Common side effects

• Upper respiratory infection
• Constipation
• Pruritus of skin
• Dizziness
• Skin rash
• Nausea
• Diarrhea
• Acute abdominal pain
• Appetite changes
• Headache disorder
• Cramps
• Musculoskeletal pain
• Arthralgia
• Pain in oropharynx

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

• Diarrhea
• Abdominal pain
• Headache

Tell your doctor right away if you have any serious side effects, including

• Symptoms of a low magnesium blood level
• Signs of lupus

This medication may rarely cause a severe intestinal condition due to a type of bacteria. Do not use anti-diarrhea or opioid medications if you have any of the following symptoms because these products may make them worse. Tell your doctor right away if you develop

• Persistent diarrhea
• Abdominal or stomach pain/cramping
• Fever
• Blood/mucus in your stool

A very serious allergic reaction to this drug 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
• Signs of kidney problems

Other things to note

• Rarely, proton pump inhibitors have caused vitamin B-12 deficiency. The risk is increased if they are taken every day for a long time . Tell your doctor right away if you develop symptoms of vitamin B-12 deficiency .

• Before use, important to read the Medication Guide
• Do not use in children under 1 year old.
• Take before meal(s) at same time(s) each day.
• Review all drugs you are taking with your doctor
• May increase risk of bone fractures.
• Call doctor if you get severe diarrhea
• Do not chew
• For capsule, delayed release products : Swallow capsule whole. May open capsule. Mix into cool applesauce & swallow.
• For tablet, disintegrating, delayed release products : Place unbroken tablet on tongue to dissolve. Before using tell Dr. if you have phenylketonuria.

• Use this medication before a meal. Read label carefully for how many times to use each day.
• Do not chew or crush before swallowing.
• For capsule, delayed release products : Capsule may be opened and contents sprinkled over soft food. Swallow mixture immediately without chewing.
• For suspension, delayed release, reconst. products : Warning: Breastfeeding is not recommended while using this drug. Consult your doctor or pharmacist.
• For tablet, disintegrating, delayed release products : Open packaging with dry hands. Dissolve medicine on the tongue or in the mouth.

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

• Liver disease
• Lupus

Products that may interact with this drug include:

• Methotrexate (especially high-dose treatment)