When This Medicine Should Not Be Used:
You should not be given this medicine if you have had an allergic reaction to metaraminol (Aramine®) or any other medicine containing sulfites.

How to Use This Medicine:
Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin, into a muscle, or into a vein.
• A nurse or other health provider will give you this medicine.

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

• Make sure your doctor knows if you are also using a monoamine oxidase inhibitor (MAOI) medicine, such as Eldepryl®, Marplan®, Nardil®, or Parnate®. Tell your doctor if you are using a tricyclic antidepressant medicine, such as amitriptyline, doxepin, nortriptyline, Elavil®, Pamelor®, or Sinequan®. Make sure your doctor knows if you are using digoxin (Digitek®, Lanoxin®). Another name for digoxin is digitalis.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breast feeding, or if you have asthma. Make sure your doctor knows if you have cirrhosis (liver scarring), diabetes, heart disease, thyroid disease, or high blood pressure. Tell your doctor if you have had malaria.

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
• Fast or uneven heartbeat.
• Redness, pain, swelling, itching, blistering, or rash where the shot was given.

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

• Increase in how much or how often you urinate.
• Skin infection or sores.

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