STOP TAKING this medicine and contact a doctor immediately if the patient develops: Signs of an allergic reaction such as asthma, unexplained wheezing, or shortness of breath, itching, runny nose, or skin rashes.
Swelling of the face, tongue or throat causing difficulty in breathing, racing heart, drop in blood pressure leading to shock (these can happen even on the first use of the medicine).
Signs of hypersensitivity and skin reactions such as redness, swelling, peeling, blistering, flaking or ulceration of skin and mucous membrane.
Tell the doctor or pharmacist if the patient notices any of the following effects or any effects not listed: Common (may affect up to 1 in 10 people): dizziness, headache; throat irritation; mouth ulcers, pain, or numbness in the mouth; oropharyngeal pain; discomfort (warm or burning feeling or tingling) in the mouth; nausea and diarrhoea; itching sensation in skin.
Uncommon (may affect up to 1 in 100 people): drowsiness; blistering in the mouth or throat, numbness in the throat; abdominal distension, abdominal pain, constipation, dry mouth, dyspepsia, flatulence, glossodynia, dysgeusia, oral dysaesthesia, vomiting; dry mouth; burning sensation in the mouth, altered sense of taste; skin rashes, itchy skin (pruritus); fever, pain; feeling sleepy (somnolence) and difficulty falling asleep (insomnia); worsening of asthma and bronchospasm; reduced sensation in the throat (pharyngeal hypoaesthesia).
Rare (may affect up to 1 in 1000 people): anaphylactic reaction.
Not known (frequency cannot be estimated from the available data): anaemia, thrombocytopenia (low platelet count in the blood that can give rise to bruising and bleeding); swelling (oedema), high blood pressure, heart failure or attack; severe forms of skin reaction such as bullous reactions, including Stevens-Johnson Syndrome, erythema multiforme and toxic epidermal necrolysis; hepatitis (inflammation of the liver); hypersensitivity.
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