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Managing Side Effects and Drug Interactions

Understanding Side Effects


Common Side Effects


Reported side effects may include:

  • Gastrointestinal discomfort
  • Headache
  • Fatigue
  • Elevated liver enzymes

  • Serious Side Effects


    Seek medical attention if experiencing:

  • Signs of liver problems (jaundice, dark urine)
  • Severe allergic reactions
  • Unusual bleeding or bruising

  • Drug Interactions


    ⚠️ **Important Interactions**:


    1. **Blood thinners**: Vitamin E may increase bleeding risk

    2. **Liver medications**: Potential additive effects

    3. **Immunosuppressants**: May interfere

    4. **Chemotherapy**: Consult oncologist


    Contraindications


    Avoid if you have:

  • Liver disease
  • Bleeding disorders
  • Upcoming surgery

  • Monitoring Recommendations


    1. **Baseline tests**: Get liver function tests before starting

    2. **Regular monitoring**: Weekly or bi-weekly initially

    3. **Report symptoms**: Any concerning symptoms should be reported


    Managing Side Effects


  • Take with food if GI issues occur
  • Stay hydrated
  • Split doses if needed
  • Consult healthcare provider for persistent issues