Common side effects

• Infection
• Body fluid retention
• Mood changes
• Gastric acid hypersecretory conditions
• Insomnia
• Weight gain
• Increased appetite
• Nervousness
• Diabetes mellitus
• Hypercortisolism
• Gastrointestinal hemorrhage
• Irregular menstrual periods
• Hypocalcemia
• Dry skin
• Facial edema
• Telangiectasia
• Skin atrophy
• Leukocytosis

If any of these effects persist or worsen, tell your doctor or pharmacist promptly

• Nausea
• Vomiting
• Loss of appetite
• Heartburn
• Trouble sleeping
• Increased sweating
• Acne

Tell your doctor right away if any of these unlikely but serious side effects occur

• Muscle pain/cramps
• Irregular heartbeat
• Weakness
• Swelling hands/ankles/feet
• Unusual weight gain
• Signs of infection
• Vision problems
• Vomit that looks like coffee grounds
• Black/bloody stools
• Severe stomach/abdominal pain
• Mental/mood changes
• Slow wound healing
• Thinning skin
• Bone pain
• Menstrual period changes
• Puffy face
• Seizures
• Easy bruising/bleeding

A very serious allergic reaction to this product is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including

• Rash
• Itching/swelling
• Severe dizziness
• Trouble breathing

Other things to note

• This medication may rarely make your blood sugar rise, which can cause or worsen diabetes. Tell your doctor right away if you have symptoms of high blood sugar, such as increased thirst/urination. If you already have diabetes, check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program, or diet.

• Best to take with food to lessen stomach upset
• MD may need to reduce the dose before you stop it.
• Call MD if fatigue/sore throat/infection occurs.
• May cause high blood sugar in diabetics
• Call Dr if you have black stools or stomach pain
• No aspirin-like meds. Ask MD about daily aspirin.
• Avoid live vaccines and newly vaccinated people.
• For concentrate, oral products : Measure dose using a dosing spoon/cup/syringe.
• For tablet products : Tell Dr/dentist on drug prior to any surgery.
• For tablet, delayed release products : Swallow whole tablet. Do not break, chew or crush.

• Take with food. ; If you are pregnant or considering becoming pregnant you should discuss the use of this medication with your doctor or pharmacist. ; It is very important that you take or use this exactly as directed. Do not skip doses or discontinue unless directed by your doctor. ; Obtain medical advice before taking non-prescription drugs as some may affect the action of this medication. ; For concentrate, oral products : Dilute before administration. ; For tablet, delayed release products : Swallow whole. Do not chew or crush. ;

Before taking this medication, tell your doctor if you've had:

• Current/past infections (such as fungal infections, tuberculosis, herpes)
• Heart problems (such as heart failure, recent heart attack)
• High blood pressure
• Thyroid problems
• Kidney disease
• Liver disease
• Stomach/intestinal problems (such as ulcer, diverticulitis)
• Bone loss (osteoporosis)
• Mental/mood disorders (such as psychosis, anxiety, depression)
• Eye diseases (such as cataracts, glaucoma)
• Diabetes
• Mineral imbalance (such as low level of potassium/calcium in the blood)
• Seizures
• Blood clots
• Bleeding problems

Products that may interact with this drug include:

• Aldesleukin
• Mifepristone
• Drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, blood thinners such as dabigatran/warfarin, NSAIDs such as aspirin/celecoxib/ibuprofen)