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When using this medication, it is crucial to be aware of the potential risks and necessary precautions to ensure safe use. Below are key safety warnings and instructions to consider:

• Serious Allergic Reactions: This medication can cause severe allergic reactions, which may occur after the first dose, later doses, or even years into treatment. Symptoms include difficulty breathing, seizures, severe dizziness, rash, or swelling (particularly of the face, tongue, or throat). Discontinue use immediately and seek medical attention if you experience these symptoms. It's important to discuss with your doctor the difference between these allergic reactions and post-injection reactions.

• Post-Injection Reactions: After administering glatiramer (Copaxone), you may encounter reactions such as flushing, chest pain, rapid heartbeat, anxiety, shortness of breath, throat tightness, or hives. These reactions generally occur within seconds to minutes post-injection and may happen several months after starting treatment. They tend to diminish over time and often do not require medical intervention.

• Chest Pain: While chest pain can occur immediately post-injection or as a side effect, it typically resolves on its own and is not a medical emergency unless accompanied by symptoms like breathing difficulty, weakness, or light-headedness. In such cases, contact emergency services immediately, as it may indicate a heart attack.

• Injection Site Reactions: Glatiramer (Copaxone) may lead to loss of fat tissue (lipoatrophy) or, in rare cases, necrosis at the injection site. These effects can emerge at any point during treatment and may be permanent. To minimize these risks, rotate injection sites regularly.

• Liver Damage: Though uncommon, this medication can cause serious liver issues, potentially leading to liver failure or death. Seek immediate medical help if you notice symptoms such as abdominal swelling, yellowing of the skin or eyes, unusual stool color, coughing or vomiting blood, confusion, slurred speech, mood swings, or personality changes. You may need to discontinue the medication to prevent further liver damage.

• Contraindications: Avoid using this medication if you have a known allergy to mannitol. Consult with your healthcare provider if you have concerns about any conditions that might contraindicate its use.

Always consult your healthcare provider for personalized advice and before making any changes to your treatment plan.

When using this medication, some common side effects may occur, generally mild in nature. These include reactions at the injection site, such as warmth, pain, redness, soreness, itching, and swelling. You might also experience general body pain, joint aches, headaches, nausea, anxiety, back pain, and a rash. If these symptoms persist or become bothersome, consult your healthcare provider for further guidance.

Post-injection reactions, which may develop after you've been on the medication for a few months, include flushing, chest pain, a fast heartbeat, and anxiety. These typically resolve quickly without the need for treatment. However, if they do not subside in a few minutes, seek medical attention immediately.

More serious side effects, though less common, require prompt medical intervention. These include severe chest pain, liver issues (manifesting as persistent nausea, loss of appetite, stomach pain, yellowing of the skin or eyes, and dark urine), signs of infection like a sore throat or fever, mood changes such as depression, severe pain at the injection site, shakiness, swelling in the legs or feet, and vision problems.

Rare but severe side effects include throat tightness and difficulty breathing immediately after injection, and signs of injection site necrosis, such as blue-black discoloration, swelling, or skin damage. Worsening liver problems, indicated by symptoms like stomach swelling, jaundice, confusion, and persistent nausea, also require urgent medical care. If you notice any of these effects or other unusual symptoms, contact your healthcare provider promptly.