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This medication carries significant safety information that users need to be aware of before starting treatment. Below are crucial details about potential risks, necessary precautions, and actions to take in case of adverse effects or overdose.

• Serious Side Effects: The medication can cause serious, potentially fatal side effects such as persistent diarrhea, blood cell issues (including anemia and low white blood cells/platelets), kidney problems, rashes, itching, or mouth sores/irritation (stomatitis). A decrease in white blood cells can heighten the risk of infections. Report any of these side effects to your healthcare provider immediately.

• Monitoring Requirements: Regular monitoring of certain lab tests, such as white blood cell and platelet counts, is essential both before and during the use of this medication. Ensure you attend all scheduled medical and laboratory appointments for this purpose.

• Gold Toxicity: This medication contains gold, which can be toxic in excessive amounts. Symptoms of gold toxicity include itchiness, rash, mouth sores, blood in urine, or persistent diarrhea. Regular blood tests are crucial to monitor for toxicity. Contact your healthcare provider immediately if you notice these symptoms.

• Contraindications: Do not use this medication if you have a history of gold-induced disorders or any of the following conditions: allergic reactions, necrotizing enterocolitis, pulmonary fibrosis, exfoliative dermatitis, bone marrow aplasia, or other severe blood disorders. Consult your healthcare provider if you have any of these conditions before starting the medication.

It is imperative to understand these risks and take the necessary precautions. Always consult your healthcare provider with any questions or concerns about the use of this medication.

When taking this medication, some people may experience common side effects such as diarrhea, frequent or loose stools, stomach or abdominal cramping, nausea, and headache. These effects are usually mild and temporary, but if they persist or worsen, consulting a healthcare professional is advised. Rash and itchiness are also common, with the rash generally not being serious. However, any rash should be monitored as it may sometimes indicate a more severe reaction.

Certain side effects, while less common, can still occur. These include mouth sores, loss of appetite, gas, upset stomach, and protein in the urine. If you notice any of these, contacting a healthcare provider is recommended, particularly if the symptoms are bothersome.

There are also rare but serious side effects that require immediate medical attention. These include eye redness or pain, hair loss, numbness or tingling in the arms or legs, signs of a low blood count such as unusual tiredness or pale skin, easy bleeding or bruising, black or bloody stools, persistent cough, mucus, pus, or blood in diarrhea, dizziness, signs of infection, severe stomach or abdominal pain, changes in urine color or amount, vomit that resembles coffee grounds, and yellowing of the eyes or skin. Gold toxicity is another serious condition to watch for, presenting symptoms such as persistent diarrhea, itchiness, rash, mouth sores, and blood in the urine.

A very serious allergic reaction is rare but requires urgent medical help if symptoms like severe dizziness, trouble breathing, or swelling of the face, tongue, or throat occur. If you notice any side effects not listed, or if you have concerns, it is important to speak with a healthcare provider.