Warnings:

Women who are pregnant must not use miltefosine. It may harm an unborn baby. Women of childbearing age must have a negative pregnancy test before starting treatment with this medication. To prevent pregnancy, use reliable forms of birth control during treatment and for 5 months after stopping miltefosine. Ask your doctor for more details.

Warnings:

Women who are pregnant must not use miltefosine. It may harm an unborn baby. Women of childbearing age must have a negative pregnancy test before starting treatment with this medication. To prevent pregnancy, use reliable forms of birth control during treatment and for 5 months after stopping miltefosine. Ask your doctor for more details.

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Uses

Miltefosine is used to treat a certain infection called leishmaniasis. It works by stopping the growth of certain parasites.

How to use Impavido

Read the Medication Guide provided by your pharmacist before you start taking miltefosine and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with food, as directed by your doctor, usually 2 or 3 times daily. The dosage is based on your medical condition, weight, and response to treatment.

Swallow the capsule whole. Do not chew, break, crush, or dissolve the capsule.

Antibiotics work best when the amount of medicine in your body is kept at a constant level. Take this drug at evenly spaced intervals.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection.

Tell your doctor if your condition lasts or gets worse.

Side Effects

Nausea, vomiting, diarrhea, stomach/abdominal pain, joint pain, dizziness, or drowsiness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Take this medication with food to help reduce stomach/intestinal side effects. Drink plenty of fluids to avoid dehydration and kidney problems if vomiting or diarrhea occur.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: easy bruising/bleeding, bloody/black/tarry stool, signs of kidney problems (such as change in the amount of urine), yellowing eyes/skin, dark urine, testicular pain/swelling.

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 (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking miltefosine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain genetic disorder (Sjogren-Larsson syndrome), kidney disease, liver disease.

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication can affect fertility in males. Ask your doctor for more details.

This medication must not be used during pregnancy. It may harm an unborn baby. Discuss the use of reliable forms of birth control (such as condoms, birth control pills) with your doctor, for use during treatment and for 5 months after stopping treatment. If you become pregnant or think you may be pregnant, tell your doctor right away. See also Warning section.

Vomiting or diarrhea can make birth control pills not work well. If you are using birth control pills and have vomiting or diarrhea, also use reliable forms of non-hormonal backup birth control (such as condoms, diaphragm with spermicide). Talk to your doctor for more information and about other options.

It is unknown if this drug passes into breast milk. Because of the possible risk to the infant, breast-feeding is not recommended while you are using miltefosine and for 5 months after stopping treatment. Consult your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

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Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe vomiting/diarrhea.

Notes

Do not share this medication with others.

Lab and/or medical tests (such as kidney and liver function tests, complete blood count) should be done while you are taking this medication. Keep all medical and lab appointments.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.