It is very important that your doctor checks your progress at regular visits to make sure this medicine is working properly. Blood tests will be needed to check for side effects.
If your condition does not improve within 6 months or if it gets worse, see your doctor.
This medicine decreases the number of certain types of blood cells in your body. Because of this, you may bleed or get infections (eg, herpes, tuberculosis, hepatitis B, progressive multifocal leukoencephalopathy, fungal infection). Avoid being near sick or infected people while using this medicine. Wash your hands often. Stay away from strenuous sports or other situations where you could be bruised, cut or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and nail clippers.
This medication may increase your risk of a serious brain infection called progressive multifocal leukoencephalopathy (PML). Call your doctor right away if you have weakness on one side of your body, loss of coordination, clumsiness, memory problems, trouble thinking clearly, or loss of interest in things.
See your doctor immediately if you have painful blisters on the trunk of the body. These can be symptoms of herpes zoster (shingles).
Do not stop using this medicine suddenly without talking to your doctor. You may need to slowly decrease your dose before stopping it completely. This can help prevent your condition from getting worse and reduce the possibility of withdrawal symptoms such as fever, chest tightness, difficulty breathing, dizziness, lightheadedness, or fainting.
This medicine may increase your risk of cancer (eg, lymphoma, non-melanoma skin cancer). Tell your doctor right away if you have black, tarry stools, a general feeling of sickness, swollen glands, weight loss, yellow skin and eyes, a persistent sore that won’t heal, a reddish spot, or an irritated area , a shiny bump, pink or white growth, yellow or waxy scar-like area on the skin.
This medication may increase your risk of serious heart or blood vessel problems, including heart attack or stroke. Call your doctor right away if you experience chest pain or discomfort, confusion, difficulty speaking, double vision, headache, inability to move your arms, legs, or facial muscles, nausea, pain or discomfort in the arms, jaw, back or neck. , sweating, difficulty breathing or vomiting.
See your doctor right away if you have anxiety, chest pain, cough, dizziness, lightheadedness, or fainting, rapid heartbeat, pain, redness, or swelling in your arm or leg, pain in the chest, groin or legs, especially the calves. legs, severe headache, sudden loss of coordination, sudden onset of slurred speech, sudden changes in vision or difficulty breathing. These can be symptoms of serious blood clots (eg, deep vein thrombosis, pulmonary embolism, arterial thrombosis).
Do not take any other medicines unless they have been discussed with your doctor. This includes prescription or over-the-counter (OTC) medications [OTC]) herbal or vitamin medications and supplements.