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Serious effects seek urgent help Rare but serious problems can include pancreatitis (severe ongoing abdominal pain, sometimes with vomiting), allergic reactions with breathing difficulty or swelling, and gallbladder disease

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Traditional treatment for these conditions relies on immunosuppressive medications that reduce immune system activity to limit inflammation and prevent tissue damage

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The guidance goes on to say medicines in this category should not be prescribed unless the pharmacy has been assured that the prescriber has contacted the GP in advance of issuing a prescription, and that the GP has confirmed to the prescriber that the prescription is appropriate for the patient and that appropriate monitoring is in place

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