Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Use in Children
This medicine is not recommended for use in patients less than 18 years of age due to the increased risk of severe adverse effects. However, your doctor may prescribe this medicine if the benefits significantly outweigh the risks. In such a case, the patient should be monitored closely for any adverse effects.
Use in the Elderly
This medicine should be used with caution in elderly patients due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Electrolyte imbalance
This medicine should be used with extreme caution in patients with acute or long-term electrolyte imbalance in the body due to the increased risk of worsening of the patient's condition. Regular monitoring of electrolyte levels should be done while receiving this medicine. An alternative treatment option should be considered in some cases based on the clinical condition.
Prolactin imbalance
This medicine should be used with caution since it may increase the risk of imbalance in the levels of prolactin, resulting in disturbances in the menstrual cycle in women. Prolonged use of this medicine can also result in breast like growth in men.
Kidney Disease
This medicine should be used with extreme caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Liver Disease
This medicine should be used with extreme caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Bone Fractures
Use of this medicine at high doses for a prolonged duration may increase the risk of bone fractures. This risk is especially higher in the elderly population and in women. Appropriate calcium and vitamin D supplementation may be required in some cases to reduce this risk.
Cardiovascular Diseases
This medicine should be used with caution in patients with a known history of cardiovascular disorders due to the increased risk of serious adverse effects. 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.
Other medicines
This combination medicine may interact with many other medicines and may cause severe adverse effects. Hence, it is advised that you inform the doctor about all your current medicines including any herbs and supplements before beginning treatment with this medicine.
Vitamin B12 deficiency
Long-term treatment with this medicine may decrease the absorption of Vitamin B12 in the body. This may cause vitamin B12 deficiency and associated symptoms. Appropriate vitamin B12 supplementation may be necessary based on the clinical condition.
Clostridium difficile-associated Diarrhea
Use of this medicine may be associated with Clostridium difficile-associated Diarrhea and it is recommended to undergo diagnostic tests for the same before taking this medicine. An alternative treatment option should be considered in some cases based on the clinical condition.
Driving or Operating machinery
Use of this medicine may cause 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 dizziness during treatment with this medicine.