Patient was educated on precautions to be exercised while taking Merrem as follows:

  1. Discuss with your doctor regarding any previous allergic responses you experienced with antibiotics belonging to the Beta-lactam group, such as, Penicillin and Amoxicillin.
  2. Patients with history of antibiotic associated diarrhea must be cautious about using Merrem. Discuss with your doctor regarding your history of the same. Report to your doctor regarding any persistent diarrhea, abdominal pain and cramping, and blood or mucus in the stool. These findings could occur even weeks after discontinuation of Merrem and must be reported.
  3. Merrem carries the risk of causing dizziness and confusion. These responses can significantly increase, if Merrem were taken with alcohol. Avoid taking Merrem with alcohol. One should stay away from activities, such as, driving and operating heavy machinery, until they are used to the side effects caused by Merrem.
  4. Watch closely for development of any opportunistic infections, such as, oral candidiasis with white patches in the mouth, to be reported to the physician.