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Seek urgent medical attention (call 999 or go to A&E) if you develop: Severe abdominal pain that is persistent and does not resolve, particularly if accompanied by vomitingthis could indicate pancreatitis Signs of severe dehydration : extreme thirst, very dark urine, dizziness, confusion, or reduced urine output Symptoms of a severe allergic reaction : difficulty breathing, swelling of the face, lips, tongue, or throat, or severe skin reactions Sudden vision changes or loss of vision Symptoms of gallbladder disease : severe upper right abdominal pain, fever, jaundice (yellowing of skin or eyes) Important information before and during treatment : Rybelsus should not be used during pregnancy or breastfeeding If planning pregnancy, discontinue Rybelsus at least 2 months before attempting conception Inform your healthcare provider about any history of pancreatitis, thyroid disease, or diabetic retinopathy If you take levothyroxine, your thyroid function may need monitoring If you take warfarin, more frequent INR monitoring may be needed when starting Rybelsus Report all other medications you are taking, including over-the-counter medicines and supplements Maintaining open communication with your diabetes care team ensures that any concerns are addressed promptly and that your treatment remains optimally tailored to your individual needs
