CLABILLA 20 mg Tablets

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Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Clabilla Gem

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. Clabilla Gem, 20 mg, Tablets
    1. Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.
    2. Table of Contents of the Leaflet
  3. What Clabilla Gem is and what it is used for
  4. Important information before taking Clabilla Gem
    1. When not to take Clabilla Gem
    2. Warnings and precautions
    3. Children
    4. Do not give this medicine to children under 12 years of age.
    5. Clabilla Gem with other medicines
    6. Clabilla Gem with food, drink, and alcohol
    7. Pregnancy, breastfeeding, and fertility
    8. Driving and using machines
    9. Clabilla Gem contains sodium
  5. How to take Clabilla Gem
    1. Duration of treatment
    2. Use in children
    3. Do not give this medicine to children under 12 years of age.
    4. Do not give these forms of bilastine to children under 6 years of age with a body weight below 20 kg, as there are insufficient data on its use.
    5. Overdose of Clabilla Gem
    6. Missed dose of Clabilla Gem
  6. Possible side effects
    1. Other side effects that may occur in adults and adolescents are:
    2. Common: may affect up to 1 in 10 people
    3. Uncommon: may affect up to 1 in 100 people
    4. Side effects that may occur in children are:
    5. Common: may affect up to 1 in 10 people
    6. Uncommon: may affect up to 1 in 100 people
    7. Reporting side effects
  7. How to store Clabilla Gem
  8. Contents of the pack and other information
    1. What Clabilla Gem contains
    2. What Clabilla Gem looks like and contents of the pack
    3. PVC/PVDC/Aluminum Blister:
    4. Aluminum/Aluminum Blister:
    5. Marketing authorization holder
    6. Manufacturer/Importer
    7. For further information about this medicine, please contact the local representative of the marketing authorization holder:
    8. This medicine is authorized in the Member States of the European Economic Area under the following names:

Package Leaflet: Information for the Patient

Clabilla Gem, 20 mg, Tablets

Bilastine

Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in this package leaflet or as directed by your doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or further information, ask your pharmacist.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.
  • If after 3 days there is no improvement or you feel worse, you should contact your doctor.

Table of Contents of the Leaflet

  • 1. What Clabilla Gem is and what it is used for
  • 2. Important information before taking Clabilla Gem
  • 3. How to take Clabilla Gem
  • 4. Possible side effects
  • 5. How to store Clabilla Gem
  • 6. Contents of the pack and other information
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

1. What Clabilla Gem is and what it is used for

Clabilla Gem contains the active substance bilastine, which has antihistamine properties. Clabilla Gem is used to relieve the symptoms of hay fever (sneezing, itching, runny nose, blocked nose, and red or itchy eyes) and other forms of allergic rhinitis. The medicine may also be used to treat itchy skin rashes (hives).

2. Important information before taking Clabilla Gem

When not to take Clabilla Gem

  • if you are allergic to bilastine or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before taking Clabilla Gem, you should discuss it with your doctor or pharmacist if you have moderate or severe kidney problems, low potassium, magnesium, or calcium levels in your blood, if you have or have had heart rhythm problems or very slow heart rate, if you are taking medicines that may affect your heart rhythm, if you have or have had an abnormal heart rhythm (known as QTc interval prolongation on an electrocardiogram), which may occur in certain types of heart disease, and if you are also taking other medicines (see "Clabilla Gem with other medicines").

Children

Do not give this medicine to children under 12 years of age.

Do nottake a higher dose than recommended. If symptoms persist, consult your doctor.

Clabilla Gem with other medicines

Tell your doctor or pharmacist about all medicines you are taking now or have recently taken, as well as any medicines you plan to take, including those obtained without a prescription. In particular, tell your doctor about taking any of the following medicines:

  • ketokonazole (an antifungal medicine)
  • erythromycin (an antibiotic)
  • diltiazem (a medicine used for coronary heart disease)
  • cyclosporin (a medicine used to reduce the activity of the immune system, and thus prevent organ rejection after transplantation or reduce the severity of diseases in which the immune system attacks the body's own organs, as well as allergic diseases such as psoriasis, atopic dermatitis, rheumatoid arthritis)
  • ritonavir (used in the treatment of AIDS)
  • rifampicin (an antibiotic)

Clabilla Gem with food, drink, and alcohol

Do nottake the tablets with food or grapefruit juice or other fruit juices, as this reduces the effect of bilastine. To avoid this, you should:

  • swallow the tablet and wait one hour before eating or drinking fruit juice or
  • after eating or drinking fruit juice, wait 2 hours before taking the tablet.

Bilastine at the recommended dose (20 mg) does not increase drowsiness caused by alcohol consumption.

Pregnancy, breastfeeding, and fertility

There are no data or limited data on the use of bilastine in pregnant or breastfeeding women, as well as its effect on fertility. If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before taking this medicine. Before taking any medicine, consult your doctor or pharmacist.

Driving and using machines

It has been shown that taking bilastine at a dose of 20 mg does not affect the ability to drive vehicles in adults. However, the response to treatment may vary from patient to patient. Therefore, before driving or operating machinery, check how this medicine affects you.

Clabilla Gem contains sodium

This medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means the medicine is considered "sodium-free".

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to take Clabilla Gem

This medicine should always be taken exactly as described in this package leaflet or as directed by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist. The recommended dose for adults, including the elderly, and adolescents 12 years and older is 1 tablet (20 mg) per day.

  • The tablet is for oral use.
  • Take the tablet one hour before or two hours after eating or drinking fruit juice (see section 2, "Clabilla Gem with food, drink, and alcohol").
  • Swallow the tablet with a glass of water.
  • The score line on the tablet is only to facilitate breaking the tablet, if you have difficulty swallowing it whole.

Duration of treatment

The duration of treatment depends on the type, duration, and course of the disease. Do not take this medicine without consulting your doctor for more than 10 days. If after 3 days there is no improvement or you feel worse, consult your doctor.

Use in children

Do not give this medicine to children under 12 years of age.

Other forms of this medicine - orally disintegrating tablets or oral solution - are intended for children aged 6 to 11 years with a body weight of at least 20 kg; ask your doctor or pharmacist.

Do not give these forms of bilastine to children under 6 years of age with a body weight below 20 kg, as there are insufficient data on its use.

Overdose of Clabilla Gem

If you or someone else has taken a higher dose of Clabilla Gem than recommended, immediatelycontact your doctor or pharmacist or go to the emergency department of the nearest hospital. Take the medicine packaging or leaflet with you.

Missed dose of Clabilla Gem

Do nottake a double dose to make up for a missed dose. If you miss a dose, take it as soon as possible, and then continue with your regular dosing schedule. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Clabilla Gem can cause side effects, although not everybody gets them. If you experience allergic reactions, including: difficulty breathing, dizziness, fainting, or loss of consciousness, swelling of the face, lips, tongue, or throat, and (or) swelling and redness of the skin, stop taking the medicine and consult your doctor immediately.

Other side effects that may occur in adults and adolescents are:

Common: may affect up to 1 in 10 people

  • headache
  • drowsiness

Uncommon: may affect up to 1 in 100 people

  • abnormal electrocardiogram (ECG) readings
  • blood test changes indicating liver problems
  • dizziness
  • stomach pain
  • fatigue
  • increased appetite
  • heart rhythm disorders
  • weight gain
  • nausea
  • anxiety
  • dryness or discomfort in the nose
  • abdominal pain
  • diarrhea
  • gastritis
  • dizziness (feeling of spinning or rotation)
  • weakness
  • increased thirst
  • shortness of breath (difficulty breathing)
  • dryness of the mouth
  • indigestion
  • itching
  • facial rash
  • fever
  • ringing in the ears (tinnitus)
  • sleep disorders
  • blood test changes indicating kidney problems
  • increased lipid levels in the blood

Frequency not known: cannot be estimated from the available data

  • palpitations (feeling of heartbeat)
  • tachycardia (fast heartbeat)
  • vomiting

Side effects that may occur in children are:

Common: may affect up to 1 in 10 people

  • rhinitis (nasal irritation)
  • allergic conjunctivitis (eye irritation)
  • headache
  • stomach pain (abdominal pain, pain in the upper abdomen)

Uncommon: may affect up to 1 in 100 people

  • eye irritation
  • dizziness
  • loss of consciousness
  • diarrhea
  • nausea
  • lip swelling
  • rash
  • hives
  • fatigue

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, Tel.: +48 22 49 21 301, Fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Clabilla Gem

Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date stated on the carton and blister after the "EXP" abbreviation. The expiry date refers to the last day of the month. There are no special storage instructions for this medicine. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Clabilla Gem contains

  • The active substance is bilastine. Each tablet contains 20 mg of bilastine.
  • The other ingredients are: microcrystalline cellulose, sodium carboxymethylcellulose (type A), colloidal anhydrous silica, magnesium stearate.

What Clabilla Gem looks like and contents of the pack

Clabilla Gem is a white to almost white, oval, biconvex tablet with "Y41" engraved on one side and a score line on the other side (length 10 mm, width 5 mm). The score line on the tablet is only to facilitate breaking the tablet, for easier swallowing, and not for dividing into equal doses. The medicine is packed in two types of blisters:

PVC/PVDC/Aluminum Blister:

A blister with PVC/PVDC film as the base layer and smooth aluminum foil as the covering layer, then packaged in a cardboard box.

Aluminum/Aluminum Blister:

A multi-layered blister with cold-formed aluminum, consisting of OPA and PVC film as the base layer and smooth aluminum foil as the covering layer, then packaged in a cardboard box. Available pack sizes: 10 tablets.

Marketing authorization holder

Glenmark Pharmaceuticals s.r.o., Hvĕzdova 1716/2b, 140 78 Prague 4, Czech Republic

Manufacturer/Importer

Glenmark Pharmaceuticals s.r.o., Fibichova 143, 566 17 Vysoké Mýto, Czech Republic

For further information about this medicine, please contact the local representative of the marketing authorization holder:

Glenmark Pharmaceuticals Sp. z o.o., ul. Dziekońskiego 3, 00-728 Warsaw, tel. +48 22 35 12 500, e-mail: [email protected]

This medicine is authorized in the Member States of the European Economic Area under the following names:

CountryMedicine name
Czech RepublicAbisax
PolandClabilla Gem
SlovakiaAbisax 20 mg tablets
SpainBilastina Viso Farmacéutica 20 mg tablets EFG

Date of last revision of the leaflet:March 2025

Online doctors for Clabilla Gem

Discuss questions about Clabilla Gem, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get Clabilla Gem Prescription Online

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Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Clabilla Gem?

Clabilla Gem does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Clabilla Gem?

The active ingredient in Clabilla Gem is bilastine. This information helps identify medicines with the same composition but different brand names.

Who manufactures Clabilla Gem?

Clabilla Gem is manufactured by Glenmark Pharmaceuticals s.r.o.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Clabilla Gem online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Clabilla Gem is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Clabilla Gem in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Clabilla Gem in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Clabilla Gem?

Other medicines with the same active substance (bilastine) include Adablix, Adablix, Allertec Effect. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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