Your doctor may ask you to continue Monolith for a long time. You must not stop taking it or change the dose, without speaking to your doctor first.
If you miss a dose, take it as soon as possible. If it is within 4 hours of the next dose, skip the missed dose (about 6 hours in the case of extended- or slow-release preparations). Never double up doses.
Despite your inconvenience and discomfort, your Monolith blood levels, thyroid function, and kidney function need to be monitored as long as you take Monolith.
During treatment with Monolith, it is recommended that you drink about 2 to 3 liter of fluid daily and use normal amounts of salt. Inform your doctor if you start or stop a low-salt diet.
Avoid sudden change in your diet or fluid intake. If you do go on a diet, your doctor may need to increase the frequency of blood tests.
Do not start any medicine including herbal or ayurvedic without telling your doctor. As it may significantly change the Monolith levels.
Caffeine and alcohol act as diuretics and can lower your Monolith concentrations.
If you engage in vigorous exercise or have an illness that causes sweating, vomiting, or diarrhoea, consult your doctor because these might affect Monolith levels.
Nausea, constipation, shakiness, increased thirst, frequent urination, weight gain, or swelling of the extremities should be reported to your doctor. Your doctor may adjust the dose.
Blurred vision, confusion, loss of appetite, diarrhoea, vomiting, muscle weakness, lethargy, shakiness, slurred speech, dizziness, loss of balance, inability to urinate, or seizure could indicate severe toxicity and should prompt immediate medical attention.
Monolith 450mg Tablet SR may cause excessive drowsiness and calmness with alcohol.
WEIGH RISKS VS BENEFITS
Monolith 450mg Tablet SR is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Monolith 450mg Tablet SR is probably safe to use during lact
Limited human data suggests that the drug does not represent a significant risk to the baby.
Do not drive unless you are feeling well.
Monolith 450mg Tablet SR may make you feel sleepy, tired or dizzy. Monolith 450mg Tablet SR may also cause other effects that can make it dangerous to drive such as numbness, paralysis, weakness or fits (seizures).
Monolith 450mg Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Monolith 450mg Tablet SR may be needed. Please consult your doctor.
Use of Monolith 450mg Tablet SR is not recommended in patients with severe kidney disease.
Monolith 450mg Tablet SR is probably safe to use in patients
with liver disease. Limited data available suggests that dose adjustment of Monolith 450mg Tablet SR may not be needed in these patients. Please consult your doctor.