Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
You may take this medicine with or without food.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are using lithium, digoxin (Lanoxin®), or a diuretic ("water pill") such as amiloride, furosemide, triamterene, Lasix®, or Maxzide®. Your doctor will need to know if you are using a pain or arthritis medicine such as aspirin, diclofenac, ibuprofen, Advil®, Aleve®, Celebrex®, Ecotrin®, or Motrin®. Make sure your doctor knows if you are using any other medicine to lower blood pressure. Some other blood pressure medicines are atenolol, lisinopril, metoprolol, quinapril, Accupril®, Cozaar®, Diovan®, Lotrel®, Norvasc®, Toprol®, and Zestril®.
Tell your doctor if you are using muscle relaxers, a medicine to lower cholesterol (cholestyramine, Questran®), or a steroid medicine such as dexamethasone, prednisolone, prednisone, or Medrol®. Make sure your doctor knows if you are using a diabetes medicine such as glyburide, glipizide, metformin, Actos®, Amaryl®, Avandia®, Glucophage®, Glucotrol®, or Glucovance®. Tell your doctor if you are using any narcotic pain relievers or sleeping pills.
Do not drink alcohol while you are using this medicine.
Using this medicine while you are pregnant (especially in your second or third trimester) can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using this medicine, tell your doctor right away.
Make sure your doctor knows if you are breast-feeding, or if you have lupus, heart failure, or a history of asthma or allergies. Tell your doctor if you have diabetes, gout, liver disease, or kidney disease.
Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.
Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.
This medicine may raise or lower your blood sugar, or it may cover up symptoms of very low blood sugar (hypoglycemia).
This medicine may make you dizzy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
Dizziness may be worse if you lose too much water from your body. You can lose water by sweating, having diarrhea, or vomiting. Tell your doctor if this medicine makes you dizzy or if you are vomiting or have diarrhea.