Our expert says:
In evaluating any long-term treatment, one has to compare the risks and benefits of long-term use of the drug, with the risks and benefits of long-term struggling without the drug, which is often more dangerous and unpleasant by a long way.
For Epilim specifically, there are some uncommon but possible long-term effects on liver, pancreas, and blood cells, and some tests of liver function are useful before starting and at times to monitor any impact.
Signs of jaundice, bleeding problems. and other unusual symptoms, including skin rashes, should be reported to your doctor for evaluation. Any doctor prescribing such drugs ought to have discussed all such possibilities with you in some detail. Over-all, the extent of such problems is rather small.
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