Let's take a minute to talk about your medication. This is Thalomid. You should take it as directed by your doctor, at least ONE hour after your evening meal. The best time to take your dose is at bedtime. Be sure not to chew, break, or open the capsules. Wash your hands after touching your medicine. Thalomid helps treat illnesses such as multiple myeloma, and a skin condition known as E.N.L. Many patients will have side effects. You may feel tired or weak. So, wait until you know how it affects you before doing activities that require you to be alert, like driving. You could also feel dizzy, and standing slowly after sitting or lying down may help. It can also cause an upset stomach, headaches, loss of appetite, muscle cramps, or fever. The good news is most side effects aren't serious. You should still report them to your doctor promptly. As with any medicine, more serious side effects can occur. These may include blood clots, nerve damage, seizures, skin changes, or slowing of your heartbeat. Other serious side effects can occur, so you should read the medication guide to know what to watch for. In general, you should pay close attention to your body, and call your doctor right away if you notice any unusual changes. To help keep this medicine safe for you, your doctor will order blood tests. You should talk to your doctor or pharmacist before taking herbal remedies or other medicines, even if they don't require a prescription. Thalomid can cause severe birth defects. You must agree to comply with specific instructions to prevent pregnancy and avoid breastfeeding. Please remember you must not donate your blood, sperm or eggs. For best results, take Thalomid exactly as prescribed, and read the medication guide for full information.