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Patients should be educated on warning signs such as a neck lump, hoarseness, or dysphagia, and report any changes immediately

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Consider Alternatives If Who Should Avoid Do not use if You are pregnant or might become pregnanteffects on fetal development are unknown You are breastfeedingthe peptide could potentially pass into breast milk You have a history of seizures or epilepsyneurologically active compounds require caution You've had allergic reactions to ACTH or related peptides You have uncontrolled high blood pressureSemax may cause temporary elevations Use with caution if !You take stimulant medicationseffects may be additive !You have a history of anxiety disordersincreased alertness may trigger symptoms in some !You're on blood pressure medicationsmonitor readings more frequently !You have diabetessome studies noted minor glucose effects in diabetic patients !You take MAO inhibitors or other psychiatric medicationspotential interactions Administration How do I use it