Temporary joint pain may occur. Also, for short periods after injections, flushing, dizziness, sweating, headache or blurred vision may occur. If these persist or worsen, notify your doctor promptly. Your doctor may consider switching you to aurothioglucose if these reactions recur or worsen. Report promptly: itching, skin redness or rash, sore mouth, stomach upset, metallic taste, persistent diarrhea, skin pigmentation change, vaginal discomfort. Very unlikely but report promptly: unusual bleeding or bruising, pink-reddish urine, fever, persistent sore throat, unusual fatigue, yellowing eyes or skin, abdominal pain, vision changes, confusion, seizures, hair loss. In the unlikely event an allergic reaction occurs, contact your doctor immediately. Symptoms include: difficulty breathing, fainting, dizziness, swelling, rash. If you notice other effects not listed above, contact your doctor or pharmacist.

Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), blood disorders, severe high blood pressure, blood vessel disease, heart disease, skin rash/itching, intestinal problems (colitis), severe diabetes, lupus (SLE), cancer radiation treatment, urticaria, liver problems, kidney problems. This drug may cause sun sensitivity reactions (sunburn-like). Use sunscreens with UVA and B, and wear protective clothing. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.