Do not use colestipol if you have a complete blockage of your biliary or gastrointestinal (stomach) tract.
Before taking this medication, tell your doctor if you
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have an underactive thyroid gland (hypothyroidism),
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have diabetes,
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have kidney disease,
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have liver disease, or
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suffer from constipation or hemorrhoids.
You may not be able to take colestipol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Before taking the Colestid Flavored brand of colestipol granules, tell your doctor if you have phenylketonuria. These granules contain phenylalanine.
It is not known whether colestipol will harm an unborn baby. Do not take colestipol without first talking to your doctor if you are pregnant.
Colestipol decreases the absorption of certain vitamins, which could become a problem during breast-feeding. Do not take colestipol without first talking to your doctor if you are breast-feeding a baby.
Take colestipol exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass (8 ounces) of water.
Do not crush, chew, or break the tablets. Swallow them whole.
Mix the granules with a beverage, soup, cereal, or a pulpy fruit such as applesauce or crushed pineapple. The granules will not dissolve, so be sure to stir well. Drink (or eat) the mixture immediately, then add an additional small amount of fluid to the glass and drink it to ensure that you have consumed all of the medicine.
Colestipol is usually taken one or two times a day. Follow your doctor’s instructions.
Increase the amount of fluid in your diet to prevent constipation. Drink at least six to eight full glasses (8 ounces) of fluid daily.
Store colestipol at room temperature away from moisture and heat.
Take the missed dose as soon as you remember. However, if it is almost time for your
next dose, skip the missed dose and take only your next regularly scheduled dose.
If you experience any of the following serious side effects, stop taking colestipol and seek emergency medical attention:
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an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
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an increased heart rate or chest pain;
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black, bloody, or tarry stools; or
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unusual bleeding or bruising.
Other, less serious side effects may be more likely to occur. Continue to take colestipol and talk to your doctor if you experience
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constipation;
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abdominal pain, cramps, bloating, or flatulence;
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nausea, vomiting, diarrhea, indigestion, heartburn, or decreased appetite;
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hiccups or a sour taste in your mouth;
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headache; or
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dizziness or drowsiness.
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.
Follow any diet or exercise plan outlined by your doctor. Diet and exercise are very important factors in controlling cholesterol.
Do not crush, chew, or break the tablets. Swallow them whole.
Increase the amount of fluid in your diet to prevent constipation. Drink at least six to eight full glasses (8 ounces) of fluid daily. Talk to your doctor if constipation becomes a problem.
Take all other medications at least 1 hour before or 4 hours after taking a dose of colestipol. Colestipol can decrease the effectiveness of many other drugs.
Follow any diet or exercise plan outlined by your doctor. Diet and exercise are very important factors in controlling cholesterol.
Increase the amount of fluid in your diet to prevent constipation. Drink at least six to eight full glasses (8 ounces) of fluid daily. Talk to your doctor if constipation becomes a problem.
Take other medications at least 1 hour before or 4 hours after taking a dose of colestipol. Colestipol can decrease the effectiveness of many other drugs if they are taken too close to one another.
The absorption of many drugs may be decreased when taken with colestipol. Take all other medications at least 1 hour before or 4 hours after taking a dose of colestipol. The following list includes some, but not all, of the drugs that may have decreased effects when taken with colestipol:
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pain, fever, and inflammation reducers such as aspirin, ibuprofen (Motrin, Advil), indomethacin (Indocin), ketoprofen (Orudis, Orudis KT, Oruvail), naproxen (Aleve, Anaprox, Naprosyn), and others;
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antibiotics such as penicillins (Amoxil, Augmentin, Pen VK, Veetids, others), tetracyclines (Sumycin, Achromycin, Minocin, Doryx, Doxy, Vibramycin, others), and clindamycin (Cleocin);
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heart medicines such as digoxin (Lanoxin, Lanoxicaps), propranolol (Inderal), methyldopa (Aldomet), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDiuril), chlorothiazide (Diuril), metolazone (Mykrox, Zaroxolyn), indapamide (Lozol), and others;
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diabetes medications such as glipizide (Glucotrol), tolbutamide (Orinase), and others;
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anticoagulants (blood thinners) such as warfarin (Coumadin);
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other cholesterol treatments such as gemfibrozil (Lopid), clofibrate (Atromid-S), and nicotinic acid (niacin);
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thyroid hormones such as levothyroxine (Synthroid, Levoxyl, Levothroid);
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medicines used to treat depression such as imipramine (Tofranil);
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gallstone medications such as ursodiol (Actigall);
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seizure medicines such as phenytoin (Dilantin);
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fat-soluble vitamins such as vitamins A, D, E, and K (you may require vitamin supplements); and
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steroid drugs such as hydrocortisone (Cortef, Hydrocortone).
Drugs other than those listed here may also interact with colestipol. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Seek emergency medical attention.
Symptoms of a colestipol overdose include abdominal pain, constipation, flatulence, and an intestinal blockage.
