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Take Valium exactly as your doctor has prescribed.
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any of the ingredients listed at the end of this leaflet
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wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
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a history of alcohol or drug abuse
a history of mental illness
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If you are not sure whether you should be taking this medicine, consult your doctor.
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Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.Tell your doctor if you currently have or have had any of the following medical conditions:
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medicines used to treat epilepsy
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medicines used to treat anxiety
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Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
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If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking ENDONE.Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine. It may affect other medicines used during surgery.
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All medicines have benefits and risks. Your doctor has weighed the risks of you taking Kalma against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, talk to your doctor or pharmacist.
Keep this leaflet with your medicine. You may need to read it again.
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Kalma is used for the short-term treatment of anxiety. Anxiety or tension associated with the normal stress of everyday life usually does not require treatment with medicines.
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Your doctor, however, may have prescribed Kalma for another reason.
Kalma belongs to a group of medicines called benzodiazepines. These medicines are thought to work by their action on brain chemicals.
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Do not take Kalma if you are allergic to:
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any of the ingredients listed at the end of this leaflet.
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Do not take Kalma if the expiry date (Exp.) printed on the pack has passed.Do not take Kalma if the packaging shows signs of tampering or the tablets do not look quite right.
Kalma passes into the breast milk and may cause drowsiness, weight loss and feeding difficulties in the infant.
Do not take Kalma if the expiry date (EXP.) printed on the pack has passed.If you are not sure whether you should start taking this medicine, talk to your doctor.
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lithium, a medicine used to treat mood swings and some types of depression
medicines used to treat mental illness
medicines used to treat epilepsy such as barbiturates
antihistamines, medicines for allergies, hay fever or colds
some pain relievers such as codeine and morphine
anticholinergics, medicines for travel sickness, stomach cramps or Parkinson`s Disease
disulfiram, medicine used in the treatment of alcohol dependence
cimetidine, a medicine commonly used to treat reflux and ulcers
some antibiotics such as erthromycin
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Your doctor can tell you what to do if you are taking any of these medicines.
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Follow all directions given to you by your doctor and pharmacist carefully.
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The dose varies from patient to patient.
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Immediately telephone your doctor, or the Poisons Information Centre (telephone 13 11 26), or go to Accident and Emergency at the nearest hospital, if you think you or anyone else may have taken too much Kalma. Do this even if there are no signs of discomfort or poisoning.
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Things you must do
Before starting any new medicine, tell your doctor or pharmacist that you are taking Kalma.Tell all the doctors, dentists and pharmacists who are treating you that you are taking Kalma.If you become pregnant while taking Kalma, tell your doctor.If you plan to have surgery, including dental surgery, tell your doctor or dentist that you are taking Kalma.
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If you have to have any clinical tests such as an EEG (electroencephalogram), tell your doctor that you are taking Kalma.
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Kalma may cause drowsiness, dizziness or lightheadedness in some people. If any of these occur, do not drive, operate machinery or do anything else that could be dangerous.
Do not take Kalma for longer than your doctor has prescribed.Do not stop taking Kalma, or change the dose, without checking with your doctor.
Stopping Kalma suddenly may make your condition worse and cause other unwanted effects such as trouble sleeping, irritability and nervousness. Your doctor may want you to gradually reduce the amount of Kalma you are taking before stopping completely.
Do not suddenly stop taking Kalma if you suffer from epilepsy.
Stopping this medicine suddenly may make your epilepsy worse.
Do not use Kalma to treat any other conditions unless your doctor tells you to.Do not give Kalma to anyone else, even if they have the same condition as you.
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This medicine helps most people with anxiety or panic attacks, but it may have unwanted side effects in a few people.
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If you are over 65 years of age you may have an increased chance of getting side effects.
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Storage
Keep Kalma where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
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Heat and dampness can destroy some medicines.
Disposal
If your doctor tells you to stop taking Kalma, or your tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
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What it looks like
Kalma comes in 4 strengths:
Kalma 0.25 – white, oval, scored tablet, marked AL?0.25 and G
Kalma 0.5 – pale pink, oval, scored tablet, marked AL?0.5 and G
Kalma 1 – pale blue, oval, scored tablet, marked AL?1.0 and G
Kalma 2 – white, oblong, triple scored tablet, marked ?A?L? and ?G?2?.
Each pack contains 50 tablets.
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Ingredients
The active ingredient in Kalma is alprazolam. Each Kalma tablet contains 0.25 mg, 0.5 mg, 1 mg or 2 mg of alprazolam.
The tablets also contain the following inactive ingredients:
lactose
sodium benzoate (211)
maize starch
magnesium stearate
sodium starch glycollate
microcrystalline cellulose
colloidal anhydrous silica
povidone
docusate sodium
indigo carmine CI 73015 (132)
(Kalma 0.5 mg and Kalma 1 mg only)
erythrosine CI 45430 (127)
(Kalma 0.5 mg only).
The tablets are gluten free.
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Buy Oxycodone Sandoz 40mg . Oxycodone Sandoz is used to relieve severe pain when other forms of treatment have failed or are otherwise inappropriate to provide sufficient management of pain. Buy Oxycodone Sandoz 80mg , BUY OXYCODONE IN AUSTRALIA 20MG
It contains the active ingredient oxycodone hydrochloride.
Oxycodone hydrochloride belongs to a class of drugs known as opioid analgesics.
As with all strong painkillers, your body may become used to you taking Oxycodone Sandoz tablets. Taking it may result in physical dependence. Physical dependence means that you may experience withdrawal symptoms if you stop taking Oxycodone Sandoz suddenly, so it is important to take it exactly as directed by your doctor.
There is not enough information to recommend the use of this medicine for children under the age of 12 years.
This medicine is available only with a doctor’s prescription.Buy Oxycodone Sandoz 80mg
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BEFORE YOU TAKE OXYCODONE SANDOZ
Long-term use of oxycodone tablets may result in a decrease in sex hormone levels which may affect sperm production in men and the menstrual cycles in females. Talk to your doctor if you have concerns.
When you must not take it
Do not take this medicine if you have an allergy to:
oxycodone hydrochloride, or to any of the other ingredients listed at the end of this leaflet under Product Description
any other similar medicines known as opioid analgesics, e.g. morphine or codeine.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
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Do not take this medicine if you have or have had any of the following medical conditions:
suffer from shallow breathing or have any breathing problems such as acute asthma, respiratory depression (breathing slows or weakens) or other obstructive airways disease
severe drowsiness or have a reduced level of consciousness
irregular or rapid heartbeats or changes in the way the heart beats
heart problems or heart disease including if due to long term lung disease
fits, convulsions or seizures
head injury, brain tumour, severe headaches or have raised pressure within the head, brain or spinal cord
severe abdominal pain with bloating, cramps, vomiting or constipation
a condition where your stomach empties more slowly than it should or any condition that obstructs the stomach/bowel or affects bowel transit (movement of food or ingested material along the bowel)
have swallowing difficulties of narrowing of the oesophagus
severe liver or kidney disease
severe depression
a condition where you have high levels of carbon dioxide in your blood.
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Do not take this medicine if:
you are taking a medicine for depression called monoamine oxidase inhibitor, or you have taken any in the last two weeks
you have just drunk a large amount of alcohol, regularly drink large amounts of alcohol or have confusion and shaking due to stopping drinking alcohol
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.Tell your doctor if you have or have had any of the following medical conditions:
have sleep apnoea (temporarily stopping breathing while you sleep)
low blood pressure including from having low blood volume
chronic lung, liver or kidney disease
stomach pains or constipation or inflammatory bowel disease or recent abdominal surgery
diverticulitis (inflammation of bowel wall)
increased prostrate size or difficulty passing urine
narrowing of the urinary tract
problems or recent surgery of your gall bladder or bile duct
inflammation of the pancreas
disorientation, hallucination, dizziness standing up or severe headaches
adrenal glands not working properly
under-active thyroid gland
oesophageal, stomach or intestinal disorders (including cancer in these areas) resulting in narrowing of the oesophagus, stomach or intestines
severe mental condition involving losing contact with reality, hearing voices or an inability to think clearly
an addiction or history of abuse of alcohol, opioids or other drugs.
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Pregnancy and breastfeeding
Do not take this medicine if you are pregnant or intend to become pregnant whilst taking this medicine.
It may affect your developing baby if you take it during pregnancy. Like most medicines of this kind, Oxycodone Sandoz tablets are not recommended to be taken during pregnancy. Your doctor will discuss the risks of taking it if you are pregnant.
This medicine is not recommended to be taken during labour.
Oxycodone given to the mother during labour can cause breathing problems in the newborn.
Tell your doctor if you are breastfeeding or plan to breastfeed.
Oxycodone can pass into the breastmilk and can affect the baby. Your doctor can discuss with you the risks and benefits involved.
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Addiction
You can be addicted to Oxycodone Sandoz even if you take it exactly as prescribed. Oxycodone Sandoz may become habit forming causing mental and physical dependence. If abused it may become less able to reduce pain.
Dependence
As with all other opioid containing products, your body may become used to you taking Oxycodone Sandoz. Taking it may result in physical dependence. Physical dependence means that you may experience withdrawal symptoms if you stop taking Oxycodone Sandoz suddenly, so it is important to take it exactly as directed by your doctor.
Tolerance
Tolerance to Oxycodone Sandoz may develop, which means that the effect of the medicine may decrease. If this happens, more may be needed to maintain the same effect.
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Withdrawal
Continue taking your medicine for as long as your doctor tells you. If you stop having this medicine suddenly, your pain may worsen and you may experience some of all of the following symptoms:
nervousness, restlessness, agitation, trouble sleeping or anxiety
body aches, weakness or stomach cramps
loss of appetite, nausea, vomiting or diarrhoea
increased heart rate, breathing rate or pupil size
watery eyes, runny nose, chills or yawning
increased sweating.
Oxycodone Sandoz contains lactose. If you have been told by your doctor that you have intolerance to some sugars, tell your doctor before taking it.If you have not told your doctor about any of the above, tell him/her before you start taking Oxycodone Sandoz.
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Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Oxycodone Sandoz may interfere with each other. These include:
medication for depression, psychiatric or mental disorders.
medicines to treat depression belonging to a group called monoamine oxidase inhibitors must be stopped 14 days before Oxycodone Sandoz tablets are taken.
antidepressants e.g. fluoxetine, paroxetine
quinidine and other medicines to treat the heart
cimetidine, a medicine to treat stomach ulcers or heartburn
ketoconazole, a medicine to treat fungal infections
ritonavir, an antiviral medication
macrolide antibiotics, e.g. clarithromycin, rifampin
medicines used to treat convulsions e.g. carbamazepine, phenytoin
medicine to treat HIV infection and AIDs e.g. ritonavir
St. John’s wort (a herbal preparation)
alcohol
grapefruit and grapefruit juice
medicines to thin the blood e.g. coumarin derivatives such as warfarin
medicines to treat epilepsy, pain and anxiety e.g. gabapentin and pregabalin.
These medicines or alcohol may be affected by Oxycodone Sandoz or may affect how well it works. They may increase the side effects of Oxycodone Sandoz. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
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HOW TO TAKE OXYCODONE SANDOZ
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
How much to take
Your doctor will tell you exactly how much to take.Follow the instructions given to you by your doctor and pharmacist exactly.
How to take it
Swallow Oxycodone Sandoz tablets whole with a full glass of water or other fluid.Oxycodone Sandoz tablets should be taken one tablet at a time with enough water to ensure complete swallowing immediately after placing it in the mouth.Do not pre-soak, lick or wet the tablet before placing in your mouth.Do not break, chew, crush or dissolve the tablets. This medicine was designed to work properly only if swallowed whole. They may release all their contents at once if broken, chewed, crushed or dissolved, resulting in a risk of overdose or even death.
If you have trouble swallowing your tablets whole, talk to your doctor.
You must only take Oxycodone Sandoz tablets by the mouth. Taking this medicine in a manner other than prescribed by your doctor can be harmful to your health.
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When to take Oxycodone Sandoz
Take this medicine as directed by your doctor.
This medicine should be taken every twelve hours.
Take your tablets at the times you have been told. If, however, you begin to experience pain (breakthrough pain), and you are taking your Oxycodone Sandoz tablets as prescribed, contact your doctor, as your dosage may have to be reviewed.
This medicine must be taken regularly to control the pain. Taking this medicine at regular time intervals means that the onset of pain is prevented. This medicine should not be taken when you feel you need it, as this will cause some pain to be experienced.
Do not take any alcohol while you are being treated with Oxycodone Sandoz.
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How long to take Oxycodone Sandoz
Continue taking your medicine for as long as your doctor recommends.
If you stop taking this medicine suddenly, your pain may worsen and you may experience withdrawal symptoms such as:
body aches
loss of appetite, nausea, stomach cramps or diarrhoea
fast heart rate
sneezing or runny nose
chills, tremors, shivering or fever
trouble sleeping
increased sweating and yawning
weakness
nervousness or restlessness.
If you forget to take it
If you forget to take a dose, contact your doctor or pharmacist for advice.
Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.
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If you take too much (overdose)
If you or someone else receive too much (overdose), and experience one or more symptoms below, call triple zero (000) for an ambulance. Keep the person awake by talking to them or gently shaking them every now and then. You should follow the steps even if someone other than you have accidentally used Oxycodone Sandoz that was prescribed for you. If someone takes an overdose, they may experience one or more of the following symptoms:
slow, unusual or difficult breathing
drowsiness, dizziness or unconsciousness
slow or weak heartbeat
nausea or vomiting
convulsions of fits
If you or someone else may have taken too much Oxycodone Sandoz, you should immediately telephone your doctor or the Poisons Information Centre (telephone Australia 13 11 26 or New Zealand 0800 POISON or 0800 764766) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Oxycodone Sandoz. Do this even if there are no signs of discomfort or poisoning.
When seeking medical attention, take this leaflet and any remaining tablets with you to show the doctor. Also tell them about any other medicines or alcohol which have been taken.
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WHILE YOU ARE TAKING OXYCODONE SANDOZ
Things you must do
Take this medicine exactly as your doctor has prescribed.Before you start on a new medicine, remind your doctor and pharmacist that you are taking Oxycodone Sandoz.Visit your doctor regularly for a check-up, and always discuss any problems or difficulties during or after taking this medicine.
Tell your doctor if your pain is getting worse, or if you are having more frequent breakthrough pain.
Tolerance to oxycodone may develop which means that the effect of the medicine may decrease. If this happens, your doctor may review your dose so that you get adequate pain relief.
Keep enough of this medicine with you to last over weekends and holidays.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine. It may affect other medicines used during surgery.
If you become pregnant while taking this medicine, tell your doctor immediately.
Things you must not do
Do not give this medicine to anyone else, even if they have the same condition as you.Do not use this medicine to treat other complaints unless your doctor tells you.
Drinking alcohol whilst taking Oxycodone Sandoz tablets may make you feel more sleepy and increase the risk of serious side effects, such as shallow breathing with the risk of stopping breathing and loss of consciousness.
Do not stop taking this medicine, exceed the dose recommended or change dosage, without checking with your doctor. Over time your body may become used to you taking oxycodone so if you stop taking it suddenly, your pain may worsen and you may have unwanted side effects such as withdrawal symptoms. This is called physical dependence.
If you need to stop taking this medicine, your doctor will gradually reduce the amount you take each day, if possible, before stopping the medicine completely.
This medicine should be taken strictly according to your doctor’s instructions.
Things to be careful of
Do not drive or operate machinery until you know how Oxycodone Sandoz affects you. Oxycodone may cause drowsiness, dizziness, hallucinations, disorientation, blurred vision or other vision problems or may affect alertness. Discuss these aspects and any impact on your driving or operating machinery with your doctor.
Make sure you know how you react to this medicine before you drive a car, operate machinery, or do anything else that could be dangerous if you are drowsy, dizzy or not alert.
You may feel drowsy when you begin to take Oxycodone Sandoz tablets. If you drink alcohol the drowsiness may be worse.Be careful if you are elderly, unwell or taking other medicines. Some people may experience side effects such as drowsiness, confusion, dizziness and unsteadiness, which may increase the risk of a fall.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly. Standing up slowly will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
Tell your doctor if you suffer from nausea or vomiting when taking Oxycodone Sandoz. If you vomit two to three hours after your dose, your pain may come back, as you will not have absorbed your medicine. If this happens, speak to your doctor. Your doctor may prescribe some medicine to help you stop vomiting.
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SIDE EFFECTS
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Oxycodone Sandoz.This medicine helps most people with severe pain, but they may have unwanted side effects in some people.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. As for other medicines of this type, that is opioid analgesics, many side effects tend to reduce over time, with the exception of constipation. This means that the longer you take this medicine, the less it may cause problems for you. Your doctor has weighed the risks of this medicine against the benefits they expect it will have for you.
Do not be alarmed by the following lists of side effects. You may not experience any of them.Ask your doctor or pharmacist to answer any questions you may have.
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Tell your doctor or pharmacist if you notice any of the following and they worry you:
mild abdominal problems, such as diarrhoea, feeling sick (nausea), loss of appetite or constipation
muscle problems such as spasms or twitching or tremors
sore throat, dry mouth, hiccups, trouble swallowing or changes in voice
excessive sweating
skin rash, itching, fever, chills or sweating
feeling anxious or nervous, trouble sleeping or abnormal dreams
trouble with your balance
new problems with your eyesight
swelling of legs or ankles
absence of menstrual periods
impotence
decreased sexual drive
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Tell your doctor as soon as possible if you notice any of the following and they worry you:
stomach discomfort, vomiting, indigestion or abdominal pain
choking, gaging, regurgitation, tablets stuck in throat or trouble swallowing the tablets
abnormal thinking, changes in mood or feeling deep sadness
drowsiness, fainting or dizziness especially when standing up
slow or noticeable heartbeats
headache or confusion
unusual weakness, loss of strength or trouble walking
fatigue, feeling of tiredness drowsiness or lack or energy
changes in passing urine such as the volume passed, pain or feeling the need to urinate urgently.
The above list includes serious side effects that may require medical treatment.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
your breathing slows or weakens
you have an allergic reaction: shortness of breath, wheezing, shallow or difficult breathing; swelling of the face, lips, tongue, throat or other parts of the body; rash, itching or hives on the skin
seizures, fits or convulsions
fast or irregular heartbeats
chest pain or chest tightness.
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.
Tell your doctor or pharmacist if you notice anything else that is making you feel unwell. Other side effects not listed above may also occur in some people.
Ask your doctor if you don’t understand anything in this list.
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