HOW TO USE: Take this medication by mouth with or without food, usually 3 to 4 times a day as needed, or as directed by your doctor. Take this medication with a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. Do not lie down for 30 minutes after taking this medication. If this medication causes stomach upset, take it with food or milk.Dosage is based on your medical condition and response to treatment. Take this medication exactly as directed. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.If this medication has been used regularly for a long time or in high doses, withdrawal symptoms (such as shakiness, confusion, difficulty sleeping, vomiting, and rarely seizures) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction.Tell your doctor if your condition persists or worsens.

SIDE EFFECTS: Drowsiness, dizziness, unsteadiness, headache, excitement, nausea, vomiting, diarrhea, and heartburn may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.To reduce the risk of dizziness and light-headedness, get up slowly when rising from a sitting or lying position.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these rare but serious side effects occur: numbness/tingling/swelling of arms/legs, difficulty hearing/ringing in the ears.This drug may rarely cause serious bleeding from the stomach/intestines or other areas of the body. If you notice any of the following unlikely but very serious side effects, seek immediate medical attention: black/tarry stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds, slurred speech, weakness on one side of the body, sudden vision changes, severe headache.Tell your doctor if you notice any of the following rare but very serious side effects: easy bruising/bleeding, fast/irregular heartbeat, fainting, signs of infection (such as fever, persistent sore throat), mental/mood changes (such as depression, suicidal thoughts), seizures, unusual tiredness, change in the amount of urine.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Report Problems to the Food and Drug Administration You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088. Need help identifying pills and medications? Use the pill identifier tool on RxList.