How to Take Medicine

This medicine should be taken orally with water. You can take this medicine with or without food, but it is advisable to take it with food to stop potential stomach aches. After taking this medication you will pass urine, therefore, do not take this medication directly before you go to bed, or when you do not have access to a toilet. Never take this medication more often than prescribed.

This medication can be taken by children. However, it is not always the best route to take, therefore, speak to a specialist in the field before making this decision.

If you think you have taken more of this medication, then visit an emergency room ASAP. This medicine should not be shared with anybody else either, even if they are on the same medication as you.

Missing a Dose

Never double a dose. If you miss a dose then continue to take your other tablets as normal.

If I Want To Take This Tablet What Should I Tell My Doctor?

A doctor will need to know if you have any of these conditions:

• Strange blood electrolytes readings
  
  
• Gout
  
  
• Heart problems
  
  
• Kidney disease
  
  
• Difficultly passing urine
  
  
• Diarrhoea or vomiting
  
  
• Liver problems
  
  
• Any allergies you may have
  
  
• If you are trying to get pregnant or are currently pregnant
  
  
• If you are breast feeding

Drug Interactions

You need to tell your doctor if you are on any medications (not just the ones listed below). You should also tell them if you are currently drinking, smoking or using illegal drugs as these can all affect the way this medication works.

• Antibiotics given by injection
  
  
• Hart medicines
  
  
• Diuretics medication
  
  
• Any medication containing lithium
  
  
• Diabetes medications
  
  
• High cholesterol medications
  
  
• Blood pressure medications
  
  
• Muscle relaxants
  
  
• Over the counter pain medications (ibuprofen)
  
  
• Sucralfate
  
  
• Steroid medicines
  
  
• Phenytoin

Precautions

When you are on this medication your doctor will probably ask you to visit them on a semi-regular basis for updates. However, you should check your blood pressure regularly (once daily) to ensure the medication is not interfering with your blood pressure.

Due to the amount of urine, you will pass you need to make sure you do not become dehydrated. This means you need to drink a lot of fluid.

On the odd occasion, this medicine can make you sensitive to the sun or UV lighting, therefore, try and stay out of the sun as much as possible and do not use sun beds or tanning booths.

For the first week or so you need to see how the medication affects you. For some they may find that they feel dizzy or even drowsy and if this is the case you should not drive or use heavy machinery. You should also avoid alcoholic drinks because this can increase how dizzy and drowsy you feel.

Side Effects

If you notice any of these please inform your doctor:

• Dry mouth
  
  
• Chills
  
  
• Fever
  
  
• Irregular Heartbeat
  
  
• Loss of hearing or tinnitus
  
  
• Blood in urine or stools
  
  
• Pains and aches
  
  
• Rashes
  
  
• Numbness in parts of the body
  
  
• Nausea/sickness, stomach upset/diarrhoea
  
  
• Skin rash
  
  
• Yellowing of the skin or eyes
  
  
• Increasing levels of fatigue

If you experience one of the side effects below, then it is up to you whether you inform your doctor (it is suggested that you do if they are painful or bothering your day to day life):

• Increase bleeding or bruising
  
  
• Loss of appetite
  
  
• Headaches

*List may not include all possible side effects.

Storage

Always keep medicines out of reach of children and ensure you keep the medicine stored at room temperature. Once the expiration date has passed, or you are no longer taking the medication dispose of carefully.