very bad back pain, or very bad upset stomach or throwing up.
- 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.
- A fast heartbeat.
- Very bad dizziness or passing out.
- A big weight loss.
- Sudden change or loss of eyesight.
- Not able to pass urine or change in how much urine is passed.
- Very bad muscle pain or weakness.
- Pale skin.
- 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.
- Children and teens who take this drug may be at a greater risk of having thoughts or actions of suicide. Adults may also be at risk. The risk may be greater in people who have had these thoughts or actions in the past. Watch people who take this drug 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.
- Not able to sleep.
- Upset stomach or throwing up.
- Loose stools (diarrhea).
- Not hungry.
- Hair loss.
- Feeling tired or weak.
- Muscle or joint pain.
- Dry skin.
- Dry mouth.
- To gain the most benefit, do not miss giving your child doses.
- Give this drug with food.
- Give this drug at the same time of day.
- Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child’s doctor.
- 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.
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 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.