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Cevimeline (Evoxac) is a medication with specific safety considerations and warnings that are crucial for users to understand. The following points outline potential risks and necessary precautions. It is important to discuss any concerns with your healthcare provider.

• Heart Issues: Cevimeline can influence the heart's electrical activity, potentially altering heart rate and rhythm. Individuals with a history of chest pain or heart attacks should notify their healthcare provider, as these changes could be challenging for compromised hearts to manage.

• Respiratory Concerns: This medication may impede airflow and muscle relaxation in the lungs, potentially increasing mucus production. People with respiratory conditions like asthma, bronchitis, or chronic obstructive pulmonary disease (COPD) should consult their prescriber before starting treatment.

• Vision Impairments: Cevimeline can impact eye muscles, leading to blurred vision and difficulties seeing in low light. It is advisable not to drive or operate machinery until you are aware of how the medication affects you.

• Gallstones and Kidney Stones: Patients with a history of gallstones or kidney stones should inform their prescriber, as cevimeline can influence muscle contractions, potentially causing swelling or blockages in the gallbladder or urinary tract.

For your safety, cevimeline should not be used under the following conditions:

• Uncontrolled Asthma: Individuals with poorly managed asthma should avoid this medication.

• Eye Conditions: Those with certain eye conditions, such as acute iritis or narrow-angle glaucoma, should not use cevimeline, as it can exacerbate these issues.

In case of an overdose or if you experience severe side effects, seek immediate medical attention. Always follow your healthcare provider's instructions and report any unusual symptoms promptly.

When taking this medication, some individuals may experience common side effects that are usually mild. These include sweating, headache, nausea, sinus inflammation, a runny nose, diarrhea, stomach discomfort and pain, urinary tract infections, coughing, and vomiting. Although these side effects typically resolve on their own, it is advisable to consult a healthcare provider if they persist or become bothersome.

In addition to common side effects, there are other side effects that have been reported. These can include back pain, joint pain, rash, dizziness, changes in vision, fatigue, anxiety, flushing, trouble sleeping, and frequent urination. If any of these symptoms occur, especially if they are severe, it is important to contact your healthcare provider for guidance.

There are also rare but serious side effects that require immediate medical attention. These include symptoms resulting from taking too much medication, such as excessive sweating, breathing problems, headache, visual changes, increased tear production, nausea, vomiting, diarrhea, changes in heart rate, confusion, and tremor. If you experience any of these serious symptoms, seek urgent medical care promptly.