When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to glutamine or glutamic acid.

How to Use This Medicine:
Powder, Packet

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• You may need to take this medicine several times each day for up to 16 weeks.
• The usual dose of this medicine is 1 packet mixed with water every 2 to 3 hours while you are awake. You will not need to use the medicine during the night unless your doctor tells you. Take the medicine with a meal or a snack.
• Mix a packet of medicine with at least 8 ounces of water just before using it. Be sure to drink all of the mixture.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breast feeding. Tell your doctor if you have liver or kidney disease.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Fever, chills, cough, sore throat, and body aches.
• Swelling in your face, hands, ankles, or feet.

If you notice these less serious side effects, talk with your doctor:

• Joint pain.
• Nausea, vomiting, intestinal gas.
• Problems with your bowel movements.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088