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CERIVASTATIN-ORAL, Baycol (cont.)

SIDE EFFECTS: Nausea, diarrhea, constipation, headache, or dizziness may occur. If these effects persist or worsen, notify your doctor. Report promptly: stomach pain, arthritis-like pain, sinus congestion, sore throat. Unlikely but report promptly: back pain, chest pain, muscle weakness or pain, leg pain or swelling, difficulty sleeping, coughing, rash. Very unlikely but report promptly: yellowing of skin or eyes, vomiting, fever, mental/mood changes, sexual problems, unusual changes in the amount of urine. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), liver or kidney disease, history of alcohol use, uncontrolled seizure disorder, severe gland disorders, blood disorders (e.g., serious electrolyte imbalances). Limit alcohol intake as it may enhance certain side effects of this medication. Since this drug may cause dizziness or fatigue, use caution if operating machinery or performing hazardous tasks (e.g., driving). This drug must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. This drug is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast- feeding.

DRUG INTERACTIONS: This drug should not be used with the following medications because very serious, possibly fatal interactions may occur: fibrates (e.g., gemfibrozil). Ask your doctor or pharmacist for more details. Use caution if the following drugs are combined with cerivastatin because serious side effects such as muscle injury (myopathy) infrequently could occur: high-dose niacin (1 gram or more per day). Tell your doctor of all nonprescription and prescription medication you use, especially of: bile acid resins (e.g., cholestyramine), immune suppression drugs (e.g., cyclosporine), certain antibiotics (e.g., erythromycin), azole antifungal agents (e.g., ketoconazole), spironolactone, protease inhibitors (e.g., indinavir). Do not eat grapefruit or drink grapefruit juice unless your doctor instructs you otherwise. Do not start or stop any medicine without doctor or pharmacist approval.



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