Drug Interactions
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. This drug should not be used with the following medications because very serious interactions may occur: ketorolac, mifepristone. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: ACE inhibitors (e.g., lisinopril, enalapril), acetazolamide, antacids, anti-seizure medications (e.g., phenytoin, valproic acid), "blood thinners" (e.g., warfarin, heparin, ticlopidine), certain diabetes drugs (sulfonylureas such as glyburide), certain drugs used to treat gout (uricosuric drugs such as probenecid, sulfinpyrazone), corticosteroids (e.g., dexamethasone), ginkgo biloba, lepirudin, methotrexate, pemetrexed, salicylates (e.g., salsalate), spironolactone, SSRI antidepressants (e.g., fluoxetine, fluvoxamine). Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), other muscle relaxants, psychiatric medicines (e.g., chlorpromazine, risperidone, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products, pain relievers/fever reducers) because they may contain aspirin and/or aspirin-related drugs (NSAIDs such as ibuprofen or naproxen) or ingredients that may cause drowsiness. Ask your pharmacist about using those products safely. This medication may interfere with certain laboratory tests (including urine 5-HIAA/VMA tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.