Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Sandomigran DS (Pizotifen).

Drowsiness/reduced alertness: Drowsiness or dizziness may occur with use of Sandomigran DS (Pizotifen) and this may impair your ability to drive or operate machinery. Avoid driving, operating machinery, or performing other potentially hazardous tasks until you have determined how Sandomigran DS (Pizotifen) affects you.

Liver problems: Decreased liver function or liver disease can cause Sandomigran DS (Pizotifen) to build up in the body, causing side effects. Long-term use of Sandomigran DS (Pizotifen) may also cause changes in liver function. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.

Medical conditions: People with narrow-angle Glaucoma, urinary retention (e.g., enlarged prostate), Diabetes, heart disease, seizures, or reduced kidney or liver function should discuss with their doctor how Sandomigran DS (Pizotifen) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Sandomigran DS (Pizotifen), and whether any special monitoring is needed.

Tolerance: With prolonged use of Sandomigran DS (Pizotifen), some people find that it no longer works successfully. If this happens, contact your doctor.

Withdrawal: If Sandomigran DS (Pizotifen) is stopped suddenly, you may experience withdrawal symptoms such as anxiety, sweating, trouble sleeping, shaking, pain, nausea, tremors, diarrhea, and hallucinations. Do not stop taking Sandomigran DS (Pizotifen) without talking to your doctor or pharmacist.

Pregnancy: Sandomigran DS (Pizotifen) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Sandomigran DS (Pizotifen), contact your doctor immediately.

Breast-feeding: It is not known if Sandomigran DS (Pizotifen) passes into breast milk. If you are a breast-feeding mother and are taking Sandomigran DS (Pizotifen), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Sandomigran DS (Pizotifen) have not been established for children under 12 years of age.