Take special care with Thiogamma 600 oral if intolerance to some sugars is present. Contact the doctor before taking Thiogamma 600 oral.
Patients with a certain human leukocyte antigen genotype (which is more frequent in Japanese and Korean patients, but is also found in Caucasians) are more prone to development of insulin autoimmune syndrome (disorder of the blood glucose regulating hormones with pronounced lowering of blood sugar levels) when treated with thioctic acid.
Use in Pregnancy: As it is not known whether it is safe to take the medication during pregnancy, upon becoming pregnant the patient should only continue to take Thiogamma 600 oral if advised to do so by the doctor.
Use in Lactation: It is not known whether α-lipoic acid passes into the mother's milk. Thiogamma 600 oral should therefore never be taken while breast-feeding.
Use in Children: Children and juveniles should not be treated with Thiogamma 600 oral as there is no clinical experience of this.