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Envarsus XR (Oral)

Generic Name: tacrolimus (Oral route)

ta-KROE-li-mus

Medically reviewed on Oct 31, 2018

Oral route(Capsule, Extended Release;Capsule;Granule)

Increased risk for developing serious infections and malignancies with tacrolimus extended-release or other immunosuppressants that may lead to hospitalization or death. Increased mortality in female liver transplant patients with tacrolimus extended-release; not approved for use in liver transplantation .Increased risk for developing serious infections and malignancies with tacrolimus oral capsules, oral granules, or other immunosuppressants that may lead to hospitalization or death .

Oral route(Tablet, Extended Release)

Increased risk for developing serious infections and malignancies with tacrolimus extended-release tablets or other immunosuppressants that may lead to hospitalization or death .

Commonly used brand name(s)

In the U.S.

  • Astagraf XL
  • Envarsus XR
  • Hecoria
  • Prograf

Available Dosage Forms:

  • Tablet, Extended Release
  • Capsule
  • Capsule, Extended Release

Therapeutic Class: Immune Suppressant

Pharmacologic Class: Calcineurin Inhibitor

Uses For Envarsus XR

Tacrolimus is used together with other medicines to prevent the body from rejecting a transplanted organ (eg, kidney, liver, or heart). This medicine may be used with steroids, azathioprine, basiliximab, or mycophenolate mofetil. Tacrolimus belongs to a group of medicines known as immunosuppressive agents.

When a patient receives an organ transplant, the body's white blood cells will try to get rid of (reject) the transplanted organ. Tacrolimus works by suppressing the immune system to prevent the white blood cells from trying to get rid of the transplanted organ.

Tacrolimus is a very strong medicine. It can cause side effects that can be very serious, such as kidney problems. It may also decrease the body's ability to fight infections. You and your doctor should talk about the benefits of this medicine as well as the risks of using it.

This medicine is available only with your doctor's prescription.

Before Using Envarsus XR

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of tacrolimus in children with liver, kidney, or heart transplants. Safety and efficacy have been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tacrolimus in the elderly. However, elderly patients are more likely to have kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving tacrolimus.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Amifampridine
  • Amisulpride
  • Bepridil
  • Cisapride
  • Dronedarone
  • Fluconazole
  • Mesoridazine
  • Mifepristone
  • Nelfinavir
  • Pimozide
  • Piperaquine
  • Ritonavir
  • Saquinavir
  • Sparfloxacin
  • Terfenadine
  • Thioridazine
  • Ziprasidone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Aceclofenac
  • Acemetacin
  • Adenovirus Vaccine, Live
  • Afatinib
  • Alefacept
  • Alfuzosin
  • Amiodarone
  • Amitriptyline
  • Amlodipine
  • Amprenavir
  • Amtolmetin Guacil
  • Anagrelide
  • Apomorphine
  • Aprepitant
  • Aripiprazole
  • Aripiprazole Lauroxil
  • Armodafinil
  • Arsenic Trioxide
  • Asenapine
  • Aspirin
  • Astemizole
  • Atazanavir
  • Azithromycin
  • Bacillus of Calmette and Guerin Vaccine, Live
  • Bedaquiline
  • Boceprevir
  • Bosentan
  • Bromfenac
  • Bufexamac
  • Buprenorphine
  • Buserelin
  • Carbamazepine
  • Caspofungin
  • Celecoxib
  • Ceritinib
  • Chloroquine
  • Chlorpromazine
  • Cholera Vaccine, Live
  • Choline Salicylate
  • Ciprofloxacin
  • Citalopram
  • Clarithromycin
  • Clomipramine
  • Clonixin
  • Clozapine
  • Cobicistat
  • Colchicine
  • Conivaptan
  • Crizotinib
  • Cyclobenzaprine
  • Cyclosporine
  • Dabrafenib
  • Dalfopristin
  • Darunavir
  • Dasabuvir
  • Dasatinib
  • Degarelix
  • Delamanid
  • Delavirdine
  • Desipramine
  • Deslorelin
  • Deutetrabenazine
  • Dexamethasone
  • Dexibuprofen
  • Dexketoprofen
  • Diclofenac
  • Diflunisal
  • Diltiazem
  • Dipyrone
  • Disopyramide
  • Dofetilide
  • Dolasetron
  • Domperidone
  • Donepezil
  • Doxepin
  • Droperidol
  • Droxicam
  • Ebastine
  • Echinacea
  • Efavirenz
  • Elbasvir
  • Eliglustat
  • Eluxadoline
  • Encorafenib
  • Enzalutamide
  • Eribulin
  • Erythromycin
  • Escitalopram
  • Eslicarbazepine Acetate
  • Esomeprazole
  • Etodolac
  • Etofenamate
  • Etoricoxib
  • Etravirine
  • Famotidine
  • Felbamate
  • Felbinac
  • Fenoprofen
  • Fepradinol
  • Feprazone
  • Fingolimod
  • Flecainide
  • Floctafenine
  • Flufenamic Acid
  • Fluoxetine
  • Flurbiprofen
  • Fluvoxamine
  • Formoterol
  • Fosamprenavir
  • Fosaprepitant
  • Foscarnet
  • Fosnetupitant
  • Fosphenytoin
  • Galantamine
  • Gatifloxacin
  • Gemifloxacin
  • Gonadorelin
  • Goserelin
  • Granisetron
  • Grazoprevir
  • Halofantrine
  • Haloperidol
  • Histrelin
  • Hydroquinidine
  • Hydroxychloroquine
  • Hydroxyzine
  • Ibuprofen
  • Ibuprofen Lysine
  • Ibutilide
  • Idelalisib
  • Iloperidone
  • Imatinib
  • Imipramine
  • Indinavir
  • Indomethacin
  • Infliximab
  • Influenza Virus Vaccine, Live
  • Inotuzumab Ozogamicin
  • Isavuconazonium Sulfate
  • Itraconazole
  • Ivabradine
  • Ivacaftor
  • Ivosidenib
  • Ketoconazole
  • Ketoprofen
  • Ketorolac
  • Lanreotide
  • Lapatinib
  • Letermovir
  • Leuprolide
  • Levofloxacin
  • Lofexidine
  • Lomitapide
  • Lopinavir
  • Lornoxicam
  • Loxoprofen
  • Lumacaftor
  • Lumefantrine
  • Lumiracoxib
  • Macimorelin
  • Measles Virus Vaccine, Live
  • Meclofenamate
  • Mefenamic Acid
  • Mefloquine
  • Meloxicam
  • Methadone
  • Methotrimeprazine
  • Metoclopramide
  • Metronidazole
  • Mibefradil
  • Mitotane
  • Mizolastine
  • Modafinil
  • Moricizine
  • Morniflumate
  • Moxifloxacin
  • Mumps Virus Vaccine, Live
  • Nabumetone
  • Nafarelin
  • Nafcillin
  • Naproxen
  • Nefazodone
  • Nepafenac
  • Netupitant
  • Nevirapine
  • Nicardipine
  • Niflumic Acid
  • Nilotinib
  • Nimesulide
  • Nimesulide Beta Cyclodextrin
  • Norfloxacin
  • Octreotide
  • Ofloxacin
  • Olanzapine
  • Ombitasvir
  • Omeprazole
  • Ondansetron
  • Osimertinib
  • Oxaprozin
  • Oxcarbazepine
  • Oxyphenbutazone
  • Palbociclib
  • Paliperidone
  • Panobinostat
  • Papaverine
  • Parecoxib
  • Paritaprevir
  • Paroxetine
  • Pasireotide
  • Pazopanib
  • Pentamidine
  • Perphenazine
  • Phenobarbital
  • Phenylbutazone
  • Phenytoin
  • Piketoprofen
  • Pimavanserin
  • Pipamperone
  • Piroxicam
  • Pitolisant
  • Pixantrone
  • Poliovirus Vaccine, Live
  • Posaconazole
  • Prednisone
  • Primidone
  • Probucol
  • Procainamide
  • Prochlorperazine
  • Proglumetacin
  • Promethazine
  • Propafenone
  • Propionic Acid
  • Propyphenazone
  • Proquazone
  • Protriptyline
  • Quetiapine
  • Quinidine
  • Quinine
  • Quinupristin
  • Ranitidine
  • Ranolazine
  • Ribociclib
  • Rifabutin
  • Rifampin
  • Rifapentine
  • Risperidone
  • Rofecoxib
  • Rotavirus Vaccine, Live
  • Rubella Virus Vaccine, Live
  • Salicylic Acid
  • Salsalate
  • Schisandra sphenanthera
  • Sertindole
  • Sertraline
  • Sevoflurane
  • Sirolimus
  • Smallpox Vaccine
  • Sodium Phosphate
  • Sodium Phosphate, Dibasic
  • Sodium Phosphate, Monobasic
  • Sodium Salicylate
  • Solifenacin
  • Sorafenib
  • Sotalol
  • St John's Wort
  • Sulindac
  • Sulpiride
  • Sultopride
  • Sunitinib
  • Tamoxifen
  • Telaprevir
  • Telavancin
  • Telithromycin
  • Tenoxicam
  • Tetrabenazine
  • Tiaprofenic Acid
  • Tizanidine
  • Tofacitinib
  • Tolfenamic Acid
  • Tolmetin
  • Tolterodine
  • Toremifene
  • Trazodone
  • Trimipramine
  • Triptorelin
  • Typhoid Vaccine
  • Valdecoxib
  • Vandetanib
  • Vardenafil
  • Varicella Virus Vaccine, Live
  • Vemurafenib
  • Venlafaxine
  • Verapamil
  • Vilanterol
  • Vinflunine
  • Voriconazole
  • Vorinostat
  • Yellow Fever Vaccine
  • Zoster Vaccine, Live
  • Zotepine
  • Zuclopenthixol

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Aluminum Carbonate, Basic
  • Aluminum Hydroxide
  • Aluminum Phosphate
  • Chloramphenicol
  • Clotrimazole
  • Danazol
  • Dihydroxyaluminum Aminoacetate
  • Dihydroxyaluminum Sodium Carbonate
  • Ertapenem
  • Lansoprazole
  • Magnesium Carbonate
  • Magnesium Hydroxide
  • Magnesium Oxide
  • Magnesium Trisilicate
  • Nifedipine

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol
  • Grapefruit Juice

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Congestive heart failure or
  • Diabetes or
  • Heart disease or
  • Heart rhythm problems (eg, QT prolongation), or history of or
  • Hyperkalemia (high potassium in the blood) or
  • Hypertension (high blood pressure) or
  • Myocardial hypertrophy (heart is larger than normal), history of or
  • Paresthesia (numbness or tingling in the hands, arms, legs, or feet), history of or
  • Seizures (convulsions), history of or
  • Tremors—Use with caution. May make these conditions worse.
  • Infection, active (eg, bacteria, fungus, or virus)—May decrease your body's ability to fight an infection.
  • Kidney disease or
  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use of tacrolimus

This section provides information on the proper use of a number of products that contain tacrolimus. It may not be specific to Envarsus XR. Please read with care.

Take this medicine exactly as directed by your doctor. Do not take more or less of it and do not take it more often than your doctor ordered. Using too much will increase the chance for side effects, while using too little may cause rejection of your transplanted organ.

This medicine comes with a Medication Guide or a patient information insert and patient instructions. Read and follow the instructions carefully. Ask your doctor if you have questions.

This medicine is always used together with other medicines. Make sure you understand when to take all of your medicines during the day. Your doctor will give you a daily plan for taking your medicines.

You may take the immediate-release capsule or oral liquid with or without food. But take it the same way each time.

If you are using the extended-release capsule:

  • Swallow the capsule whole with liquid. Do not crush, break, chew, or divide it.
  • Take the capsule every morning, preferably on an empty stomach at least 1 hour before or at least 2 hours after breakfast.
  • Do not drink alcohol with the capsule.

If you are using the extended-release tablet:

  • Take it on an empty stomach at the same time every day (every morning).
  • Swallow the tablet whole with liquid (preferably water). Do not crush, chew, or divide it.
  • Do not drink alcohol with the tablet.

If you are using the granule for oral suspension, you may take it with or without food, but you should take it the same way each time. To prepare the oral liquid:

  • Empty the contents of the packet in a glass cup filled with 1 to 2 tablespoons (15 to 30 milliliters) of room temperature water and mix. Use a metal spoon to stir the mixture. Do not use plastic.
  • Drink it right away after preparing.
  • Refill the glass cup with the same amount of water and gently swirl to mix any remaining granules to get the full dose if this medicine.
  • You may also use an oral syringe to give this medicine.
  • Do not inhale the granules or let the oral liquid come in contact with your skin or eyes. If you get the granules or the oral liquid on your skin, wash the area well with soap and water. If you get them into your eyes, rinse with water.
  • Do not save the prepared oral liquid for later use.

You should not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice will increase the amount of medicine in the body.

Do not stop using this medicine without first checking with your doctor. You might have to take this medicine for the rest of your life to prevent your body from rejecting the transplant.

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.

Do not use Prograf® together with cyclosporine. Tacrolimus or cyclosporine should be stopped at least 24 hours before starting the other.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (capsules, granules):
    • To prevent heart transplant rejection:
      • Adults—Dose is based on body weight and must be determined by your doctor. The starting dose is usually 0.075 milligram per kilogram (mg/kg) of body weight per day, divided into 2 doses and taken every 12 hours. Your doctor may adjust the dose as needed.
      • Children—0.3 mg/kg per day, divided in 2 doses, given every 12 hours. Your doctor may adjust your dose as needed.
    • To prevent kidney transplant rejection:
      • Adults—Dose is based on body weight and must be determined by your doctor. The starting dose is usually 0.1 to 0.2 milligram per kilogram (mg/kg) of body weight per day, divided into 2 doses and taken every 12 hours. Your doctor may adjust the dose as needed.
      • Children—0.3 mg/kg per day, divided in 2 doses, given every 12 hours.
    • To prevent liver transplant rejection:
      • Adults—Dose is based on body weight and must be determined by your doctor. The starting dose is usually 0.1 to 0.15 milligram per kilogram (mg/kg) of body weight per day, divided into 2 doses and taken every 12 hours. Your doctor may adjust the dose as needed.
      • Children—Dose is based on body weight and must be determined by your doctor. The starting dose is usually 0.15 to 0.2 mg/kg of body weight per day, divided into 2 doses and taken every 12 hours.
  • For oral dosage form (extended-release capsules):
    • To prevent kidney transplant rejection:
      • Adults and children 16 years of age and older—Dose is based on body weight and must be determined by your doctor. The dose is usually between 0.1 to 0.2 milligram per kilogram (mg/kg) of body weight per day given as a single dose. Your doctor may adjust the dose as needed.
      • Children younger than 16 years of age—Use and dose must be determined by your doctor.
  • For oral dosage form (extended-release tablets):
    • To prevent kidney transplant rejection:
      • Adults—One tablet once a day, every morning.
      • Children—Use and dose must be determined by your doctor.

Missed Dose

DRUG: GENERAL, MISS, STANDARD

If you miss a dose of Astagraf XL™ or Envarsus XR® and it is less than 14 hours since the regular time, take the missed dose right away. If more than 14 hours have passed since the regular time, skip the missed dose and return to your regular schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Envarsus XR

It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects.

Using this medicine while you are pregnant can harm your unborn baby. It may also cause birth defects if the father is using it when his sexual partner becomes pregnant. If you think you have become pregnant while using this medicine, tell your doctor right away.

Do not use Prograf® together with sirolimus (Rapamune®).

This medicine may increase your risk of getting skin cancer or cancer of the lymph system (lymphoma). Talk to your doctor if you have concerns about this risk.

This medicine may increase your risk of developing infections. Avoid being near people who are sick while you are using this medicine. Wash your hands often. Tell your doctor if you have any kind of infection before you start using this medicine. Tell your doctor if you have ever had an infection that would not go away or an infection that kept coming back.

While you are being treated with tacrolimus, and after you stop treatment with it, do not have any immunizations (vaccines) without your doctor's approval. Tacrolimus may lower your body's resistance and the vaccine may not work as well or you might get the infection the vaccine is meant to prevent. In addition, you should not be around other persons living in your household who receive live virus vaccines because there is a chance they could pass the virus on to you. Some examples of live vaccines include measles, mumps, influenza (nasal flu vaccine), poliovirus (oral form), rotavirus, and rubella. Do not get close to them and do not stay in the same room with them for very long. If you have questions about this, talk to your doctor.

This medicine may increase your risk for developing a rare and serious virus infection with the BK polyoma virus. This virus may affect how your kidneys work and cause a transplanted kidney to fail. Check with your doctor right away if you are having more than one of these symptoms: bloody urine, decreased frequency or amount of urine, increased thirst, loss of appetite, lower back or side pain, nausea, swelling of the face, fingers, or lower legs, trouble breathing, unusual tiredness or weakness, vomiting, or weight gain.

This medicine may increase your risk of developing a serious and rare brain infection called progressive multifocal leukoencephalopathy (PML). Check with your doctor right away if you are having more than one of these symptoms: vision changes, loss of coordination, clumsiness, confusion, memory loss, difficulty speaking or understanding what others say, or weakness in the legs.

This medicine may increase your risk of stomach or bowel perforation. Check with your doctor right away if you have stomach cramps or pain, diarrhea, fever, or severe vomiting, sometimes with blood.

This medicine may cause serious nervous system problems. Tell your doctor right away if you have the following symptoms while using this medicine: blurred vision, dizziness, headache, mental changes, seizures, high blood pressure, or a fast heartbeat.

Hyperkalemia (high potassium in the blood) may occur while you are using this medicine. Check with your doctor right away if you have abdominal or stomach pain, confusion, difficulty with breathing, an irregular heartbeat, nausea or vomiting, nervousness, numbness or tingling in the hands, feet, or lips, or weakness or heaviness of the legs.

Tacrolimus may cause a condition called pure red cell aplasia (PRCA). This is a very rare condition where the body no longer makes red blood cells and the patient has severe anemia. Check with your doctor right away if you have a fever and sore throat, pale skin, unusual bleeding or bruising, or unusual tiredness or weakness.

Use sunscreen or sunblock lotion with a sun protection factor (SPF) of at least 15 on a regular basis when you are outdoors. Wear protective clothing and hats, and stay out of direct sunlight between the hours of 10 am and 3 pm. Avoid sunlamps and tanning beds.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (eg, St. John's wort) or vitamin supplements.

Envarsus XR Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

  • Abnormal dreams
  • agitation
  • chills
  • confusion
  • cough
  • diarrhea
  • dizziness
  • fever
  • frequent urination
  • general feeling of discomfort or illness
  • headache
  • itching, skin rash
  • joint pain
  • loss of appetite
  • loss of energy or weakness
  • mental depression
  • muscle aches and pains
  • muscle trembling or twitching
  • nausea
  • pale skin
  • runny nose
  • seeing or hearing things that are not there
  • seizures
  • shivering
  • skin rash
  • sore throat
  • stomach pain
  • swelling of the feet or lower legs
  • tingling
  • trembling and shaking of the hands
  • trouble sleeping
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • vomiting

Less common

  • Blurred vision
  • chest pain
  • increased sensitivity to pain
  • muscle cramps
  • numbness or pain in the legs
  • ringing in the ears
  • sweating

Rare

  • Enlarged heart
  • flushing of the face or neck
  • weight loss

Incidence not known

  • Black, tarry stools
  • blistering, peeling, loosening of the skin
  • bloating
  • bloody urine
  • constipation
  • drowsiness
  • fainting
  • fast, slow, or irregular heartbeat
  • heartburn
  • increased thirst
  • indigestion
  • joint pain
  • lightheadedness
  • lower back or side pain
  • pinpoint red spots on the skin
  • pounding or rapid pulse
  • red skin lesions, often with a purple center
  • red, irritated eyes
  • skin sores
  • ulcers or white spots in the mouth or on the lips
  • weakness
  • weight gain
  • yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Belching
  • difficulty with moving
  • lack or loss of strength
  • muscle stiffness

Less common

  • Body aches or pain
  • burning or stinging of the skin
  • cracks in the skin
  • crying
  • depersonalization
  • dysphoria
  • excessive muscle tone
  • false beliefs that cannot be changed by facts
  • false or unusual sense of well-being
  • feeling of constant movement of self or surroundings
  • feeling that others are watching you or controlling your behavior
  • feeling that others can hear your thoughts
  • increased sensitivity of the skin to sunlight
  • large, flat, blue or purplish patches in the skin
  • muscle tension or tightness
  • painful blisters on the trunk of the body
  • painful cold sores or blisters on the lips, nose, eyes, or genitals
  • paranoia
  • poor insight and judgment
  • problems with memory or speech
  • quick to react or overreact emotionally
  • rapidly changing moods
  • redness or other discoloration of the skin
  • restlessness
  • scaly skin
  • sensation of spinning
  • severe mood or mental changes
  • severe sunburn
  • sleepiness or unusual drowsiness
  • sore mouth or tongue
  • sores on the skin
  • swelling or inflammation of the mouth
  • tender, swollen glands in the neck
  • trouble recognizing objects
  • trouble thinking and planning
  • trouble walking
  • unusual behavior
  • white patches in the mouth, tongue, or throat

Incidence not known

  • Change in color vision
  • decreased weight
  • difficulty seeing at night
  • feeling hot and cold
  • hearing loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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