willow bark (Salix alba and other salix sp.)-oral (cont.)

SIDE EFFECTS: Stomach discomfort and diarrhea may occur. If any of these effects persist or worsen, contact your doctor promptly. Very unlikely but report promptly: severe nausea, dizziness, ringing in the ears, fatigue, confusion, black stools, easy bruising. In the unlikely event you have a serious allergic reaction to this product, seek immediate medical attention. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: If you have any of the following health problems, consult your doctor before using this product: asthma, ulcer or stomach bleeding, kidney or liver conditions, bleeding problems, allergies (especially to aspirin or NSAIDs such as ibuprofen or naproxen). Limit alcohol intake, as it may increase the risk of certain side effects (e.g., stomach bleeding). This product is similar to aspirin. Children and teenagers should not take this product if they have chickenpox, influenza or any undiagnosed illness without first consulting a doctor about Reye's syndrome, a rare but serious illness. Liquid preparations of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence or liver disease. Ask your doctor or pharmacist about the safe use of this product. Willow bark is not recommended for use during pregnancy. Consult your doctor before using this product. Because of the potential risk to the infant, breast-feeding while using this product is not recommended. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription medications you may use, especially of: "blood thinners" (e.g., warfarin), drugs for high blood pressure, "water pills" (diuretics such as furosemide or hydrochlorothiazide), aspirin or NSAIDs (e.g., ibuprofen, naproxen). Check all medicine labels carefully, since many contain pain relievers/fever reducers (NSAIDs/aspirin/salicylates) which are similar to this product. Consult your pharmacist regarding safe use of similar products.

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