Precautions While Using This Medicine

It is important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.

Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (nonprescription) medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, since they could increase the unwanted effects of this medicine.

For patients with diabetes:

• This medicine may cause your blood sugar levels to rise, which could change the amount of insulin or diabetes medicine that you need to take.

For patients taking this medicine for asthma:

• If you still have trouble breathing or if your condition becomes worse (for example, if you have to use an inhaler more frequently to relieve asthma attacks), check with your doctor right away.

For patients who are using epinephrine injection :

• Because epinephrine reduces blood flow to the area where it is injected, it is possible that it could cause damage to the tissues if it is injected in one spot too often. Check with your doctor right away if you notice severe pain at the place of injection.

For patients who are using the epinephrine auto-injector :

• Do not inject this medicine into your hands or feet. There is already less blood flow to the hands and feet, and epinephrine could make that worse and cause damage to these tissues. If you accidentally inject epinephrine into your hands or feet, check with your doctor or go to the hospital emergency room right away.