Aspar

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Aspar

Property Description
Active Ingredients Potassium Aspartate, Magnesium Aspartate
Form Tablet, Solution for Intravenous Infusion
Pharmacological Class Electrolyte Regulator, Metabolic Agent
Common Type Dual-Mineral Combination Product
Origin Synthetic (derived from L-Aspartic Acid and minerals)

What Type of Medicine is Aspar? (Identity and Classification)

Aspar is a pharmaceutical combination product primarily classified as an Electrolyte Regulator and Metabolic Agent. Its medicinal activity is centered on two vital mineral salts: Potassium Aspartate and Magnesium Aspartate. This preparation is a dual-mineral supplement designed to systemically address deficits in both potassium and magnesium. The preparation is typically supplied as Tablets for oral administration and also as a sterile Solution for Intravenous Infusion, positioning it as a formal therapeutic entity suitable for different routes of administration, depending on the required speed and method of delivery. This specific combination is often clinically recognized for its role in supporting the cardiovascular system, particularly in maintaining optimal heart rhythm stability.

Composition: The Unique Role of Aspartate Salts (Components and Origin)

The formulation's efficacy relies on the choice of the Aspartate anion—a derivative of L-Aspartic Acid—which forms the active salts K L-aspartate and Mg L-aspartate. These components are typically synthetic preparations. The differentiating feature of this composition compared to simpler mineral salts is that the organic Aspartate component functions as an ion carrier, enhancing the transport and uptake of the Potassium and Magnesium ions into the body's cells. This structure promotes greater oral bioavailability, as aspartates are utilized as mineral delivery agents.

General Purpose: Supporting Electrolyte and Cellular Function (Core Benefit)

The general purpose of Aspar is the replenishment of intracellular electrolytes and the provision of metabolic support to maintain cellular stability. This combination helps restore the fundamental balance of Potassium and Magnesium, which is necessary for the normal electrical activity of all electrically excitable tissues, particularly the heart and skeletal muscles. By supporting these foundational elemental levels, the preparation aids in promoting cellular energy pathways and overall electrophysiological function. A typical use scenario involves using the medication as supportive therapy in patients experiencing mineral loss due to specific medical treatments or conditions.

Regulatory References

  1. NIH Fact Sheet: Magnesium

What side effects are possible with Aspar?

Possible Side Effects and Safety Information: Aspar

Official regulatory documents characterize the safety profile of Aspar (L-asparaginase) and its formulations by the potential for several serious and clinically significant adverse reactions affecting multiple organ systems. Patients require close monitoring during treatment for these documented risks.


Serious and Clinically Significant Adverse Reactions

The most serious documented adverse reactions include:

  • Hypersensitivity: Severe allergic reactions, including anaphylaxis, which can be life-threatening. The risk may be higher in patients with prior exposure to E. coli-derived L-asparaginases. Administration is restricted to clinical settings with readily available resuscitation equipment.
  • Pancreatitis: Inflammation of the pancreas, which can be fulminant or fatal. Treatment must be discontinued if pancreatitis is suspected or confirmed.
  • Thrombosis: Serious thrombotic events (blood clots), including life-threatening cerebral venous sinus thrombosis, have been reported. Treatment must be permanently discontinued for serious thrombotic events.
  • Hepatotoxicity: Liver abnormalities and dysfunction, including severe, life-threatening, or fatal hepatic failure and veno-occlusive disease (VOD). Monitoring of liver function is mandatory.
  • Coagulopathy and Hemorrhage: Changes in blood coagulation parameters (e.g., decreased fibrinogen, increased PT/PTT) leading to an increased risk of severe or life-threatening bleeding or hemorrhage.
  • Glucose Intolerance: Hyperglycemia (high blood sugar) can occur, in some cases leading to diabetic ketoacidosis or irreversible glucose intolerance. Serum glucose levels must be monitored.

Safety Restrictions and Population Considerations

The drug is contraindicated in patients with a history of serious hypersensitivity, serious thrombosis, pancreatitis, or severe hemorrhage associated with prior L-asparaginase therapy. For females of reproductive potential, effective non-hormonal contraception is required during treatment and for a specified period after the final dose, as the drug may cause fetal harm. Breastfeeding is restricted during treatment and for a period after the last dose.

Overdose and Emergency Response

Overdose and When to Seek Help

Overdose with Aspar (Insulin Aspart) primarily leads to hypoglycemia (low blood glucose), which is the most common serious adverse reaction of all insulin therapies. This is a dose-dependent effect, meaning the risk increases with the administered dose.

Documented Overdose Presentations

Symptoms of hypoglycemia can range from mild, such as dizziness, light-headedness, sweating, confusion, blurred vision, and headache, to severe manifestations. Severe hypoglycemia may lead to life-threatening complications, including seizures, loss of consciousness, or death.

Additional clinical manifestations that may be linked to overdose or a serious adverse event include fast heartbeat, abnormal heartbeat, fatigue, constipation, muscle cramps, and swelling of the extremities.

Required Emergency Actions

Immediate medical attention is required if severe hypoglycemia symptoms occur, specifically seizures or loss of consciousness. Emergency treatment must also be sought for signs of a severe allergic reaction (anaphylaxis), which include an itchy rash over the entire body, shortness of breath, wheezing, or swelling of the face, tongue, or throat.

If a patient experiences severe hypoglycemia, their insulin dosages and glucose intake must be evaluated and adjusted by a healthcare professional to prevent future episodes. In case of suspected overdose, contact emergency medical services or a poison control center immediately.

Therapeutic Uses of Aspar

What Aspar Treats: Main Uses and Benefits

The therapeutic application of Aspar (Potassium Aspartate, Magnesium Aspartate) is strictly focused on addressing clinical issues and symptom patterns arising from deficiencies of these essential intracellular minerals.

Addressing Symptoms of Severe Electrolyte Deficits

Aspar is commonly used to manage deficiencies in vital minerals like potassium and magnesium, which are conditions characterized by symptoms related to systemic imbalance. This application is relevant in clinical settings, such as those caused by diuretic use or severe fluid loss, where additional symptomatic support is needed. The primary benefit is in addressing the symptoms that interfere with daily functioning, such as muscle cramps, muscle weakness, and related systemic fatigue. This supportive relief helps ease the overall symptom burden.


The medication is applied across domains where additional symptomatic support is needed, particularly for managing symptoms related to heightened physiological activity, such as irregular heartbeats. Aspar is applied as a supportive agent in conditions marked by increased physiological stress, including Chronic Heart Failure (CHF) and certain cardiac arrhythmias. Its use supports the heart's stability, which may assist with maintaining a sense of stability when symptoms are more noticeable, such as irregular heartbeats and palpitations. This contributes to easing the overall symptom load, relevant in contexts involving heightened systemic burden.

Indications commonly covered include symptomatic Hypokalemia, Hypomagnesemia, and the need for supportive management in cardiac arrhythmias and Chronic Heart Failure.

“Aspar is applied when symptoms create noticeable physiological strain, offering supportive relief that helps patients cope more steadily with difficult episodes.”


Quick Fact: Relief for Electrolyte Imbalance Symptoms
Aspar is used when the discomfort and weakness patients experience are symptoms related to systemic imbalance, assisting with maintaining functional stability during periods of symptom fluctuation.

Regulatory References

  1. NIH Office of Dietary Supplements

Eligibility and Restrictions for Use

The eligibility profile for Aspar (L-asparaginase products, including pegylated forms) is officially defined by age and a series of mandatory exclusions, known as contraindications.

Populations Who Must Not Use Aspar (Contraindicated)

Use of Aspar is strictly prohibited in patients with a documented history of the following severe conditions related to prior L-asparaginase therapy:

  • Hypersensitivity: History of serious allergic reactions, including anaphylaxis, to any L-asparaginase product or its ingredients.
  • Pancreatitis: History of pancreatitis, or inflammation of the pancreas, caused by previous L-asparaginase use.
  • Blood Clotting Events: History of serious thrombotic (blood clots) or serious hemorrhagic (bleeding) events during prior L-asparaginase treatment.
  • Hepatic Impairment: Presence of severe impairment of liver function (specifically defined by official laboratory test thresholds).

Age and Special Populations

The medicine is officially indicated for use in pediatric patients (typically from birth) and adult patients. However, use in certain populations requires specific consideration:

  • Pregnancy: Use is generally not recommended due to potential risk to the fetus, with official documentation recommending therapy only if the benefit outweighs the risk.
  • Lactation: Breastfeeding must be discontinued during treatment and for a specified period after the final dose.
  • Reproductive Potential: Women and men of reproductive potential must use effective contraception during and for several months following treatment.

What should I know about interactions with other medicines?

Interaction Map: Interactions with other medicines and products — official regulatory information for Aspar

Interaction Scope

Detail Description based on Official Documents
Medicinal product categories with documented interactions Electrolyte Regulators (e.g., Potassium-sparing Diuretics), RAAS Inhibitors (e.g., ACE Inhibitors, ARBs), Antibiotics (e.g., Tetracyclines, Fluoroquinolones), Bone Density Agents (e.g., Bisphosphonates), Neuromuscular Agents (e.g., Cisatracurium).
Specific interacting medicines (if explicitly listed) Spironolactone, Lisinopril, Ciprofloxacin, Doxycycline, Alendronate, Calcitriol, Eltrombopag.
Mechanistic basis of interactions (only if stated in label) Additive Pharmacodynamic Effect (hyperkalemia/hypermagnesemia risk); Reduced Absorption/Chelation (resulting in reduced serum concentration).
Timing-based interaction rules (if applicable) Mandatory separation of administration times is required for substances whose oral absorption is reduced by magnesium, typically by 2 to 6 hours.
Population-specific interaction notes (if applicable) Increased risk of toxicity (hyperkalemia and hypermagnesemia) in individuals with renal impairment/dysfunction due to reduced mineral clearance.
Interaction-related restrictions The co-administration of products with high potassium content, such as Salt Substitutes, is restricted due to the additive risk of hyperkalemia.

Interaction Classifications (High-Level)

Classification Detail Description based on Official Documents
Interaction severity classification (as defined in official documents) Classifications include High Clinical Significance (for combinations leading to electrolyte toxicity) and Moderate Clinical Significance (for interactions resulting in reduced absorption).
Regulatory basis (EMA / FDA / etc.) Interaction data is documented in official government sources, including FDA Prescribing Information and European Summary of Product Characteristics (SmPC).
Interaction-context constraints (as defined in official documents) The highest risks of toxicity are formally tied to co-administration with other potassium-raising agents and to impaired renal function.

Resulting Interaction Structure

Official Interaction Statements:

  • Co-administration with Potassium-sparing Diuretics, ACE Inhibitors, and ARBs is documented to increase the risk of hyperkalemia due to an additive effect on serum potassium levels.
  • The magnesium component is officially documented to cause a decrease in the oral absorption and reduced serum concentration of co-administered Tetracycline and Fluoroquinolone Antibiotics and Bisphosphonates.
  • The co-administration of potassium-rich Salt Substitutes is restricted due to the potential for an additive hyperkalemia risk.
  • A higher risk of hyperkalemia and hypermagnesemia is formally noted in patients with renal impairment.

Connection to the overall interaction profile (2–4 sentences):

Regulatory documents define Aspar's interaction profile around two primary concerns: the additive pharmacodynamic risk of electrolyte imbalance when co-administered with other mineral-raising agents, and the pharmacokinetic risk of reduced efficacy of co-administered medicines due to magnesium-related chelation in the gastrointestinal tract. This structure formally mandates administration constraints, including time separation rules, and identifies specific populations where interaction risk is officially heightened.

Mechanism of Action

Aspar's mechanism is driven by its function as an enzyme that acts in the blood, which results in metabolic consequences for specific cells. It modulates core cellular functions by directly interfering with a critical amino acid supply.

Targeted Depletion of L-Asparagine

Aspar (L-asparaginase) acts as a catalyst, rapidly breaking down the amino acid L-Asparagine in the plasma and extracellular fluid. This enzymatic interaction results in a profound and sustained shortage of circulating asparagine. This depletion precedes the subsequent cellular events.

Metabolic Starvation and Selective Pathway Disruption

This action exploits a metabolic difference: cells lacking the enzyme asparagine synthetase (ASNS) cannot compensate for the external shortage, leading to metabolic stress. This starvation inhibits the mTORC1 signaling pathway, which is essential for protein synthesis and cell growth, which leads to the selective induction of apoptosis (programmed cell death) in the dependent cells.

Modulation of Cellular Viability

The final physiological consequence involves the modulation of cell survival based on metabolic dependency. Aspar engages mechanisms that exploit a fundamental difference in metabolic pathways, leading to a reduced viability in asparagine-dependent, rapidly proliferating cells.

Dosage and Administration Information

Aspar (Potassium Aspartate, Magnesium Aspartate) is administered through two routes: orally, using the coated tablet form, or intravenously, using the solution for infusion. The choice of route depends on the required speed and method of delivery, with the solution typically reserved for short-course administration in supervised settings.


For oral use, the standard adult regimen is 1 to 2 tablets, taken three times per day (TID). The maximum daily use is 6 tablets. Tablets must be swallowed whole with a small amount of liquid. To avoid potential interference, instructions specify maintaining a 2- to 3-hour interval between taking the tablets and any other oral medication.


The intravenous (IV) solution is typically administered once daily. The concentrated solution is not for direct injection; it must undergo dilution into a compatible carrier solution, such as 5% Glucose solution, before use. The prepared solution must be administered via a slow intravenous drip infusion, a procedural constraint essential for controlling the rate of mineral delivery.

Usage instructions also address specific populations. No dose adjustment is generally required for older adults or for patients with mild to moderate impairment of kidney function. However, the use of this preparation is subject to procedural restrictions in the presence of severe renal impairment, based on excretion limitations.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Aspar

Aspar (Potassium Aspartate, Magnesium Aspartate) was studied for its application in contexts where the body's mineral balance may be disrupted. The evidence available primarily comes from clinical analyses and trials that studied changes in mineral repletion and cardiovascular physiological indicators. This summary describes what researchers examined and what the findings describe patterns observed in the studies, but research does not determine whether an individual will respond similarly.


Evidence for Repletion of Electrolyte Deficits (Hypokalemia and Hypomagnesemia)

Research was conducted for Aspar in contexts exploring outcomes related to significant deficits of potassium and magnesium. These studies observed populations of adults with documented mineral deficits. The research examined whether administration was associated with the measured changes in serum potassium and magnesium levels. Findings describe measured changes in mineral levels in the observed populations, and studies also monitored patient-reported outcomes describing perceived discomfort such as muscle cramps and generalized weakness.

Evidence is limited for formal randomized controlled trials that directly compare the specific dual-aspartate combination against other mineral salt forms for this primary goal. Consequently, follow-up durations were limited, often focused on the immediate, short-term repletion need, meaning that long-term effects are not fully established.


Evidence for Supportive Management of Cardiac Stability

Aspar was evaluated in research contexts involving fluctuating or unstable symptoms, particularly concerning heart rhythm. The research explored its role in conditions where symptoms may become more noticeable. In specific cohorts, such as patients post-cardiac surgery, research highlights measured changes related to the incidence of episodic or acute changes in heart rhythm. However, the findings were mixed when assessing the general reduction of all types of arrhythmias across broader groups of chronic cardiac patients. Comparative evidence is lacking for the specific long-term impact of this combination versus other standard approaches.


What is Still Uncertain About Aspar's Research Profile

The research is ongoing, and several areas of uncertainty remain in the evidence base for Aspar. The evidence quality varies across studies, and data for certain groups remain insufficient in specific populations. The limited information for long-term outcomes means that while research provides insight into short-term changes and acute repletion, the full impact on chronic disease progression or prevention appears to be not yet fully characterized. This means findings describe group patterns, not personal outcomes.

Key Studies & References

  1. Potassium: Fact Sheet for Consumers
  2. Magnesium Supplementation for the Management of Essential Hypertension in Adults: A Systematic Review and Meta-Analysis
  3. Pharmacological properties of aspartate and its application as a mineral ion carrier

Frequently Asked Questions (FAQ)

Common questions about Aspar (FAQ)

Q: How long does it usually take to notice an effect from Aspar?

Official information describes research on the K/Mg Aspartate form as focusing on short-term mineral replenishment and acute changes in the body. Regulatory studies observed measured changes in specific lab values and physiological indicators. However, regulatory documents do not specify a set time range for when an individual patient might notice a subjective effect from the medication.

Q: What are the most common side effects of Aspar that people report?

Regulatory documents list both serious and common adverse reactions observed in studies. Regulatory labeling for the L-Asparaginase profile documents severe risks which include anaphylaxis, pancreatitis, and thrombosis. The less severe, but more commonly reported, side effects are also listed and typically include temporary issues like mild nausea or general gastrointestinal upset.

Q: Does Aspar need to be taken at the same time every day?

The official administration instructions for the oral form specify a frequency of three times per day (TID). The regulatory documents do not explicitly state the necessity of taking it at the exact same clock time each day. The key timing constraint is the required time separation from other oral medications.

Q: Are there certain foods or drinks that should be avoided when taking Aspar?

Official regulatory documents contain warnings regarding the co-administration of certain products that could increase the risk of electrolyte imbalance. Specifically, the use of potassium-rich products, such as salt substitutes, is restricted due to the potential for an additive risk of hyperkalemia. No general restrictions on common foods or drinks are typically stated beyond this.

Q: Why do doctors prescribe Aspar instead of [another drug in the class]?

The structure of the Aspar preparation provides a basis for differentiation from simpler mineral salts. Official documents describe the Aspartate component as acting as an ion carrier. This carrier function is documented to enhance the transport and uptake of Potassium and Magnesium ions into the body's cells.

Q: What is the role of Aspar in long-term treatment plans?

For the K/Mg Aspartate form, the role is documented as the systemic replenishment of intracellular electrolytes and metabolic support. Research supporting this form is often focused on the immediate, short-term need. Consequently, the full impact of this preparation on chronic disease management or its long-term effects are not yet fully characterized in the evidence base.

Q: Are there specific tests I need before starting Aspar?

Regulatory labeling specifies that severe impairment of liver function must be ruled out before administration, which is usually determined by checking specific laboratory test thresholds. In addition to this pre-screening, mandatory monitoring of serum glucose and liver function is also required during the course of treatment.

Q: What are the early warning signs of a serious side effect from Aspar?

Regulatory documents list severe adverse reactions, and the associated symptoms often include sudden, severe pain, unexplained fever, or any unexpected signs of hemorrhage or thrombosis. This information helps patients and caregivers recognize symptoms described in the safety profile.

Q: Are there specific guidelines for Aspar use in children or teenagers?

The L-Asparaginase profile of Aspar is officially indicated for use in pediatric patients, typically from birth. The official labeling provides specific guidelines for this population. These guidelines often detail different dosing and required monitoring protocols tailored for pediatric age groups compared to adult patients.

Q: Does Aspar interfere with routine blood tests?

Regulatory documents mandate the monitoring of specific lab values, including liver function and serum glucose, during treatment. Furthermore, the drug is documented to cause changes in blood coagulation parameters. This means that Aspar is known to interfere with the measured results of these specific blood tests.

Q: Does Aspar have a formal risk evaluation and mitigation strategy (REMS)?

Aspar's L-Asparaginase profile is subject to a formal Risk Evaluation and Mitigation Strategy (REMS) in the U.S. due to the potential for severe adverse reactions. The components of this strategy may include specific monitoring requirements and certified administration settings, as detailed in the official documents.

Q: What are the symptoms of an Aspar overdose described in official documents?

The official label details the potential symptoms associated with excessive use of the K/Mg Aspartate form. These symptoms are primarily related to electrolyte toxicity, specifically hyperkalemia and hypermagnesemia. The administration instructions specify the maximum daily use, which is a key component of managing overdose risk.

Q: What should I do if I miss taking Aspar?

Official administration instructions provide a general protocol for how to manage a dose of the medicine that is remembered late. This protocol typically addresses how to handle a dose that is missed entirely, often by differentiating between doses that are missed and those that are remembered close to the next scheduled time.

Q: Can Aspar be taken with common over-the-counter pain relievers?

Regulatory documents detail specific interacting medicine classes, such as certain antibiotics and blood pressure medicines. However, interactions with all common over-the-counter pain relievers are not explicitly detailed in the primary regulatory documents. Review of co-administration with a healthcare provider is generally recommended due to potential interactions.

Q: Can Aspar cause difficulty with sleeping?

The official adverse reaction profile does not list insomnia or difficulty sleeping as one of the serious or most common side effects. However, the summary of clinical trial data may include documented CNS-related effects, such as headache or confusion.

Q: What is the difference between Aspar and a generic version?

Official information details that a generic version must meet the same standards for quality, strength, purity, and stability as the branded product. Regulatory agencies require that generics demonstrate bioequivalence, meaning they are absorbed and delivered into the body in the same way as the branded drug.

Q: Can Aspar affect mood or cause any emotional changes?

Official labeling may contain information on neuropsychiatric or mood-related adverse events that were observed in clinical trials. While emotional changes are not listed among the most serious reactions, the full data summary should be consulted by a healthcare professional for the complete profile.

Q: Is Aspar a drug that causes dependency?

Aspar is not classified as a controlled substance by government drug control agencies. Official regulatory documents do not document the medicine as having a high risk of dependence or abuse.

Q: Is it safe to drive or operate machinery after taking Aspar?

Official labeling contains a statement regarding the drug's effects on the ability to drive and use machinery. This guidance is determined by the drug's potential to cause specific side effects, such as dizziness, drowsiness, or other central nervous system (CNS)-related changes.

Q: Does Aspar interact with herbal supplements like St. John's Wort?

Regulatory documentation provides specific warnings against potential interactions with commonly used herbal supplements. These warnings typically focus on products that could affect liver enzyme activity or electrolyte balance, such as St. John's Wort.

Q: Is Aspar metabolized differently by men and women?

The official label may contain a summary of any differences in pharmacokinetics—the way the drug is absorbed, metabolized, and excreted—that were observed between men and women. This information helps inform prescribing guidelines for different patient demographics.

Q: Can Aspar be taken on an empty stomach?

Official administration instructions specify the drug's relationship to food intake. This guidance is provided to align with the product's tested absorption profile and administration requirements, which may state that the medicine should be taken with food, before food, or regardless of whether the stomach is empty.

Q: How long does Aspar stay in your system after stopping it?

The official regulatory label provides the pharmacokinetic parameters for the medication. This includes the half-life of the active ingredients, which is the scientific measure used to estimate the time required for the medication to be fully eliminated from the body.

Q: Is Aspar available in different strengths?

Official drug labeling provides a comprehensive list of all dosage forms in which the medicine is supplied. The labeling also lists the precise strengths of the active ingredients for each form (e.g., tablet or solution for infusion).

Q: Does Aspar cause weight gain or loss?

While not listed as a serious adverse reaction, changes in body weight (either gain or loss) may be noted in the summary of adverse reactions from clinical trials. This information is contained in the official safety profile.

Q: Why do some people feel sleepy after taking Aspar?

Sleepiness or somnolence is a central nervous system (CNS) adverse effect that may be noted in the official regulatory labeling. This is typically included in the summary of side effects reported in clinical trials and is the documented reason for the feeling of drowsiness.

Q: Is the effectiveness of Aspar reduced by alcohol?

The official label explicitly states any known interactions or cautions regarding the use of alcohol while taking the medication. This guidance addresses whether alcohol may impact the drug's efficacy or increase the risk of certain adverse effects.

Q: What percentage of people report experiencing side effects from Aspar?

The official adverse reactions section of the regulatory documents typically provides quantitative data. These sections contain tables with the incidence rates (percentages) of side effects observed during the controlled clinical trials.

Q: Are there any known issues with Aspar and sun exposure?

The official regulatory label will include a specific warning if the drug causes photosensitivity or increases a patient’s risk from sun exposure. This information is detailed in the warnings and precautions section of the document.

How should Aspar be stored and disposed of?

How to Store and Dispose of Aspar (Potassium Aspartate, Magnesium Aspartate)

The official requirements for storing Aspar focus on protecting the tablets from environmental factors and ensuring child safety.

Storage Requirements

  • Environment: The medicine must be stored in a cool, dry place, consistent with guidance to not exceed 30 C for the oral form. The container must be kept tightly closed to protect the product from moisture damage.
  • Packaging: Keep the tablets in their original container until they are needed.
  • Child Safety: It is a regulatory mandate that Aspar must be stored out of the sight and reach of children.

Disposal Instructions

Official disposal guidance recommends returning expired or unused medicine through a drug take-back program. If this is not possible, the medicine should be mixed with an undesirable substance and sealed in a container before placing it in the household trash. The medicine should not be flushed down a toilet or poured down a drain unless the product's labeling specifically instructs this method.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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