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Patients should seek emergency medical help (call 999) if they experience: Difficulty breathing, wheezing, or throat tightness Swelling of the face, lips, tongue, or throat (angioedema) Widespread urticarial rash (hives) developing rapidly Dizziness, fainting, or rapid heartbeat suggesting anaphylaxis These symptoms typically occur within minutes to hours of administration, most commonly with injectable preparations

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We set up a meeting with the BSH and informed them that the guideline was frightening patients and would probably lead to them developing irreversible nerve damage

They don't seem to be temperature sensitive but I know they are much more UV light sensitive so, provided they are kept in the dark, I don't worry about mine

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