Common side effects

• Virilism
• Bladder irritability
• Priapism
• Gynecomastia
• Mastalgia
• Acne vulgaris
• Prostatic carcinoma
• Hypercalcemia
• Libido changes
• Gastrointestinal irritation
• Benign prostatic hyperplasia
• Cramps in legs
• Insomnia
• Chills
• Edema
• Diarrhea
• Abdominal distension

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

• Nausea
• Vomiting
• Headache
• Skin color changes
• Increased/decreased sexual interest
• Oily skin
• Hair loss
• Acne

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

• Mental/mood changes
• Trouble sleeping/snoring

If you are male, tell your doctor right away if any of these unlikely but serious side effects occur

• Trouble urinating
• Breast swelling/tenderness
• Too frequent/prolonged erections

If you are female, tell your doctor right away if any of these unlikely but serious side effects occur

• Deepening of the voice
• Hoarseness
• Unusual facial/body hair growth
• Enlarged clitoris
• Irregular menstrual periods

This medication can cause your body to hold on to extra body water . This can increase your risk of heart failure. Tell your doctor right away if any of these unlikely but serious signs of water retention or heart failure occur

• Shortness of breath
• Swelling ankles/feet
• Unusual tiredness
• Unusual/sudden weight gain

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including

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

Other things to note

• Rarely, males may have a painful or prolonged erection lasting 4 or more hours. If this occurs, stop using this drug and seek immediate medical attention, or permanent problems could occur.
• This medication can decrease sperm production, an effect that may lower male fertility. Consult your doctor for more details.

• See doctor regularly for examinations.
• Call MD if new abdominal pain/yellowing eyes/skin
• Do not get pregnant
• Use effective birth control.
• Not recommended when breast feeding
• MD may need to reduce the dose before you stop it.
• Report sudden weight gain swelling, short breath
• Tell doctor your complete medical history
• May be habit forming

• Do not use this drug if you become pregnant.

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

• Heart disease (such as heart failure, chest pain, heart attack)
• Liver problems
• Kidney problems
• Other types of cancer
• High cholesterol
• High blood pressure
• Enlarged prostate
• Breathing problems (such as sleep apnea, chronic obstructive pulmonary disease-COPD)
• Diabetes

Products that may interact with this drug include:

• Blood thinners (such as warfarin)