Giga Special Precautions

Giga should be used with caution in patients with a history of thrombophlebitis. This product should be used under the supervision of a specialist and the patients kept under regular surveillance (see Adverse Reactions and PHARMACOLOGY: Toxicology: PRECLINICAL SAFETY DATA under Actions). This product can exert adrenocortical effects. This should be borne in mind in patient surveillance (see Adverse Reactions). Other reported clinical experience has not identified differences in responses between elderly and younger patients. In general, dose selection for elderly patients should be cautious, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Megestrol acetate is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken during treatment with megestrol acetate, and it may be useful to monitor renal function.
EFFECTS ON ABILITY TO DRIVE AND USE MACHINES: Giga Oral Suspension has no or negligible influence on the ability to drive or use machines.