General warnings
Other medicines
This medicine may interact with many other medicines and may cause severe adverse effects. Hence, it is advised that you report the use of all your current medicines, including any herbs and supplements, to the doctor before beginning treatment with this medicine.
Pediatric use
This medicine is not recommended for use in patients less than 18 years of age since the safety and efficacy of use are not clinically established.
Anemia
This medicine should be used with caution in patients suffering from anemia, with a history of anemia, or predisposed to anemia. Close monitoring of complete blood cell counts is recommended for these patients. Report any signs and symptoms such as unusual tiredness or weakness, pale skin, shortness of breath, etc. to your doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Hypertension
This medicine should be used with caution in patients suffering from a high blood pressure (hypertension) due to the increased risk of a very high blood pressure. Close monitoring of blood pressure levels is advised in these patients. Therapy with this medicine should not be initiated if the blood pressure is uncontrolled. Replacement with a suitable alternative may be necessary based on the clinical condition.
Diabetes
This medicine should be used with caution in patients suffering from diabetes mellitus due to the increased risk of altered blood glucose levels. Close monitoring of blood glucose levels, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Depression
This medicine should be used with caution in patients with a history of depression and other psychiatric disorders resulting in depression since it may worsen the patient's condition. Close monitoring of the patient for any changes in behavior or mood is recommended during treatment with this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the patient's clinical condition.
Driving vehicles and operating machinery
Use of this medicine may cause symptoms such as dizziness, difficulty in concentrating, etc. in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.
Cardiovascular disease
This medicine should be used with extreme caution in patients with a disease of the heart or the blood vessels due to the increased risk of worsening of the patient's condition. Close monitoring of heart function and vital signs, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Osteoporosis
This medicine should be used with extreme caution in patients with a history of osteoporosis due to the increased risk of worsening of the patient's condition. Close monitoring of bone mineral density is recommended for these patients. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Dose variations
The dose regimen of this medicine is likely to vary based on the gender of the patient and the condition being treated.