LLC Winchester, Kentucky 40391 USA. Skin: maculopapular and erythematous rashes. Nelson R, Parker SR "Doxycycline-induced staining of adult teeth: the first reported case.
Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Doxycycline may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking doxycycline. Tzianetas I, Habal F, Keystone JS "Short report: severe hiccups secondary to doxycycline-induced esophagitis during treatment of malaria. Susan Sarandon: "I don't vote with my vagina.
The response rates for patients who were both clinically and bacteriologically evaluable were consistent with those reported for the clinically evaluable patients. Sulfite sensitivity: Syrup may contain sodium metabisulfite, which may cause allergic reactions in certain individuals eg, asthmatic patients. In addition to the adverse reactions listed above that have been observed in patients treated with cefuroxime axetil, the following adverse reactions and altered laboratory tests have been reported for cephalosporin-class antibiotics: toxic nephropathy, aplastic anemia, hemorrhage, increased BUN, increased creatinine, false-positive test for urinary glucose, increased alkaline phosphatase, neutropenia, elevated bilirubin, and agranulocytosis.
Swallow the extended release Xeljanz XR tablet whole. Do not break or crush the tablet. Swings in temperature from hot to cold or cold to hot can also cause a flare-up of rosacea. What are the symptoms? Doxycycline has a high degree of lipoid solubility and a low affinity for calcium binding. It is highly stable in normal human serum. Doxycycline will not degrade into an epianhydro form. Should not be used for the treatment or prophylaxis of bacterial infections, since the lower dose of drug per capsule may be subefficacious and promote resistance.
Other adverse experiences occurred with frequencies comparable to those reported with 7 to 10 days' dosing. This may become life threatening. What Causes Hives and Angioedema? No abnormalities of thyroid function are known to occur. This study enrolled 317 adult patients, 132 patients in the United States and 185 patients in South America. The presence of cefuroxime does not interfere with the assay of serum and urine creatinine by the alkaline picrate method. Take medicines as your doctor prescribes for pain. An 11-year-old boy treated with doxycycline for brucellosis was evaluated for painless brown nail discoloration. Doxycycline was initiated for brucellosis but stopped when the boy developed photosensitivity, but 15 days after the initiation of therapy brown nail discoloration developed. Other than the brown discoloration, the boy's physical condition was normal and the discoloration disappeared within one month. Systemic penicillin susceptible strains; excluding meningitis treatment: IV: Initial: 200 mg as a single dose, then 100 mg every 12 hours in combination with penicillin G or ampicillin; duration of therapy is 2 weeks or until clinically stable. There are no adequate and well-controlled studies in pregnant women. Mepron should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Control, or 4 Oral Hygiene.
What are the possible side effects of ORACEA? Friedman JM, Polifka JE. Teratogenic Effects of Drugs. An X-ray may be taken right after the procedure to make sure that no complications have occurred. If you miss a dose of dicloxacillin, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Protect from light and moisture. Although lifetime studies in animals have not been performed to evaluate carcinogenic potential, no mutagenic activity was found for Cefuroxime Axetil in a battery of bacterial mutation tests. Practice good oral hygiene. Brush your teeth at least twice a day; floss at least once daily; rinse with an antiseptic mouthwash at least once a day. Good oral and dental health is very important for patients at risk for endocarditis. Ensure the prescribed dose of Mepron suspension is taken as directed. Vitamin D is very similar to calcitriol. Reproductive System and Breast Disorders: Vaginal itch, vaginal discharge. If you miss a dose of doxycycline, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Mortality rates were similar among the groups. In clinical trials involving a total of 1436 patients, adverse experiences from all causalities were monitored across treatment groups. Since intracranial pressure can remain elevated for weeks after drug cessation patients should be monitored until they stabilize. tamsulosin
If you are taking Vibramycin to prevent malaria, you should begin to take it 1 to 2 days before you travel to the malaria-infected area. You will need to keep taking it for 4 weeks after you leave the area. Discuss any questions with your doctor. Kirse DJ, Suen JY, Stern SJ "Phrenic nerve paralysis after doxycycline sclerotherapy for chylous fistula. Lab tests, including liver function, kidney function, and complete blood cell counts, may be performed while you use doxycycline. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. Absorption and Metabolism: After oral administration, cefuroxime axetil is absorbed from the gastrointestinal tract and rapidly hydrolyzed by nonspecific esterases in the intestinal mucosa and blood to cefuroxime. Cefuroxime is subsequently distributed throughout the extracellular fluids. The axetil moiety is metabolized to acetaldehyde and acetic acid. Use doxycycline as directed by your doctor. Check the label on the medicine for exact dosing instructions. Tetracyclines are readily absorbed and are bound to plasma proteins in varying degrees. They are concentrated by the liver in the bile and excreted in the urine and feces at high concentrations in a biologically active form. Doxycycline is virtually completely absorbed after oral administration. Pharmasoft Publishing 2000; 225-226. Rogers: You may have a localized folliculitis, or a bacterial infection of the hair follicles. You should see your local dermatologist for an evaluation. Try not to pick or scratch in the meantime, as this will worsen the situation. Question: Can using holding gel every day damage my hair? Cziezel AE and Rockenbauer M. Teratogenic study of doxycycline. What conditions does Doxycycline Calcium Syrup treat? It defied effective treatment until the late 1940s, when the antibiotic was first developed. Brucella. The bacteria can spread from animals to humans. Can not drive with hands on top of car steering wheel, must keep them on bottom palms up. Large blood filled blisters developed on toes and had to be lanced. Must keep feet covered at all times. Knuckles are always red and burn, must apply sunscreen several times per day. Had to stop med. Hopefully when out of my system photosensitivity will be too - but no guarantee! To clear up your infection completely, take doxycycline for the full course of treatment. Keep taking it even if your condition improves in a few days. If you miss a dose of doxycycline hyclate, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Mild diarrhea; mild loss of appetite; nausea; vomiting. generic zithromax reviews forum zithromax
DO NOT FREEZE. Dispense in a tight container as defined in USP. Before having surgery, tell your doctor or dentist that you are taking this medication. Tetracycline drugs such as doxycycline may rarely cause a serious increase in pressure inside the skull intracranial hypertension-IH. The risk of this side effect is greater for women of childbearing age who are overweight or who have had IH in the past. If IH develops, it usually goes away after doxycycline is stopped; however, there is a chance of permanent vision loss or blindness. Will the groundprog be frightened by its own shadow and hide - or will there be another season of insane protests? Susceptible" indicates that the antimicrobial drug is likely to inhibit growth of the pathogen if the antimicrobial drug reaches the concentration usually achievable at the site of infection. A report of "Intermediate" indicates that the result should be considered equivocal, and if the microorganism is not fully susceptible to alternative, clinically feasible drugs, the test should be repeated. This category implies possible clinical applicability in body sites where the drug is physiologically concentrated or in situations where a high dosage of drug can be used. This category also provides a buffer zone that prevents small uncontrolled technical factors from causing major discrepancies in interpretation. A report of "Resistant" indicates that the antimicrobial drug is not likely to inhibit growth of the pathogen if the antimicrobial drug reaches the concentrations usually achievable at the infection site; other therapy should be selected. How is Lyme disease treated? Clostridium: Treatment of infections caused by Clostridium spp. when penicillin is contraindicated. Evidence of safety and effectiveness in pediatric patients aged 12 years and younger has not been established. Hospira Healthcare India Pvt. Leproult, R. The Journal of the American Medical Association, 2011. Doxycycline is available in several different salts: Doxycycline hydrochloride hyclate Doxycycline monohydrate, doxycycline carrageenate, doxycycline calcium and doxycycline phosphate fosfatex.
Tetracyclines are excreted in human milk, however, the extent of absorption of tetracyclines, including Doxycycline, by the breastfed infant is not known. Short-term use by lactating women is not necessarily contraindicated; however, the effects of prolonged exposure to Doxycycline in breast milk are unknown. 11 Because of the potential for adverse reactions in nursing infants from Doxycycline, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Listeriosis: Treatment of listeriosis due to Listeria monocytogenes when penicillin is contraindicated. If you have any questions about dicloxacillin, please talk with your doctor, pharmacist, or other health care provider. Doxycycline may cause permanent discoloration of the teeth and slow down the growth of bones. doxycycline should not be given to children 8 years of age and younger except for treatment of exposure to inhalational anthrax unless directed by the child's doctor. Doxycycline monohydrate is to be used only by the patient for whom it is prescribed. Do not share it with other people. AND ADMINISTRATION section and section. Mepron suspension or aerosolized pentamidine. Long-term medicine treatment depends on how high your uric acid levels are and how likely it is that you will have other gout attacks in the future. F in the refrigerator. DISCARD AFTER 10 DAYS. Some MEDICINES MAY INTERACT with Vibramycin. Gablofen, is a that treats stiff muscles and spasms, a condition called spasticity, that can happen to people with MS and other nerve diseases. plim.info coversyl
There have been reports of individuals with a history of penicillin hypersensitivity who have experienced severe reactions when treated with cephalosporins. Some medical conditions may interact with Vibramycin. The safety and effectiveness of cefuroxime axetil have been established for pediatric patients aged 3 months to 12 years for acute bacterial maxillary sinusitis based upon its approval in adults. Use of cefuroxime axetil in pediatric patients is supported by pharmacokinetic and safety data in adults and pediatric patients, and by clinical and microbiological data from adequate and well-controlled studies of the treatment of acute bacterial maxillary sinusitis in adults and of acute otitis media with effusion in pediatric patients. It is also supported by postmarketing adverse events surveillance see CLINICAL PHARMACOLOGY, INDICATIONS AND USAGE, ADVERSE REACTIONS, DOSAGE AND ADMINISTRATION, and CLINICAL STUDIES. Patients should be counseled that antibacterial drugs, including Doxycycline Hyclate capsules should only be used to treat bacterial infections. Doxycycline 100 mg Capsules. Using doxycycline 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. Use Vibramycin with extreme caution in CHILDREN younger than 10 years old who have diarrhea or an infection of the stomach or bowel. Al Sharpton: "Not even Putin can withstand our signature chanting, 'racist, sexist, anti-gay, Russian army go away'! If you are using doxycycline to prevent malaria while traveling, start taking the medicine 1 or 2 days before you travel. Take the medicine every day during your trip and continue taking it for 4 weeks after you return. However, do not use the medicine for longer than 4 months. Don't take it if you're pregnant or might become pregnant. price of mebendazole pack
Shaw: It's hard to say without seeing the condition of your daughter's hair. But make sure she sees a professional when getting the next treatment, someone who is qualified to skillfully evaluate the condition of her hair before straightening it again. There should be no problem with using her iron for now. But in the future, she should use sulfate-free shampoos and conditioners after undergoing the Japanese hair-straightening process in order to prolong the effects of the treatment. The new guidelines suggest preventive treatment for all patients with cardiac conditions listed above, but not for all dental procedures. It has changed my skin completely. This product cleared up my skin almost instantly and continued to work as it has stopped my skin from having more frequent breakouts and if I do have a breakout, it is small and goes away fairly quickly. Borrelia burgdorferi, the etiologic agent of Lyme disease. By these procedures, it was possible to confirm the physician diagnosis of early Lyme disease in 281 79% of the 355 study patients. The efficacy data summarized below are specific to this “validated” patient subset, while the safety data summarized below reflect the entire patient population for the 2 studies. Necrotizing infection due to Aeromonas hydrophila or Vibrio vulnificus: IV: 100 mg every 12 hours; in combination with ciprofloxacin or ceftriaxone for Aeromonas hydrophila or in combination with ceftriaxone or cefotaxime for Vibrio vulnificus. Continue treatment until further debridement is not necessary, patient has clinically improved, and patient is afebrile for 48 to 72 hours. Use and dose must be determined by your doctor. DAN 5553round see if you can find some info for me on those because those ingredients definately sound strange and i wouldnt want them in my body. also i wasnt looking for a shortcut ive bascially got rid of 70% of the acne i used to have jjust by eating healthy and finding a good cleanser. but the other 25% are raised bumps that stay and linger for weeks and never go away. i mainly just have redmarks now but i told the doc i wanted something to get rid of these last strugglers that do not go away and he suggested doxy after i told him my situation.
Drink a glass of cool water after each dose to ensure complete swallowing of the medication. If a public health emergency is declared and liquid doxycycline is unavailable for the treatment of anthrax, emergency doses may be prepared for children or adults who cannot swallow tablets. Your health professional will feel palpate each breast for any unusual or painful areas or for a dominant lump. A dominant lump in the breast is any lump that is new, larger, harder, or different in any other way from other lumps or the rest of the breast tissue. Because this is so rare, the new guidelines suggest prior to dental procedures only for patients who are at highest risk for serious complications from endocarditis. In fact, in most cases, the risk of problems from antibiotics exceeds the benefits from preventive antibiotics. These attract products that may lead to clots. Who Should Receive Antibiotics Before Having a Dental Treatment? The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, diraections, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Use of this medication for prolonged or repeated periods may result in oral or a new fungal infections. Do not flush down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. Do not eat or drink calcium-rich foods eg, milk or other dairy products, calcium-enriched juices or take an antacid that has aluminum, calcium, or magnesium in it; bismuth subsalicylate; iron; urinary alkalinizers eg, sodium bicarbonate; or multivitamins with minerals within 2 hours before or 2 hours after you take doxycycline. Your health professional will then examine each breast, underarm, and collarbone area for changes in breast size, changes, or signs of injury or infection, such as bruising or redness. You may be asked to lift your arms over your head, put your hands on your hips, or lean forward and press your hands together to tighten the muscle beneath each breast during this part of the examination. You may also lie flat on the table and put your arm behind your head while your health professional checks your breast tissue. The symptoms can lead to disability. This medication is used to treat a wide variety of bacterial infections, including those that cause acne. This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. Digre KB "Not so benign intracranial hypertension. Very rarely, the bacteria may spread from person to person. moms with brucellosis may pass the bacteria to their baby. Brucella may also be spread through sexual contact. Take the first dose of this medication 1 to 2 days before travel or as directed by your doctor. Continue to take this medication daily while in the malarious area. Upon returning home, you should keep taking this medication for 4 more weeks. If you are unable to finish this course of doxycycline, contact your doctor. If you think you may have a serious medical problem, seek immediate medical attention. You will be asked to sign a consent form that says you understand the risks of the test and agree to have it done. buy bimatoprost emagrece
Mepron suspension is indicated for the prevention of Pneumocystis jiroveci pneumonia PCP in adults and adolescents aged 13 years and older who cannot tolerate trimethoprim-sulfamethoxazole TMP-SMX. This medication is usually taken by with each meal. The dosage is based on your medical condition and response to treatment. This medication may rarely cause a severe intestinal condition Clostridium difficile-associated diarrhea due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Because dermatitis herpetiformis is associated with celiac sprue a condition that develops as an immune reaction to gluten in the diet people with dermatitis herpetiformis may benefit from a diet that does not contain any gluten a substance found in most grains. Made in Canada A135317 Rev. Do not use if shrinkband on bottle is broken or missing. The efficacy of Cefuroxime Axetil in the prevention of rheumatic fever was not established in clinical trials. I've been taking this medication for exactly one month and one day now. I have been taking it twice a day morning and night. Meanwhile, I also put Retin-A Cream on before bed time. My face and bottom buttox has cleared from the really bad cystic acne although I still have little red bumps or small white heads appearing on my face. I don't know if I need to prolong the use of it. Every time I take the medicine, thirty minutes into it I get really hot. I have nausea and I either feel like i'm going to start sweating or pass out. It always leads to me vomiting though. It really bugs, but I don't want to stop taking this, as I think if I stop all my acne will go in reverse. One breast may have more glandular tissue lumps than the other one, especially in the upper outer quadrant of the breast. Doxycycline may cause your skin to be more sensitive to sunlight than it is normally. Exposure to sunlight, even for brief periods of time, may cause a skin rash, itching, redness or other discoloration of the skin, or a severe sunburn. May be administered by carefully breaking up the tablet and sprinkling tablet contents on a spoonful of cold applesauce. The delayed-release pellets must not be crushed or damaged when breaking up tablet. Should be administered immediately after preparation and without chewing; follow with a cool 8 ounce 240 mL glass of water to ensure complete swallowing. Do not receive a "live" vaccine while using Xeljanz, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella MMR rotavirus, typhoid, yellow fever, varicella chickenpox zoster shingles and nasal flu influenza vaccine. chloramphenicol price in mexico
Painful to touch, red with raised bumps. Bend the cannula to resemble a periodontal probe and explore the periodontal pocket in a manner similar to periodontal probing. Keeping the cannula tip near the base of the pocket, express the product into the pocket until the formulation reaches the top of the gingival margin. Withdraw the cannula tip from the pocket. In order to separate the tip from the formulation, turn the tip of the cannula towards the tooth, press the tip against the tooth surface, and pinch the string of formulation from the tip of the cannula. Some medical conditions may interact with dicloxacillin. Standard -Second Edition. CLSI document M24-A2. Because many strains of the following groups of microorganisms have been shown to be resistant to doxycycline, culture and susceptibility testing are recommended. Twelfth Edition. 2015. CLSI document M02-A12, Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite 2500, Wayne, Pennsylvania 19087, USA. For children over 45 kg, the usual adult dose should be used. Resistance to Cefuroxime Axetil is primarily through hydrolysis by β-lactamase, alteration of penicillin-binding proteins PBPs decreased permeability and the presence of bacterial efflux pumps. It comes in a pill. Cefuroxime Axetil tablets are indicated for the treatment of pediatric patients who can swallow tablets whole with acute bacterial otitis media caused by susceptible strains of Streptococcus pneumoniae, Haemophilus influenzae including β-lactamase-producing strains Moraxella catarrhalis including β-lactamase-producing strains or Streptococcus pyogenes. You will need to take off all or most of your clothes you may be allowed to keep on your underwear if it does not interfere with the procedure. You will be given a cloth or paper covering to use during the procedure. During the procedure, you will be seated but leaning forward on a padded bedside table. If your test is done in the X-ray department, X-rays or an may be used to confirm the location of fluid in your chest. Clinical breast examinations are also used to check for other breast problems. Decreasing phosphate levels can help keep your bones strong, prevent unsafe buildup of in your body, and possibly decrease the risk of and strokes that can result from high phosphate levels. acetate is a natural mineral that works by holding onto phosphate from the diet so that it can pass out of your body. Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will mean. To help you understand the importance of this procedure, fill out the What is a document?
For Enterobacteriaceae, Haemophilus spp. If you are using the liquid form, use a medication-measuring device or spoon to carefully measure the prescribed dose. not use a household spoon because you may not get the correct dose. Inform patients that diarrhea is a common problem caused by antibacterials, and it usually ends when the antibacterial is discontinued. Sometimes after starting treatment with antibacterials, patients can develop watery and bloody stools with or without stomach cramps and fever even as late as 2 or more months after having taken their last dose of the antibacterial. If this occurs, advise patients to contact their physician as soon as possible. This medication passes into breast milk. Consult your doctor before breast-feeding. OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. How Can I Prevent a Syphilis Infection? How could he get the hair he has left to look fuller? Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. If any of these effects persist or worsen, tell your doctor or promptly. Table 3 should be achieved. generic brand of flutamide otc
Photosensitivity: May cause photosensitivity; discontinue at first sign of skin erythema. Use skin protection and avoid prolonged exposure to sunlight and ultraviolet light. Tell your doctor about any other health issues you have. Your menstrual cycle. The changes in your body that occur during your menstrual cycle may make your breast tissue feel or look different. Vincent infection: Treatment of Vincent infection caused by Fusobacterium fusiforme when penicillin is contraindicated. Tell your doctor or dentist that you take doxycycline monohydrate before you receive any medical or dental care, emergency care, or surgery. Store at 15 o to 25 oC 59 o to 77 oF. Because cefuroxime is excreted in human milk, caution should be exercised when Cefuroxime Axetil is administered to a nursing woman. Neuromuscular-Blocking Agents: Tetracycline Derivatives may enhance the neuromuscular-blocking effect of Neuromuscular-Blocking Agents. F; protect from light. What could be causing this? Chlorhexidine is an antibiotic drug used to control and in the mouth or in periodontal pockets the space between your gum and tooth. The medication is available as a mouth rinse and as a gelatin-filled chip that is placed in the deep gum pockets next to your teeth after root planing. The drug in the gelatin-filled chip is released slowly over about seven days. These are chalky nodules that form from uric acid crystals. euthyrox
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If upset occurs, ask your doctor if you can take this with food. Take each dose with a full glass of water 8 ounces or 240 milliliters unless your doctor directs you otherwise. not lie down for 10 minutes after taking this medication. Ask your doctor or pharmacist about using this product safely. Hyperpigmentation of the thyroid has been produced by members of the tetracycline class in the following species: in rats by oxytetracycline, Doxycycline, tetracycline PO 4, and methacycline; in minipigs by Doxycycline, minocycline, tetracycline PO 4, and methacycline; in dogs by Doxycycline and minocycline; in monkeys by minocycline.
These products bind with tetracycline, preventing its full absorption. Continued How is it treated? To prevent chickenpox and to help prevent shingles later, have your child immunized with the varicella vaccine. People who have not had chickenpox should avoid people with chickenpox or shingles until all of the blisters have crusted over. Adults can be vaccinated if they have never had chickenpox, especially if they are at risk of exposure for example, day-care workers and teachers. Note: Quinine sulfate duration is region specific, consult CDC for current recommendations CDC 2011. Replace cap securely after each opening.
Do not stop taking any medications without consulting your healthcare provider. During clinical trials, the tablet was tolerated by pediatric patients old enough to swallow the cefuroxime axetil tablet whole. The crushed tablet has a strong, persistent, bitter taste and should not be administered to pediatric patients in this manner. Pediatric patients who cannot swallow the tablet whole should receive the oral suspension. If you are taking Vibramycin to prevent malaria, please note that no malaria medicine, including Vibramycin, guarantees protection against malaria. Stay in well-screened areas, use mosquito nets, cover the body with clothing, and use insect repellent to avoid being bitten by mosquitoes.
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Do not crush, chew, or break an extended-release Xeljanz XR tablet. Swallow the tablet whole. Hypersensitivity syndromes: Have been reported, including drug rash with eosinophilia and systemic symptoms DRESS urticaria, angioneurotic edema, anaphylaxis, anaphylactoid purpura, serum sickness, pericarditis, and systemic lupus erythematosus exacerbation. Discontinue therapy for serious hypersensitivity reactions. Obstet Gynecol 1997; 89: 524528. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.