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When considering the use of Tamiflu (oseltamivir), it is important to be aware of several safety warnings and precautions. Below are key points to ensure safe use and to understand the potential risks associated with this medication:

• Serious Skin and Allergic Reactions: There is a rare risk of developing Stevens-Johnson syndrome (SJS), a severe skin reaction, or experiencing anaphylaxis, a severe allergic reaction, after taking Tamiflu. Seek immediate medical attention if you notice a new or severe rash, fever with rash, unexplained blisters, or new sores in the mouth, and any swelling of the face or lips, or difficulty breathing. Individuals with a history of severe allergic reactions to Tamiflu should avoid its use.

• Behavioral Changes and Hallucinations: Some users, particularly children, have reported behavioral changes and hallucinations. These symptoms may be related to either the medication or the influenza virus itself. Although these symptoms typically resolve quickly, they can sometimes lead to dangerous behavior. Immediate consultation with a healthcare provider is advised if you experience confusion, behavioral changes, speech difficulties, tremors, seizures, or hallucinations.

• Interaction with Nasal Spray Flu Vaccine: Tamiflu may reduce the effectiveness of the nasal spray flu vaccine (live attenuated influenza vaccine). It is recommended to wait 48 hours after completing Tamiflu treatment before receiving the nasal spray flu vaccine. If you have recently received the vaccine within two weeks prior to starting Tamiflu, discuss with your healthcare provider for guidance.

• Bacterial Infections: Tamiflu is not effective against bacterial infections. Symptoms such as worsening flu-like symptoms, new fever, or feeling unwell again may indicate a bacterial infection. Contact your healthcare provider promptly if these symptoms occur.

• Hereditary Fructose Intolerance: The liquid form of Tamiflu contains sorbitol, which may cause gastrointestinal distress in individuals with hereditary fructose intolerance. Consider using the capsule form, which does not contain sorbitol and can be mixed with a sweetened syrup, or consult your pharmacist about a sorbitol-free liquid preparation.

These warnings are vital for ensuring the safe and effective use of Tamiflu. Always communicate with your healthcare provider regarding any concerns or symptoms, and follow their recommendations closely.

When taking this medication, you may experience some side effects, which are generally mild and manageable. Nausea and vomiting are reported by some users, with nausea occurring in about 10% and vomiting in about 8% of cases. These symptoms usually resolve on their own but consult your healthcare provider if they persist or worsen. Headaches have also been reported in approximately 17% of users. While these common side effects are usually not a cause for concern, it's always best to seek advice if they become bothersome.

In rare cases, more serious side effects can occur. These include significant changes in mental or mood status, such as confusion, agitation, or self-harm tendencies, which may be more prevalent in children. If such symptoms arise, it is crucial to seek immediate medical assistance. Additionally, a severe allergic reaction, although rare, could manifest as a rash, itching, swelling, severe dizziness, or trouble breathing. These symptoms require urgent medical attention.

Please note that this is not a comprehensive list of all possible side effects. If you notice any other unusual effects, contact your healthcare provider for guidance. As always, it is important to monitor your condition and communicate any concerns to your medical professional.

If you have recently received a nasal flu vaccine, inform your doctor before starting this medication, as it might reduce the effectiveness of the vaccine. It's advisable to wait at least two days after finishing this medication before getting a nasal flu vaccine.

Additionally, Tamiflu (oseltamivir) can interact with certain other drugs or supplements. Always inform your doctor and pharmacist about all medications and supplements you are taking, including prescriptions, over-the-counter drugs, vitamins, and herbal products. Although not all possible interactions are listed, one significant interaction is with Warfarin. If both medications are necessary, your doctor may adjust the dosage or frequency to ensure safety and effectiveness.