Warnings for special population
This medicine is not recommended for use if you are pregnant or planning a pregnancy in near future. Contact your doctor immediately if a pregnancy is suspected while using this medicine.
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. It is advised to stop breastfeeding before starting the treatment course with this medicine.
Use of this medicine is known to cause mild to moderate amounts of fluid retention in the body. Hence, caution is advised while administering in patients with diseases like epilepsy, asthma, migraine, heart and blood vessel disorders, kidney impairment etc.
Use of this medicine is known to cause a varying amount of depression in different individuals. It should be carefully prescribed in patients having a history of depression. Use of this medicine should be discontinued if the depressive episode becomes more frequent and severe.
Use of this medicine can cause blurring of vision and other effects on the eye like proptosis, diplopia etc. Patients should be carefully examined to confirm if they can safely use this medicine. Any side effects like blurred vision, excessive drying of eyes should be reported to the doctor.
Blood clotting disorder
Use of this medicine can cause the formation of a blood clot in the artery or a deep vein (thromboembolism) resulting in severe to fatal adverse effects. The use of this medicine should be stopped if any such condition is confirmed.
Use of this medicine can affect the blood glucose levels and hence caution is advised while treating a diabetic patient.
Irregular menstrual bleeding
Use of this medicine may cause irregularities in the menstrual cycle. Suitable tests should be performed to rule out other caused if an episode or irregular bleeding occurs while using this medicine.
Use of this medicine should stop at least 4 weeks before a planned surgery or prolonged immobilization.
Prolonged use of this medicine has been associated with increased risk of breast and cervical cancer. It should be administered with caution in patients exposed to the risk factors.
Use in children
This medicine is not recommended for use prior to menarche (beginning of the menstrual cycle in girls).
This medicine may potentially interact with a large number of other medicines that you might possibly consume. Hence it is advised to report the use of all other medicines including supplements and herbs to the doctor.
Report the incidence of any disease of the heart and blood vessels, thyroid glands, liver, kidneys etc to the doctor. You may require taking certain tests to determine the safe and effective use of this medicine in such cases.
The risks of adverse effects are significantly high if you smoke cigarettes. It is advised to inform your doctor about your smoking habits before receiving this medicine.