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Special considerations requiring medical consultation: If you have missed multiple consecutive doses, contact your healthcare provider before resuming treatment, as dose adjustment may be necessary If you are experiencing acute illness, particularly with vomiting or severe gastrointestinal symptoms, contact your healthcare provider for advice about your next dose If you experience severe abdominal pain (with or without vomiting), signs of gallbladder disease, persistent dehydration, or symptoms of hypersensitivity, seek urgent medical care Patients should never attempt to compensate for missed doses by taking extra medication