* Esgic-Plus may cause drowsiness. This effect may be worse if you take it with alcohol or certain medicines. Use Esgic-Plus with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
* Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Esgic-Plus; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
* Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
* Pain medications work best if they are used as the first signs of pain (or migraine) occur. If you wait until the pain has significantly worsened, the pain medicine may not work as well.
* Esgic-Plus has acetaminophen in it. Before you start any new medicine, check the label to see if it has acetaminophen in it too. If it does or if you are not sure, check with your doctor or pharmacist.
* Esgic-Plus may harm your liver. Your risk may be greater if you drink alcohol while you are using Esgic-Plus . Talk to your doctor before you take Esgic-Plus or other pain relievers/fever reducers if you drink more than 3 drinks with alcohol per day.
* Tell your doctor or dentist that you take Esgic-Plus before you receive any medical or dental care, emergency care, or surgery.
* Hormonal birth control (eg, birth control pills) may not work as well while you are using Esgic-Plus . To prevent pregnancy, use an extra form of birth control (eg, condoms).
* Lab tests, including liver and kidney function, may be performed while you use Esgic-Plus . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
* Use Esgic-Plus with caution in the ELDERLY; they may be more sensitive to its effects.
* Esgic-Plus should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
* PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Esgic-Plus while you are pregnant. Esgic-Plus is found in breast milk. Do not breast-feed while taking Esgic-Plus .
When used for long periods of time or at high doses, Esgic-Plus may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Esgic-Plus stops working well. Do not take more than prescribed.
Some people who use Esgic-Plus for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking Esgic-Plus suddenly, you may have WITHDRAWAL symptoms. These may include anxiety, muscle twitching, trembling hands and fingers, weakness, dizziness, hallucinations, nausea, vomiting, sleeplessness, lightheadedness, or seizures.
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