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Always consult your doctor before starting or stopping any medication

However, symptoms occurring more than twice weekly, especially when accompanied by difficulty swallowing, persistent cough, or sleep disruption, indicate a more serious condition requiring comprehensive management

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Any prescribing in the UK occurs via a named patient or specials route, under the supervision of a specialist clinician and in accordance with Specialist Pharmacy Service (SPS) and MHRA guidance on unlicensed medicines