Discontinue & do not re-administer if pancreatitis is suspected. Not recommended in patients w/ NYHA class II-IV heart failure. Patients w/ NYHA class I heart failure; medical history of pancreatitis. May affect ability to drive & use machines. Hepatic impairment. Moderate to severe renal impairment. Not recommended in patients w/ ESRD requiring dialysis. Not recommended in pregnant women. Not to be used in lactation. Ped. Elderly.