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| − | If you miss a dose of this medicine and your dosing schedule is:
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| − | One dose a dayΓÇöTake the missed dose as soon as possible. But if you do not remember the missed dose until the next day, skip the missed dose and go back to your regular dosing schedule. Do not double the next day's dose.
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| − | Two doses a dayΓÇöTake the missed dose as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
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| − | More than two doses a dayΓÇöIf you remember within an hour or so of the missed dose, take it right away. But if you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
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| − | If you have any questions about this, check with your doctor.
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| − | Keep out of the reach of children.
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| − | Store away from heat and direct light.
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| − | Do not store this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
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| − | Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.
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| − | Precautions While Using This Medicine
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| − | Your doctor should check your progress at regular visits to make sure that this medicine does not cause unwanted effects.
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| − | Before having any kind of surgery (including dental surgery), tell the medical doctor or dentist in charge that you are taking this medicine.
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| − | Be careful when using a regular toothbrush, dental floss, or toothpick. Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your medical doctor before having any dental work done.
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| − | Do not take iron preparations or vitamin preparations containing iron without checking with your healthcare provider. If your doctor tells you to take iron preparations, or vitamin preparations containing iron, do not take them within 2 hours of the time you take this medicine. Taking the two medicines too close together may keep the penicillamine from working properly.
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| − | Tell your doctor right away if you get a fever, sore throat, chills, bruising, or bleeding. These may be symptoms of a serious blood problem.
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| − | Tell your doctor right away if you have trouble breathing, noisy breathing, or an unexplained cough. These may be symptoms of a serious lung problem.
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| − | Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
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| − | Check with your doctor as soon as possible if any of the following side effects occur:
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| − | More common
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| − | Fever; joint pain; lesions on the face, neck, scalp, and/or trunk; skin rash, hives, or itching; swollen and/or painful glands; ulcers, sores, or white spots on lips or in mouth
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| − | Less common
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| − | Bloody or cloudy urine; shortness of breath, troubled breathing, tightness in chest, or wheezing; sore throat and fever with or without chills; swelling of face, feet, or lower legs; unusual bleeding or bruising; unusual tiredness or weakness; weight gain
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| − | Rare
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| − | Abdominal or stomach pain (severe); blisters on skin; bloody or black, tarry stools; chest pain; coughing or hoarseness; dark urine; difficulty in breathing, chewing, talking, or swallowing; eye pain, blurred or double vision, or any change in vision; general feeling of discomfort or illness or weakness; lower back or side pain; muscle weakness; painful or difficult urination; pale stools; pinpoint red spots on skin; redness, tenderness, itching, burning, or peeling of skin; red or irritated eyes; red, thick, or scaly skin; ringing or buzzing in the ears; spitting blood; yellow eyes or skin
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| − | Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
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| − | More common
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| − | Diarrhea; lessening or loss of sense of taste; loss of appetite; nausea or vomiting; stomach pain (mild)
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| − | Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
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