Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using/taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using/taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
General warnings
Heart disease
The oral form of this medicine should be used with caution in patients with heart diseases due to the increased risk of adverse effects on the heart, especially after prolonged use. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Kidney impairment
The oral form of this medicine should be used with caution in patients with mild to moderate kidney impairment due to the increased risk of adverse effects. You may require a dose adjustment and more frequent monitoring of the kidney function tests is necessary while receiving this medicine. Replacement with a suitable alternative may be required based on the clinical condition.
Liver impairment
The oral form of this medicine should be used with caution in patients with mild to moderate liver impairment due to the increased risk of adverse effects. You may require a dose adjustment and more frequent monitoring of the liver function is necessary while receiving this medicine. Replacement with a suitable alternative may be required based on the clinical condition.
Increased bleeding time
This medicine should be used with caution in patients with a known history of bleeding disorders due to the increased risk of excessive bleeding. Report any unusual symptoms to the doctor immediately. Close monitoring of bleeding time, appropriate corrective measures, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Herpes simplex keratitis
The ophthalmic form of this medicine should be used with caution in patients with herpes simplex keratitis due to the increased risk of worsening of the patient's condition. Close monitoring of the clinical condition, appropriate corrective measures, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Corneal reactions
Prolonged use of an ophthalmic form of this medicine may result in keratitis, epithelial breakdown, corneal thinning, corneal erosion, corneal ulceration, or corneal perforation in some patients. Appropriate corrective measures or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Driving or operating machinery
Use of this medicine may cause blurred vision or dizziness 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.
Contact lens
Your doctor may ask you to stop the usage of contact lenses for up to a few days prior to the surgery and for up to a few days to a few months post-surgery depending on the type of eye surgery performed. If you are able to use contact lenses post-surgery, they should be removed prior to the administration of the eye drops. You are advised to wait for at least 10 to 15 minutes post administration of the eye drops before re-inserting the lenses.
Contamination
Do not touch the tip of the dropper to any surface since this may lead to contamination by bacteria. Patients are advised to take all hygienic precautions to ensure that the medicine is not contaminated.
Skin rash
The oral form of this medicine may cause fatal skin allergies without any warnings in some patients. Signs and symptoms such as rashes, hives, fever, or other allergic symptoms should be reported to the doctor without any delay. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.