WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS See full prescribing information for complete boxed warning. TRULANCE is contraindicated in patients less than 6 years of age; in young juvenile mice, plecanatide caused death due to dehydration. Avoid use of TRULANCE in patients 6 years to less than 18 years of age. The safety and effectiveness of TRULANCE have not been established in patients less than 18 years of age. Before you start taking Trulance, tell your doctor:, About your medical history and health conditions, About your allergies, About all the medications you take, including prescription, over-the-counter, vitamins, and herbal supplements, If you are pregnant or plan to become pregnant, If you are breastfeeding or plan to breastfeed, Trulance has not proven to be safe or effective in patients less than 18 years old. Avoid use in these patients. About your medical history and health conditions, About your allergies, About all the medications you take, including prescription, over-the-counter, vitamins, and herbal supplements, If you are pregnant or plan to become pregnant, If you are breastfeeding or plan to breastfeed