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liver and cause liver damage. Hepatotoxic PAs might also cause cancer and birth defects. Some retailers of alkanna products attempt to remove these poisonous chemicals. If they meet certain purity standards, these products can be labeled "hepatotoxic PA-free." Alkanna preparations that are not certified and labeled "hepatotoxic PA-free" are considered UNSAFE.
It's also UNSAFE to apply alkanna to broken skin. The dangerous chemicals in alkanna can be absorbed quickly through broken skin and can lead to dangerous body-wide toxicity. Steer clear of alkanna-containing skin products that aren't certified and labeled "hepatotoxic PA-free." There isn't enough information to know if it's safe to apply alkanna to unbroken skin. It's best to avoid use.
Special Precautions & Warnings:Pregnancy or breast-feeding: Don't use alkanna if you are pregnant. Preparations that contain hepatotoxic pyrrolizidine alkaloids (PAs) might cause birth defects as well as liver damage. There isn't enough information to know whether it's safe to use hepatotoxic PA-free preparations during pregnancy. Stay on the safe side and avoid use.
It's also UNSAFE to use alkanna if you are breast-feeding. Hepatotoxic PAs can pass into breast milk and harm the nursing infant. There isn't enough information to know whether it's safe to use hepatotoxic PA-free preparations during breast-feeding.
Liver disease: Alkanna contains chemicals called hepatotoxic pyrrolizidine alkaloids (PAs). These chemicals harm the liver, making existing liver disease worse.
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.