Make sure your doctor knows if you are also using amiodarone (Cordarone®), clonidine (Catapres®, Combipres®), deserpidine (Dureticyl®, Harmonyl®), digoxin (Lanoxin®), epinephrine (Epi-Pen®), fentanyl (Actiq®, Duragesic®), haloperidol (Haldol®), ketanserin (Sufrexal®), lithium (Eskalith®, Lithobid®), reserpine (Ser-ap-es®), thioridazine (Mellaril®), verapamil (Calan®, Covera®, Isoptin®), pain or arthritis medicine (such as aspirin, diclofenac, ibuprofen, Advil®, Aleve®, Motrin®, or Orudis®), or a steroid medicine (such as cortisone, prednisone, Azmacort®, Flonase®, or Medrol®).
Tell your doctor if you are also using aluminum hydroxide gel (Amphojel®), antipyrine, chlorpromazine (Thorazine®), cimetidine (Tagamet®), insulin, lidocaine (Xylocaine®), norepinephrine, phenobarbitone, phenytoin (Dilantin®), rifampin (Rifadin®, Rimactane®), theophylline (Theo-Dur®), thyroxine, or tubocurarine.
Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.
Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Do not use medicines, supplements, or salt substitutes that contain potassium without checking first with your doctor.
Serious skin reactions can occur with this medicine. Check with your doctor right away if you have blistering, peeling, or loosening of the skin; red skin lesions; severe acne or skin rash; sores or ulcers on the skin; or fever or chills while you are using this medicine.
Do not drink alcohol while you are using this medicine.
Check with your doctor right away if you start having dry mouth, increased thirst, muscle cramps, nausea or vomiting, unusual tiredness or weakness, severe drowsiness or dizziness, seizures, a decrease in urine, or a fast heartbeat while you are using this medicine. These may be symptoms of dehydration or mineral imbalance.
This medicine may cause changes in your blood sugar levels. Also, this medicine may cover up signs of low blood sugar, such as a rapid pulse rate. Check with your doctor if you have these problems or if you notice a change in the results of your blood or urine sugar tests.
Stop using this medicine and check with your doctor immediately if blurred vision, difficulty in reading, eye pain, or any other change in vision occurs during or after treatment. This could be a sign of a serious eye problem. Your doctor will want you to have your eyes checked by an eye doctor.
If you stop using this medicine, your blood pressure may go up. High blood pressure usually has no symptoms. Even if you feel well, do not stop using the medicine without asking your doctor.
Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments. Blood and urine tests may be needed to check for unwanted effects.