NICORETTE MICROTAB LEMON 2 MG SUBLINGUAL TABLETS

Active substance: NICOTINE BITARTRATE DIHYDRATE

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618629

microtab
lemon 2 mg
Personalised mobile phone and
online support programme

Call now on 0800 244 838.

nicotine
sublingual tablet
with

A guide for users
What you should know about
nicorette® microtab lemon 2 mg
(2 mg nicotine sublingual tablets)
Please read this leaflet carefully before
you start using this medicine. It provides
useful information on how to use it safely.
Keep the leaflet, you might need it again.
If you think you are having side-effects,
have any questions or are not sure about
anything please ask your doctor, nurse
or pharmacist.

In this leaflet
1 What this medicine is for page 4
2 Before using this medicine page 6
I Do not use Nicorette Microtab Lemon
page 6
I Talk to your doctor, nurse or pharmacist
page 6
2

I If you are pregnant or breast-feeding
page 8
3 How and when to use this medicine
page 10
I How to use Nicorette Microtab Lemon
page 10
I When to use Nicorette Microtab Lemon
page 11
I How to stop smoking: your choice page 13
I Stopping Immediately page 15
I Adults aged 18 years and over
I Children aged 12 years and over
I Stopping Gradually page 20
I Adults aged 18 years and over
I Children aged 12 years and over
I If you have used too many Nicorette
Microtab Lemon page 24
I If a child has used or swallowed
Nicorette Microtab Lemon page 24
4 Possible side-effects page 25
5 Storing and disposal page 29
6 Further information page 30
7 Helpful tips on giving up page 31
3
8 Nicorette ActiveStop page 39

1What this
medicine is for
Nicorette microtab lemon 2 mg is a
nicotine replacement therapy (NRT).
It is used to relieve withdrawal
symptoms and reduce the cravings for
nicotine that you get when you try to
stop smoking or when you are cutting
down the number of cigarettes you
smoke while trying to stop smoking.
This product will help relieve your cravings.
To help cut down or quit smoking you
should also try to use a behavioural support
programme to increase your chances of
success. Details of Nicorette ActiveStop are
shown in Section 8 of this booklet.
IMPORTANT: Nicorette microtab lemon
2 mg is a sublingual tablet which means it
must be dissolved under the tongue and
NOT swallowed or chewed.
4

What does Nicorette
Microtab Lemon do?
When you stop smoking, your body
misses the nicotine that you have been
absorbing. You may experience
unpleasant feelings and a strong desire
to smoke (craving). This indicates that
you were dependent on nicotine.
When you use nicorette microtab lemon
2 mg, nicotine is released and passes into
your body through the lining of your
mouth. The nicotine released is sufficient
to relieve the unpleasant nicotine
withdrawal symptoms. It will also help to
stop your craving to smoke but will not
give you the “buzz” you get from
smoking a cigarette.
The benefits of stopping smoking far
outweigh any potential risk from using
nicotine from NRT. It is the toxins in
cigarette smoke such as tar, lead, cyanide
and ammonia that cause smoking related

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disease and death, not the nicotine.

2 Before using
this medicine
X Do not use Nicorette Microtab

Lemon:
I if you have an allergy to nicotine
or any of the other ingredients.

! Talk to your doctor, nurse or
pharmacist…
I if you are pregnant or breastfeeding – you may be able to use
nicotine replacement therapy (NRT)
to help you give up smoking but
you should try to give up without
it. See page 8 If you are pregnant or
breast-feeding
6

I if you are in hospital because of
heart disease (including heart
attack, disorders of heart rate or
rhythm, or stroke)
In other heart conditions not requiring you to be in hospital, using NRT
is better than continuing to smoke
I if you have phenylketonuria which is
a rare hereditary condition
I if you have a stomach ulcer,
duodenal ulcer, inflammation of the
stomach or inflammation of the
oesophagus (passage between the
mouth and stomach)
I if you have liver or kidney disease
I if you have an overactive thyroid
gland or have a phaeochromocytoma
(a tumour of the adrenal gland that
can affect blood pressure) – your
doctor will have told you this
I if you have diabetes – monitor your
blood sugar levels more often when

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starting to use nicorette microtab
lemon 2 mg as you may find your insulin or medication requirements alter
I if you are taking other medicines
such as theophylline, clozapine or
ropinirole. Stopping smoking or
cutting down may require the dose
of these medicines to be adjusted.
If any of these applies, talk to your
doctor, nurse or pharmacist.

! Some of the ingredients
can cause problems

® This product contains aspartame,
which is a source of phenylalanine.
This maybe harmful if you have a
condition called “phenylketonuria”.

! If you are pregnant or
breast-feeding
If you are pregnant: ideally, you should
try to give up smoking without NRT. If
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you can’t manage this, you can use NRT
as the risks to your baby are far less than
smoking, however you should talk to your
doctor, nurse or pharmacist for advice.
Products that are used intermittently,
including nicorette microtab lemon
2 mg, may be preferable to nicotine
patches. However, patches may be more
suitable if you have nausea or sickness.
If you do use patches take them off
before going to bed at night.
If you are breast-feeding: ideally, you
should try to give up smoking without
NRT. If you can’t manage this you are
best to use NRT products that are taken
intermittently (not patches), however
you should talk to your doctor, nurse or
pharmacist for advice.
Breast-feed just before you use
nicorette microtab lemon 2 mg to make
sure that the baby gets the smallest
amount of nicotine possible.
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If you do need to use NRT to help you
quit, the amount of nicotine that the
baby may receive is considerably smaller
and less harmful than the second-hand
smoke they would inhale if you smoked.
Tobacco smoke produces breathing and
other problems in babies and children.

3 How and when to
use this medicine
i How to use Nicorette
Microtab Lemon
Place the microtab under your tongue.
Allow it to slowly dissolve. This will
release nicotine, which you will absorb
through the lining of your mouth.
nicorette microtab lemon 2 mg should
NOT be chewed or swallowed.
10

i When to use Nicorette
Microtab Lemon
Below is the dosage information for
nicorette microtab lemon 2 mg. This
shows the number of microtabs you
should be taking, when you should
take them, how you should take them
and the maximum amount of time you
should be using Nicotine Replacement
Therapy (NRT) for.
Please read the information carefully
and then go to the “How to stop
smoking: your choice” section on page
13, which will help you decide which
method to use to give up smoking.
I The number of nicorette microtab
lemon 2 mg you use each day will
depend on how many cigarettes you
smoked and how strong they were.
See dosing information below to find
out the dose you should take.
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i Children under 12 years
Do not give this product to children
under 12 years.

i Adults and Children 12
years and over
Number of Cigarettes Dose of Microtabs
you smoke per day
One microtab
20 cigarettes
to be taken every
or fewer
hour
Two microtabs
More than
to be taken every
20 cigarettes
hour
• Most people take between
8 to 24 microtabs per day.
• Do not take more than 40 per day.
• Children aged 12 and up to 18 years
should not use for longer than
12 weeks in total without asking for
help and advice from a doctor, nurse
or pharmacist.
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• Adults aged 18 years and over should
not use for more than 9 months in total
without asking for help and advice
from a doctor, nurse or pharmacist.

i How to stop smoking :
your choice
Because smoking is an addiction you
may find it difficult to give up. From
time to time you may still have strong
urges to smoke but if you follow these
recommendations, you have a good
chance of quitting.
Some people may find it easier to set
a date to quit and stop smoking
immediately.
Others who are unable or not ready to
stop smoking abruptly, may benefit
from gradually reducing the number
of cigarettes they smoke each day
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until they feel ready to stop
completely.
If you are an adult you can follow
either one of these options. However
children should follow the guide to
stopping immediately as the
recommended duration of nicotine
replacement therapy in children is 12
weeks maximum. The only time
children should stop gradually is if
they are having a problem stopping
immediately and they should talk to
their doctor, nurse or pharmacist
beforehand.
If you find it hard to stop using
nicorette microtab lemon 2 mg, you
are worried that you will start
smoking again without it or you find
it difficult to reduce the number of
tablets you are using, talk to your
doctor, nurse or pharmacist.
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Remember nicorette microtab lemon 2 mg
is not intended as a substitute for
smoking, it is an aid to give up.
Use one of the two options which follow.

i Stopping Immediately
The idea is to stop smoking
immediately and use the microtabs to
relieve the cravings to smoke. After
achieving this you then stop using the
microtabs.
There is a difference in how you stop
depending on whether you are aged
between 12 -18 years or 18 years
and over. Make sure you follow the
age range applicable to you.

i Adults aged 18 years and over
See the following diagrams which
show the basic step by step process.
The time given in step 2 is the
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longest amount of time it should
take, and you should try to achieve
your move to the next step in the
shortest time possible.
Make sure you read the instructions
for each step in the information
which follows.
Gradually
12 weeks
Preparation (3 months) reduce usage
Step 1

Step 2

Step 3

Step 1: Set a date to quit and stop
smoking cigarettes.
Step 2: Use 1 or 2 microtabs every
hour to relieve your cravings.
See “Dosage” section on
pages 12-13 to decide on the
dose you should take.
® Use nicorette microtab lemon 2
mg for up to 12 weeks
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(3 months) to relieve your
cravings to smoke.
Step 3: Start reducing the number of
tablets you take each day.
Once you reach only one or
two tablets each day you
should try to stop completely.
® If you need to use the microtabs for
longer than a total of 9 months, ask
your doctor, nurse or pharmacist for
advice.
® You might feel a sudden craving to
smoke long after you have given up
smoking and stopped using the
nicorette microtab lemon 2 mg.
Remember you can use nicotine
replacement therapy again if this
should happen.

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i Children aged 12 years and
over
See the following diagrams which show
the basic step by step process. The time
given in step 2 and 3 are the longest
amount of time it should take, and you
should try to achieve your move to the
next step in the shortest amount of time.
The total amount of time taken to stop
smoking should not exceed 12 weeks.
Make sure you read the instructions
for each step in the information
which follows.
8 weeks
Preparation (2 months)
Step 1

Step 2

4 weeks
(1 month)
Step 3

Step 1: Set a date to quit and stop
smoking cigarettes.
Step 2: Use 1 or 2 microtabs every
hour to relieve your cravings.
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See “Dosage” section on
pages 12-13 to decide on the
dose you should take.
® Use the nicorette microtab
lemon 2 mg for up to 8 weeks
(2 months) to relieve your
cravings to smoke.
Step 3: Start reducing the number
of tablets you take each day
over the next 4 week period.
Once you reach only one or
two tablets each day you
should try to stop completely.
You should make sure that you
do this within the 4 weeks.
® If you need to use the microtabs for
longer than the 12 weeks (3 months),
ask your doctor, nurse or pharmacist
for advice.

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i Stopping Gradually
The idea is to start gradually replacing
some of your cigarettes with the
microtabs. After achieving this you
then give up cigarettes completely
while using the microtabs. Finally you
give up using the microtabs.
There is a difference in how you stop
depending on whether you are aged
between 12 -18 years or 18 years and
over. Make sure you follow the age
range applicable to you.

i Adults aged 18 years and over
See the following diagram which
shows the basic step by step process.
The time given for step 2 is the
longest it should take, and you should
try to achieve your move to the next
step in the shortest time possible.
Make sure you read the instructions
20

for each step in the information which
follows.
24 weeks
Preparation
Step 1

12 weeks

(6 months)

(3 months)

Gradually
reduce
usage

Step 2

Step 3

Step 4

Step 1: Work out how many
cigarettes you smoke per
day. Set a date to start
reducing the number of
cigarettes you smoke.
Step 2: Start reducing. Over the next
few months, reduce the
number of cigarettes you
smoke by using 1 or 2
microtabs every hour to
relieve your cravings. See
“Dosage” section on
pages 12-13.
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® If after 6 weeks you have
not reduced the number of
cigarettes you smoke, ask
your doctor, nurse or
pharmacist for advice.
® You should aim to stop
smoking completely by six
months from the beginning
of treatment.
Step 3: Stop smoking. Cut out all
cigarettes and continue using
the microtabs for 3 months to
relieve your cravings to smoke.
Step 4: Start reducing the use of the
microtabs. You should try to
use fewer microtabs each day.
When you are using only one
or two microtabs per day, you
should stop completely.
® If you need to use the product for
longer than 9 months, ask your doctor,
nurse or pharmacist for advice.
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® You might feel a sudden craving to
smoke long after you have given up
smoking and stopped using
nicorette microtab lemon 2 mg.
Remember you can use nicotine
replacement therapy again if this
should happen.

i Children aged 12 years and
over
Children should follow the guide to
stopping immediately. The
recommended duration of nicotine
replacement therapy in children is
12 weeks maximum. The only time
children should stop gradually is if
they are having a problem stopping
immediately.
Talk to your doctor, nurse or pharmacist
before attempting to stop gradually.

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! If you have used too many
Nicorette Microtab Lemon
If you have used more than the
recommended number of tablets you
may experience nausea, salivation,
pain in your abdomen, diarrhoea,
sweating, headache, dizziness, hearing
disturbance or weakness.
I If you do get any of these effects
contact a doctor or your nearest
hospital Accident and Emergency
department immediately. Take this
leaflet and the pack with you.

! If a child has used or
swallowed Nicorette
Microtab Lemon
I Contact a doctor or your nearest
hospital Accident and Emergency
department immediately if a child
under 12 years uses, chews, sucks or
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swallows a nicorette microtab lemon
2 mg tablet. Take this leaflet and the
pack with you.
Nicotine ingestion by a child may
result in severe poisoning.

4 Possible sideeffects
Like all medicines, nicorette microtab
lemon 2mg can have side-effects.
As many of the effects are due to
nicotine, they can also occur when
nicotine is obtained by smoking.

Effects related to stopping
smoking (nicotine withdrawal)
You may experience unwanted
effects because by stopping smoking
you have reduced the amount of
25

nicotine you are taking. You may
also experience these effects if you
use too few nicorette microtab
lemon 2 mg tablets before you are
ready to reduce your nicotine intake.

!

!

These effects include:
I irritability or aggression
I feeling low
I anxiety
I restlessness
I poor concentration
I increased appetite or weight gain
I urges to smoke (craving)
I night time awakening or sleep
disturbance
I lowering of heart rate

Side-effects of Nicorette
Microtab Lemon

Effects of too much nicotine
You may also get these effects if you are
not used to inhaling tobacco smoke.
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These effects include:
I feeling faint
I feeling sick (nausea)
I headache

Common side-effects:
(less than 1 in every 10 people are
affected)
I headache
I dizziness
I chest palpitations
I cough
I stomach discomfort
I hiccups
I feeling sick (nausea)
I sore mouth or throat
I burning sensation in the mouth
I irritated nose (rhinitis)
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I dry mouth

Rare side-effects:
(less than 1 in 1,000 people are affected)
I Allergic reaction (swelling of the
mouth, lips, throat and tongue,
itching of the skin, swelling of the
skin, ulceration and inflammation of
the lining of the mouth)

Very rare side-effects:
(less than 1 in 10,000 people are
affected)
I abnormal beating of the heart
®If you notice these or any other
unwanted effects not listed in this
leaflet tell your doctor, nurse or
pharmacist.
When you stop smoking you may
also develop mouth ulcers. The
reason why this happens is unknown.
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5 Storing and disposal
I Keep nicorette microtab lemon 2 mg
out of the reach and sight of children.
Nicotine in high doses can be very
dangerous and sometimes fatal if
taken by small children.
I Do not store nicorette microtab
lemon 2 mg above 25°C.
I Do not use nicorette microtab
lemon 2 mg after the ‘Use before’
date shown on the carton or blister.
The expiry date refers to the last
day of the month.
I Dispose of any unused nicorette
microtab lemon 2mg sensibly and
away from children. Medicines
should not be disposed of via wastewater or household waste. Ask your
pharmacist how to dispose of
medicines no longer required. These
measures will help to protect the
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environment.

6 Further information
What’s in this medicine?
The active ingredient is: 2 mg nicotine.
Other ingredients are: Mannitol (E421),
microcrystalline cellulose, povidone,
methylcellulose, silicified
microcrystalline cellulose, magnesium
stearate, lemon flavour, aspartame
(E951), flavour.

What the medicine looks like
Nicorette microtab lemon 2 mg are
blister packed in units of 10
microtabs, and is available in cartons
containing 30 and 100 microtabs. Not
all pack sizes may be marketed.

Who makes Nicorette Microtab
Lemon?
The Product Licence holder is McNeil
Products Ltd, Maidenhead, Berkshire,

30 SL6 3UG, UK.

The manufacturer is McNeil AB,
Helsingborg, Sweden.
This leaflet was revised in April
2009. ©

7 Helpful tips
on giving up
You may have tried to stop smoking
before and you know from bitter
experience that it’s not easy to give up
cigarettes.
However, you have now taken the first
constructive step towards becoming a
non-smoker. In overcoming your
tobacco dependence you will have to
tackle two problems:
1 Your smoking habit.
2 Your addiction to nicotine.
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Willpower
The overriding success factor in quitting
is how determined you are. The first
few weeks of quitting will probably be
the most difficult because your smoking
ritual is still fresh in your mind.
However, you will find that as time
goes by, your willpower becomes
stronger. Telling friends, family and
work colleagues that you have quit
smoking and that you envisage a
tough time ahead will encourage
them to support you.

1 Pick the right day

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There is never a perfect time to give up
smoking, but you should plan ahead by
choosing a date in the not too distant
future on which you are going to give
up cigarettes completely. This is your
Quit Day. Try to pick a day when you
will not be too stressed.

2 Break your routine
For a number of years you will have
become accustomed to smoking at
certain times, with particular people or
in certain situations. Think about the
times you will miss smoking the most
and plan how you will cope on these
occasions. Changing your routine will
help you break the habit of smoking.

3 Quit with a friend
Quitting with a fellow smoker is a good
idea. It will strengthen your resolve and
build on your determination.
Encourage a friend or family member
to quit with you. It will give your
morale a boost since there will be
another person knowing exactly what
you’re feeling and with whom you can
share your resolve to quit smoking.
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4 Remove any temptation
To help yourself succeed be sure to
remove all cigarettes, matches, lighters
etc. from your home, car and work.
Ask your friends and colleagues not to
offer you cigarettes or smoke close by
you but be careful not to offend them.
Explain that you have given up. This
type of support from friends is of
greatest benefit for the first couple of
weeks of quitting, as this is your most
vulnerable time. The last thing you
want is a cigarette close at hand in a
moment of weakness.

5

Take one day at a time
When you reach your Quit Day, don’t
allow yourself to think that you’re
quitting for good. That will make it
seem like a superhuman task. Just
promise yourself “I won’t have a

34

cigarette today” and take it one day at
a time. You’ll be surprised how much
that little thought helps.

6 Distract yourself
Whenever you feel the urge to smoke
coming on, distract yourself by
keeping active. Don’t feel sorry for
yourself. Get up and do something.
Do that job around the house or
garden that you’ve been putting off
or take up a hobby.
Remember that the craving only lasts
a few minutes.

7 Learn to relax
Once you have stopped smoking,
taking exercise regularly will not only
help you get fitter but will encourage
you to relax. Exercise has the ability to
relieve stress and tension. Taken
35

regularly it will benefit you physically
and psychologically.
If you haven’t exercised for some time,
take it slowly to begin with and
increase the amount of time spent
exercising over the course of a few
weeks. Not only will exercising help you
relax but it also helps to keep your
weight under control, which some
people find a problem when quitting.

8 Think cash not ash
One of the really noticeable benefits
of ‘stopping’ is the extra cash that’s
suddenly available. To emphasise the
point put the money into a pot
marked ‘cash not ash’ and watch it
accumulate. But be sure to use the
money to treat yourself. You deserve
a reward for not smoking.
36

9 Dealing with relapses
You might find that in times of stress,
reaching for a cigarette is the only thing
that will help you through. There may
also be certain situations – particularly
social situations such as a party – where
temptation just gets the better of you,
so you smoke one or two cigarettes.
You might feel that your only option is
to go back to smoking. Don’t think of it
as having failed, just think through the
reasons why you wanted to quit in the
first place and don’t let those couple of
cigarettes get the better of you. Refer
back to your plan and start again. You
can beat it!

10 If you don’t succeed
Giving up is more difficult for some
people than others.
If you fail to stop first time, don’t be
37

disheartened. Try again at a later
date – you can do it! Remember the
most successful long term ex-smokers
have usually had to try several times
to stop smoking – if you don’t
succeed – quit quit again.

8 Nicorette ActiveStop

For further information
Read about Nicorette ActiveStop on
the next page. This is a personalised
mobile phone and online support
programme which works with
Nicorette to support you, body and
mind, with the aim of helping you
give up smoking.

Personalised mobile phone and
online support programme

Call now on 0800 244 838.

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How can ActiveStop help me?
® Nicorette ActiveStop is an advanced

®

®

mobile and online behavioural
support programme which has been
devised by experts and is based on
proven scientific principles, to help
you give up smoking for good.
It has been specially designed to be
used alongside Nicorette and is on
hand 24 hours a day through the
internet and your mobile phone.
Nicorette works with your body to
help you deal with the physical
craving for nicotine, whilst ActiveStop
supports your mind to coach you all
the way until you’ve stopped smoking.

What will I get?
On your personalised ActiveStop web
pages you’ll have access to:
Diary

Through a series of daily tasks, we’ll guide
you through managing your thoughts,
feelings and behaviour and how you can
plan each day so that you are ready to
face whatever arises.
Progress Monitor

The Progress Monitor brings together all
of the headway you are making in one
easy-to-view place. From how much
money you’re saving, to health facts and
fitness levels, it will keep you motivated
throughout the programme.

Call now on 0800 244 838.
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Today’s Articles

Daily articles cover a range of topics
from the changes your body is
undergoing to tips to cope with the
inevitable cravings.
And the Craving Help-Line

If ever you feel the urge to smoke you can
call anytime day or night and by selecting
the kind of problem you are experiencing,
you’ll be able to listen to relevant, on-thespot advice.

Call now on 0800 244 838.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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