Before taking pentosan polysulfate sodium, tell your doctor if you
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have a low level of platelets in your blood;
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have a bleeding or blood clotting disorder;
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have a history of aneurysm or stroke;
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need to have (or have recently had) surgery or another invasive procedure;
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have a stomach ulcer;
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have polyps or diverticulitis;
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have liver disease; or
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take other medicines, especially blood thinners, platelet inhibitors, aspirin, or a nonsteroidal anti-inflammatory drug (NSAID).
You may not be able to take pentosan polysulfate sodium, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Pentosan polysulfate sodium is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do no take pentosan polysulfate sodium without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether pentosan polysulfate sodium passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
Take pentosan polysulfate sodium exactly as directed by your doctor. If you do not understand these directions, ask your doctor, nurse, or pharmacist to explain them to you.
Take each dose with a full glass of water.
Take pentosan polysulfate sodium on an empty stomach, one hour before or two hours after meals.
It is important to take pentosan polysulfate sodium regularly to get the most benefit.
Your doctor may want you to have blood tests or other medical evaluations during treatment with pentosan polysulfate sodium to monitor progress and side effects.
Store pentosan polysulfate sodium at room temperature away from moisture and heat.
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication.
If you experience any of the following serious side effects, stop taking pentosan polysulfate sodium, and seek emergency medical attention or contact your doctor immediately:
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an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
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any prolonged or unexplained bleeding (e.g., nosebleeds, coughing up blood, blood in urine or stool).
Other less serious side effects may be more likely to occur. Continue to take pentosan polysulfate sodium and notify your doctor if you experience
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increased bruising (contact doctor if severe);
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diarrhea or upset stomach;
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hair loss; or
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headache.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Do not take aspirin, ibuprofen (Motrin, Advil, Nuprin, and others), ketoprofen (Orudis KT, Orudis, Oruvail), naproxen (Aleve, Naprosyn, Anaprox, and others), indomethacin (Indocin), or any other nonsteroidal anti-inflammatory medication without first talking to your doctor. These medicines may lead to bleeding when taken with pentosan polysulfate sodium. Ask your pharmacist or doctor before taking any prescription or over-the-counter medication while taking pentosan polysulfate sodium.
Do not take aspirin, ibuprofen (Motrin, Advil, Nuprin, and others), ketoprofen (Orudis KT, Orudis, Oruvail), naproxen (Aleve, Naprosyn, Anaprox, and others), indomethacin (Indocin), or any other nonsteroidal anti-inflammatory medication without first talking to your doctor. These medicines may lead to bleeding when taken with pentosan polysulfate sodium. Ask your pharmacist or doctor before taking any prescription or over-the-counter medication while taking pentosan polysulfate sodium.
Do not take pentosan polysulfate sodium with any of the following medicines without first talking to your doctor:
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aspirin,
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ibuprofen (Motrin, Advil, Nuprin, and others), ketoprofen (Orudis KT, Orudis, Oruvail), naproxen (Aleve, Naprosyn, Anaprox, and others), indomethacin (Indocin), diclofenac (Cataflam, Voltaren), etodolac (Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), ketorolac (Toradol), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), tolmetin (Tolectin), or any other nonsteroidal anti-inflammatory medication;
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heparin;
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dalteparin (Fragmin), danaparoid (Orgaran), enoxaparin (Lovenox), or tinzaparin (Innohep);
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warfarin (Coumadin);
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aspirin and dipyridamole (Aggrenox);
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ticlopidine (Ticlid) or clopidogrel (Plavix); or
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dipyridamole (Persantine).
The drugs listed above may increase the risk of bleeding during treatment with pentosan polysulfate sodium, which could be dangerous. You may not be able to take pentosan polysulfate sodium, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with pentosan polysulfate sodium. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
Seek emergency medical attention if an overdose is suspected.
Symptoms of an overdose may include nosebleed; black, bloody, or tarry stools; upset stomach; liver problems; blood in the urine; and easy bruising or bleeding.
