Thunell S, Pomp E, Brun A. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. All products displayed on Tata 1mg are procured from verified and licensed pharmacies. Patches are suitable for adults and children aged 10 years or older. Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness or cause your heart to beat faster. Tata 1mg provides you with medical information which is curated, written and verified by experts, accurate and trustworthy. There's no firm evidence to suggest that taking hyoscine hydrobromide will reduce fertility in either men or women. It is endstream endobj 1919 0 obj <>stream IBD can include Crohn's disease and ulcerative colitis. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Overactive bladder is is a form of urinary incontinence. h| Drink plenty of fluids to avoid dehydration while taking this medicine. Please enter manually below. They can help you balance the risks and the benefits of this medicine during pregnancy. Learn more about testing, treatments, Irritable bowel syndrome or IBS is a GI disorder with symptoms of constipation, abdominal pain, bloating, and gas. From 1963-2006 in the UK there were only 12 reported cases of cardiac side-effects, and only one fatality 1. Medindia Drugs Drug Price Hyoscine Butylbromide, Disclaimer - All information and content on this site are for information and educational purposes only. Your use of this information means that you agree to the Terms of Use. The display and use of drug information on this site is subject to express terms of use. Hyoscine butylbromide is used in the treatment of pain due to smooth muscle spasm. Buscopan was first brought to the market in 1951 4. Apart from avoiding alcohol, you can eat and drink normally while taking hyoscine hydrobromide. 0De nT(xR7P0I/ $FBs4F *n7L2P If you miss a dose, take it as soon as you remember. Free Australian health advice you can count on. This medicine contains the active ingredients: If you are over 65 years of age, there may be specific risks and recommendations for use of this medicine. Do not share this medication with others. Pharmacies sell 2 different strengths of hyoscine hydrobromide tablets: 150 micrograms (including Kwells Kids and Joy-Rides) for children aged 4 years and older, 300 micrograms (including Kwells) for adults and children aged 10 years and older. If you notice other effects not listed above, contact your doctor or pharmacist. v] az- c5C:NHE $BS It may block messages from your inner ear (which controls balance) to the part of your brain that controls vomiting. If you notice other effects not listed above, contact your doctor or pharmacist. By continuing to view the drug information, you agree to abide by such terms of use. Very unlikely but report: rash, itching, swelling of the hands or feet, trouble breathing, increased pulse, dizziness, diarrhea, vision problems, eye pain. Scopolamine derives its name from one of the plants in the nightshade family,Scopolia carniolica. Precautions to be taken by radiologists and radiographers when prescribing hyoscine-N-butylbromide. Chat privately with our registered medical specialists to connect directly with verified doctors. You can take the tablets with or without food. Find out on the. 1.80, Unit Price: You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. It can also be given orally, rectally or subcutaneously, but these routes are generally avoided in imaging ref. Unfortunately, patients with this condition do not know they are at risk in advance of an attack and it has a completely different pathogenesis to the open-angle form. You should seek medical advice in relation to medicines and use only as directed by a healthcare professional. To learn more about this subsidy, visit the Pharmaceutical Benefits Scheme (PBS) website. 29.00. (ia1JpQlFX ![q-Kab_)G-< P@IIJ^lVIgvtY_"2a` q=v$/UVq]y_,XT\X 0 You can report side effects to your doctor, or directly at www.tga.gov.au/reporting-problems, For more information, see Medicine Information sources. You can read more about the scheduling of medicines as well as the different scheduling categories on our Scheduling of medicines and poisons information page. Do not increase your dose or take it more often than prescribed without consulting your doctor. Conditions of use: The information in this database is intended to supplement, not substitute for the expertise and judgment of healthcare professionals. This may be more likely when you first start taking it, but could happen at any time (for example, when starting another medicine). Please check and try again, Please enter recipient's The tablets start working in 20 to 30 minutes. The usual dose is 1 tablet (300 micrograms), 3 times a day. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Select a symptom, answer some questions, get advice. Hyoscine hydrobromide does not affect any type of contraception, including the combined pill and emergency contraception. For reducing saliva, you may need to take the tablets or use the patches for a long time (more than 3 months). Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Seek immediate medical attention if any of these rare but very serious side effects occur: A very serious allergic reaction to this drug is rare. Blocking acetylcholine reduces the amount of saliva produced by your salivary glands, as well as secretions in your lungs. Your safety is our top priority. This includes domperidone and metoclopramide. A true immune-mediated allergy is very rare, with only a few reported cases 1. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The patches take up to 6 hours to work fully. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. clinical governance framework. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. This itself was named after its presumptive discoverer, J A Scopoli 5. Hyoscine hydrobromide is unlikely to do you any harm when taking it for a long time, as long as you take the recommended dose and the side effects do not bother you. Hyoscine hydrobromide patches (for both travel sickness and excess saliva) can generally be used by adults and children from the age of 10 years. DRUG INTERACTIONS: Tell your doctor of all nonprescription or prescription medication you use, especially of: antidepressants (tricyclic type), MAO Inhibitors (e.g., phenelzine, linezolid, tranylcypromine, isocarboxazid, selegiline, furazolidone), quinidine, amantadine, antihistamines (e.g., diphenhydramine), anticholinergics, potassium chloride supplements, antacids, absorbent-type antidiarrhea medicines (e.g., kaolin-pectin). They may only need to use half a patch. Atropine, another well-known antimuscarinic agent was also originally derived from a plant from the same family. Call 1800 022 222. Scopolamine (also known as hyoscine) is used to treat cramps (spasms) of the stomach, intestines, kidney, and bladder. Only take them together if your doctor tells you to. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: This is not a complete list of possible side effects. 3.40, Unit Price: Rarely hyoscine butylbromide may trigger acute angle-closure glaucoma (AACG), one of the causes of an acute red eye. 7.77, Unit Price: 2.20, Unit Price: [The history of scopolamine--with special reference to its use in anesthesia]. It can also be used to relieve the symptoms of Irritable Bowel Syndrome (IBS). NOTES: Do not share this medication with others. It acts by relaxing the smooth muscles in your stomach and gut (intestine). information. Antacids and certain anti-diarrhea drugs (adsorbent-type drugs such as kaolin-pectin, attapulgite) lower the absorption of scopolamine. Use caution while driving or doing anything that requires concentration as Hyoscine butylbromide can cause dizziness and sleepiness. Hyoscine also takes its name from a member of the nightshade family, Hyoscyamus niger 6. theoretical risk due to its anticholinergic mechanism, but most patients experience no problems as Buscopans main action is on receptors in the autonomic system, not those of skeletal muscle, Buscopan might worsen this, however, this does not seem to be an issue, probably due to its short duration of action. This can help with symptoms if you're having palliative care or end of life care. If you need urgent medical help, call triple zero immediately. Spasm of the gastrointestinal tract, biliary spasm, renal spasm, diagnostic aid in radiology. Stop taking hyoscine hydrobromide (or remove your patch) if this happens to you. Canada residents can call a provincial poison control center. (2007) Drugs. 36 (4): 366-73. Hyoscine hydrobromide is not the same as hyoscine butylbromide, better known as Buscopan. Before using this medication, tell your doctor or pharmacist your medical history, especially of: This drug may make you dizzy or drowsy or blur your vision. These are not all the side effects of hyoscine hydrobromide. Hyoscine hydrobromide is not suitable for some people. Consult your doctor before breast-feeding. Make sure laboratory personnel and all your doctors know you use this drug. Angioneurotic edema has rarely been reported 2; anaphylaxis is equally rare 3. Call your doctor for medical advice about side effects. You can report any suspected side effect to the UK safety scheme. Keep all medications away from children and pets. This product may contain inactive ingredients, which can cause allergic reactions or other problems. This site uses cookies to deliver our services. This gives relief from cramping pain in the stomach and other discomforts like bloating. If you are suffering an acute illness, overdose, or emergency condition, call triple zero (000) and ask for an ambulance. well-controlled ischemic heart disease, atrial fibrillation. Privacy Policy and There might be a problem taking some herbal remedies and supplements alongside hyoscine hydrobromide, especially ones that cause side effects such as sleepiness, a dry mouth or making it difficult to pee. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer, Advertise with us | Medindia Copyright | Privacy Policy | Terms of Use. If it is near the time of the next dose, skip the missed dose. Do not double the dose to catch up. Ask your pharmacist about using those products safely. In children, the IV dosage is 0.3 mg/kg up to a maximal 20 mg. ADVERTISEMENT: Supporters see fewer/no ads. 3.44, Unit Price: 1.67, 1 ml ampoule: All rights reserved. This information is not intended to substitute medical advice, diagnosis or treatment and should not be exclusively relied on to manage or diagnose a medical condition. 3.00, Unit Price: 1996-2022 MedicineNet, Inc. All rights reserved. USES: This medication is used to relieve bladder or intestinal spasms. If symptoms persist see your healthcare professional. MedicineNet does not provide medical advice, diagnosis or treatment. 3.50, Unit Price: Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Scopolamine (Hyoscine) Butylbromide - Oral, itching/swelling (especially of the face/tongue/throat), trouble urinating (for example, due to enlarged prostate), heart problems (e.g., fast heartbeat, abnormal heart rhythm, congestive heart failure, coronary artery disease, angina, mitral stenosis), other stomach/intestinal problems (e.g., slow gut, blockage, megacolon, infection, ulcerative colitis), heartburn problems (e.g., acid reflux, hiatal hernia), certain anti-arrhythmic drugs (e.g., disopyramide, procainamide, quinidine), anticholinergic drugs (e.g., atropine, glycopyrrolate), certain antidepressants (tricyclics such as amitriptyline), other antispasmodic drugs (e.g., clidinium, dicyclomine, propantheline), certain anti-Parkinson's drugs (e.g., trihexyphenidyl), MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine). This site is protected by reCAPTCHA and the Google Even allowing for likely under-reporting of complications, this is still an impressive lack of serious adverse effects, when one considers that literally millions of safe doses were administered during this 43-year period. Tiny amounts of hyoscine hydrobromide may get into breast milk, but it's not known if this harms the baby. 67 (9): 1343-57. The information in not intend to cover all possible uses, directions, precautions, drug interactions or adverse effects nor should it be construed in indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Do not take hyoscine hydrobromide if you're taking medicines used to increase the movement of your gut. Other medicines containing the same active ingredients: Can I take Hyoscine Butylbromide (Medsurge) in sport? Some features, tools or interaction may not work correctly. They can cancel each other out, which means your medicines do not work. 2022 Tata 1mg. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. present. 1.60, Unit Price: Talk to a doctor or pharmacist if you're not sure whether it's safe for you to drive while taking hyoscine hydrobromide. Hyoscine-N-butylbromide, more commonly known by its brand name, Buscopan, is an antimuscarinic agent, widely used in radiology as an antispasmodic agent. Ikegaya H, Saka K, Sakurada K, Nakamura M, Yoshida K. A case of sudden death after intramuscular injection of butylscopolamine bromide. It is widely used in Europe but unlicensed in the USA; hence an alternative agent, glucagon is often employed. Talk to your doctor if you are using marijuana (cannabis). For side effects, taking other medicines and more, Download consumer medicine information leaflet (pdf) from the Therapeutic Goods Administration (TGA) website. Consult your pharmacist or local waste disposal company. Dyde R, Chapman AH, Gale R, Mackintosh A, Tolan DJ. This is an ophthalmological emergency, as untreated it is sight-threatening, however, as long as patients attend an ED and are treated promptly their vision will not be at risk. For the active ingredient hyoscine butylbromide. If you're in any doubt, do not drive. The inflammatory bowel diseases (IBD) are Crohn's disease (CD) and ulcerative colitis (UC). Do not give the patches to children under the age of 10 years. Unable to process the form. Hyoscine hydrobromide is taken to prevent travel sickness (motion sickness). The patches are called Scopaderm. to the content webpage. Do not start or stop any medicine without doctor or pharmacist approval. Symptoms of overdose may include unusually dry mouth; excessive thirst; nausea; vomiting; difficulty breathing; blurred vision; dilated pupils; flushed, hot, dry skin; muscle weakness; unusual dizziness or drowsiness; restlessness; disorientation; and seizures. Hyoscine hydrobromide tablets for travel sickness can be taken by adults and children from the age of 4 years. Clinical radiology. Schedule 4 : Prescription Only Medicine. Got a health query? Check for errors and try again. The length of time you take hyoscine hydrobromide for depends on why you're taking it. Schedule 4 : Prescription Only Medicine. It can also be used to reduce the amount of saliva in your mouth. Hyoscine Butylbromide injection is a clear colourless or almost colourless solution. It can also given by injection, but this is usually only done in hospital. The way to take this medicine is: Intravenous. They can be taken by adults and children aged 12 years or older. Take a dose at least 30 minutes before the start of your journey, or as soon as you start to feel sick when travelling. This is a summary and does NOT have all possible information about this product. You could be having a serious allergic reaction and may need immediate treatment in hospital. This effect usually wears off rapidly, within 45 minutes. Hyoscine hydrobromide also relaxes the wave-like muscle contractions in the walls of your stomach. This document does not contain all possible drug interactions. Talk to your pharmacist for more details. It is used to relieve cramps in the muscles of stomach, intestine, bladder and ureter. {"url":"/signup-modal-props.json?lang=us\u0026email="}, Bell, D. Hyoscine-N-butylbromide (Buscopan). Pronunciation: skoe-POL-a-meen HI-oh-seen BYOU-tull-BROH-mide. Get free medicine home delivery in over 1800 cities across India. Soban D, Ruprecht J, Keys TE, Schneck HJ. It's an offence to drive a car if your ability to drive safely is affected. 5.65, 1 ml ampoule: MedicineNet does not provide medical advice, diagnosis or treatment. Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing Drug interactions may change how your medications work or increase your risk for serious side effects. For long journeys, you can keep the patch on for up to 72 hours (3 days). STORAGE: Store at room temperature away from heat, light and moisture. Medical problem? endstream endobj 1921 0 obj <>stream All products displayed on Tata 1mg are procured from verified and licensed pharmacies. In serious cases, you can become unconscious or have fits and you'll need emergency treatment in hospital. Hyoscine hydrobromide combined with alcohol can make you feel very sleepy. 7.91, Unit Price: The instructions may be vary, depending on why you're taking hyoscine hydrobromide and whether you're taking tablets or using patches. Find affordable medicine substitutes, save up to 50% on health products, up to 80% off on lab tests and free doctor consultations. Learn about symptoms, causes, and foods that trigger IBS. The other contraindications often quoted are generally of dubious concern with the low doses employed in radiological practice: Hyoscine-N-butylbromide is generally very well-tolerated. GENERIC NAME: HYOSCINE BUTYLBROMIDE - ORAL (HI-oh-seen BYOU-tull-BROH-mide), Urinary Incontinence in Women: Types, Causes, and Treatments for Bladder Control, Doctor: Checklist to Take To Your Doctor's Appointment, Drugs: Buying Prescription Drugs Online Safely. Enjoy free home sample collection, view reports online and consult a doctor online for free. See additional information. Get someone else to drive you or call for an ambulance. PRECAUTIONS: Tell your doctor your medical history, especially of: glaucoma or other eye problems, heart disease, enlarged prostate (males), allergies, stomach or intestinal diseases. h Please enter a suburb or postcode of your location and select from the list. Take this medication by mouth as directed by your doctor. Please discuss your individual circumstances with your pharmacist, doctor or health professional. open tool tip to find out more. This medicine or fluids is given through a needle or tube (catheter) inserted into a vein. Avoid drinking alcohol while taking this medicine as it may lead to side effects. Lee MR. Solanaceae III: henbane, hags and Hawley Harvey Crippen. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. This information does not replace the advice of a doctor. Book any lab tests and preventive health packages from certified labs and get tested from the comfort of your home. Before taking scopolamine, tell your doctor or pharmacist if you are allergic to it; or to other belladonna alkaloids (e.g., atropine, hyoscyamine); or if you have any other allergies. These tablets are available on prescription only. have had an allergic reaction to hyoscine hydrobromide or any other medicines in the past, have difficulty peeing or a bowel blockage, have heart problems, including a very fast heart rate, have food poisoning or other digestive problems, such as, are trying for a baby or you're pregnant, as hyoscine hydrobromide is not recommended in pregnancy. Popular brand names for the travel sickness tablets are Kwells, Kwells Kids and Joy-Rides. It is employed to freeze bowel motion as part of many fluoroscopic, CT and MRI studies (its main use for many years was for barium GI studies). Do not "double-up" the dose to catch up. During pregnancy, this medication should be used only when clearly needed. Please refer to our terms and conditions. The elderly may be more sensitive to the effects of this drug, especially dizziness, drowsiness, dry mouth, trouble urinating, eye problems. All labs listed on the platform are accredited, Tata 1mg uses Secure Sockets Layer (SSL) 128-bit encryption and is Payment Card Industry Data Security Standard (PCI DSS) compliant. Hyoscine butylbromide is an anticholinergic medication. Consult your doctor before breast-feeding. This site complies with the HONcode standard for trustworthy health information: verify here. (1989) Anaesthesiologie und Reanimation. Avoid becoming overheated in hot weather, saunas, and during exercise or other strenuous activity. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of particular drug is safe, appropriate or effective for you or anyone else. There is no concern in other cardiac diseases, e.g. The dosage is based on your medical condition and response to treatment. Alberta residents can call PADIS (Poison and Drug Information Service) 24 hours a day at 1-800-332-1414. Reference article, Radiopaedia.org. SIDE EFFECTS: Constipation, dry mouth, trouble urinating, or nausea could occur. What is irritable bowel syndrome (IBS)? For travel sickness, you only need to take the tablets or use the patches before and during your journey. 6.90, Unit Price: Taking 1 extra dose of hyoscine hydrobromide by accident is unlikely to harm you. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Some products that may interact with this drug include: Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine). Otherwise, call a poison control center right away. Hyoscine without side branch modification is unsuitable as an antimuscarinic agent as it crosses the blood-brain barrier and may give rise to some rather unpleasant side effects, e.g. The intestinal complications of Crohn's disease and ulcerative colitis differ because of the characteristically dissimilar behaviors of the intestinal inflammation in these two diseases. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. This drug passes into breast milk. 6.80, 1 ml ampoule: Terms of Use. Tytgat GN. US residents can call the US national poison hotline at 1-800-222-1222. It looks like your browser does not have JavaScript enabled. Page last reviewed: 28 August 2019 HOW TO USE: Take as directed. 1.54, Unit Price: (2006) The journal of the Royal College of Physicians of Edinburgh. Terms of Service apply. The travel sickness tablets come in different strengths: 300 micrograms for adults, 150 micrograms for children. 4. h]o(s!y!YnUjPmgz,9MykCyeHS[TA-xk8i(2N$JNjf2H5;w,z'xzn;GOvWdIbO6ydbO.dki>XNmI<9''.O]7 #'W_TO'4M#bB?;%uH5lZ 5zmJ>}dmr. Taking too much hyoscine can be dangerous. Unit Price: 3.43, Unit Price: In this case, they'll use your child's weight to work out what size patch to use. h[k@2{KL@h-T)1Ra1$M %sf|< Active ingredients: hyoscine butylbromide. 13.64, 1 ml ampoule: Some medicines and hyoscine hydrobromide can interfere with each other or increase your risk of side effects. 3.48, Unit Price: Legal medicine (Tokyo, Japan). If you have questions about missing a dose or you don't have more medication, contact your healthcare provider or pharmacist. Take it at the same time every day, either with or without food. Hyoscine butylbromide is used for treating pain due to smooth muscle spasm. information on the law on drugs and driving, Who can and cannot take hyoscine hydrobromide. Take your next dose at the regular time. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. It's best not to drink alcohol while taking hyoscine hydrobromide. For long journeys, you can repeat the dose every 6 hours. This medication may interfere with a certain laboratory test (gastric secretion test), possibly causing false test results. In adults, the standard dosage is 20 mg usually administered IV or IM. This website is certified by the Health On The Net (HON) foundation, the standard for trustworthy health Do not skip any dose and finish the complete course as suggested by the doctor. But speak to a pharmacist or doctor before taking it if you're trying to get pregnant. We currently support Microsoft Edge, Chrome, Firefox and Safari. Tell your doctor right away if any of these unlikely but serious side effects occur: This medication may increase the pressure inside the eyes of people with a certain type of eye disease (narrow-angle glaucoma) or those at risk for it. Hyoscine hydrobromide comes as patches and tablets that you suck, chew or swallow. Please turn on JavaScript and try again. By using our site, you acknowledge that you have read and understand our, * Drug Price mentioned in Indian Rupees (, Hyoscine Butylbromide 10mg+ Paracetamol 500mg, Hyoscine Butylbromide 10mg+ Mefenamic acid 250mg, Updation of price information may not have happened at the right time. Stick a patch to the skin behind the ear. Rj *ScTM&wT*yhsc unnMFzKgUqhw 0 Support for this browser is being discontinued for this site. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Medicines with a low safety risk are usually less tightly controlled than medicines with a higher safety risk. Drink plenty of fluids while you are taking this medication unless your doctor directs you otherwise. Therefore it is pointless asking about a history of glaucoma prior to giving the drug. Adults and children aged 10 years or older: Occasionally a doctor may prescribe patches for a child under the age of 9 years. This medication should be used only when clearly needed during pregnancy. Caution is advised when this drug is used in the elderly. In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to hyoscine hydrobromide. 10.00, Unit Price: This information does not assure that this product is safe, effective, or appropriate for you. The misunderstanding derives from hyoscine-N-butylbromides propensity to rarely precipitate acute angle-closure glaucoma (AACG), an entirely different form of the disease (see complications below). Remove the patch at the end of your journey. Store at room temperature away from light and moisture. Some medicines increase your risk of side effects if you take them at the same time as hyoscine hydrobromide. Do not store in the bathroom. Take the hyoscine hydrobromide packet or leaflet inside it, plus any remaining medicine, with you. US residents can call their local poison control center at 1-800-222-1222. Buscopan may cause an elevation in the heart rate - an antimuscarinic effect - and this may exacerbate symptoms in those with unstable cardiac disease: namely acute coronary syndrome, recurrent cardiac pain at rest, uncontrolled left ventricular failure, and recent ventricular arrhythmias. Hyoscine butylbromide: a review of its use in the treatment of abdominal cramping and pain. If you take hyoscine hydrobromide for travel sickness, nothing will happen when you stop taking it at the end of your journey. Tell a doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.
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