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However, medical advice is recommended if: dreams cause fear, panic, or avoidance of sleep there is confusion on waking or palpitations symptoms of low blood sugar occur (especially if also using diabetes medication) severe insomnia or daytime impairment develops Medical review is also important if nausea, vomiting, or poor oral intake is affecting hydration or nutrition

Dixon et al., 2010)

Continue routine INR monitoring thereafter

Prepare for intravenous injection by mixing one of each of the 12 vials and ampoules with 5 or 10ml of sterile water

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If side effects persist beyond four to six weeks, it is worth discussing a dose adjustment with your doctor