Precautions:
Before you use Qutan SR 200, tell your doctor of your medical and health history including the following:
abnormal thyroid tests
alcohol or drug abuse
blockage in the intestine/ileus (intestinal obstruction/ileus)
blockage in the intestines
blood clots
blood vessel related heart and brain disease
breast cancer
breathing problems during sleep
cloudiness of the lens in the eye
dehyration
enlarged prostate
family history of depression, suicide, and bipolar disorder
heart muscle disease (cardiomyopathy or myocarditis)
heart problems
high blood sugar
high or low blood pressure
high prolactin level
inability to empty the bladder
increased level of triglycerides, total cholesterol, high-density lipoprotein, or low-density lipoprotein
increased or decreased heartbeat (QT prolongation)
increased pressure in the eyes (intraocular pressure)
liver problems
low levels of potassium or magnesium, birth defect related to irregular heart rhthym
low levels of white blood cells, leukocytes and neutrophils
memory problems (Alzheimer's dementia)
mental disorder associated with learning abnormality
nerve eye damage (narrow-angle glaucoma)
overweight
reduced or absent activity of lactase (galactose intolerance and Lapp lactase deficiency) and abnormal absorption of glucose and galactose
schizophrenia
seizure
severe nausea/diarrhea
suicdial thoughts
taking drugs increasing QT prolongation, central nervous system depressants, neuroleptics, medicines used to treat high blood pressure, depression, anxiety, irritable bowel syndrome, mental illness, ulcer, human immunodeficiency virus, urinary problems, Parkinson's disease, abnormal heart rhythm or beats or difficulty in sleeping, phenytoin, carbamazepine, divalproex, barbiturates, rifampin, thioridazine, erythromycin, gatifloxacin, levomethadyl acetate, antifungals, antihistamines, barbiturates, carbamazepine, or protease inhibitor, chlorpromazine, dopamine agonists, methadone, moxifloxacin, pentamidine, rifampin, oral steroids, tranquilizers, or ziprasidone
Patients with a family history of depression, bipolar disorder, and suicide, or suicidal thoughts are at an increased risk of occurrence of bipolar disorder, suicidal thoughts, and suicide. Patients with high blood sugar and who are overweight are at an incraesed risk of worsening of high blood sugar. Patients with a history of blood vessel related heart and brain disease are at an increased risk of low blood pressure. Patients with a history irregular heart rhythm, low levels of potassium or magnesium, birth defects related to irregular heart rhythm are at an increased risk of increased heartbeat (torsade de pointes) and fatality. Patients with a history of seizure or Alzheimer's dementia may experience seizures when using Qutan SR 200. Elderly patients with a mental disorder associated with learning abnormality (dementia-related psychosis) are at increased risk of possibly fatal when using Qutan SR 200.