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[PubMed ID: 20128619]

Serious side effects and their symptoms can include the following: Anaphylaxis (severe allergic reaction): Seek emergency medical help if you develop urticaria (hives), difficulty breathing, or edema (swelling) Dysuria (painful or burning urine) Cloudy, red, pink, brown, or strong-smelling urine Fever-related symptoms Back pain Nausea Vomiting Pelvic pain Rectal pain Vaginal odor, discharge (which may be lumpy or have a cottage cheese-like appearance), or itching Redness, itching, swelling, or rash of the penis or the skin around the penis

Typical starting doses range from 0.25 mg per week, gradually increasing over several weeks to a maintenance dose

Shes been teaching, educating, working with patients and professionals for more than two decades

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Never freeze the medication or put it in very cold areas