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You should contact your GP or pharmacist if: You are considering taking CoQ10 whilst breastfeeding and want to discuss whether it is appropriate for your individual circumstances You are already taking CoQ10 and have recently started breastfeeding or are planning to do so You have been advised to take CoQ10 for a specific medical condition (such as heart failure or statin-related muscle symptoms) and need guidance on balancing treatment benefits against breastfeeding considerations You are taking any regular medications and want to check for potential interactions with CoQ10 You take warfarin and are considering starting or stopping CoQ10 (also inform your anticoagulation service) Seek more urgent medical advice if you experience: Persistent, severe fatigue that interferes with caring for your baby or daily functioningthis may indicate anaemia, thyroid problems, or postnatal depression requiring investigation Chest pain, palpitations, or breathlessness call 999 for severe symptoms Signs your baby is unwell or not feeding properly, particularly if you have been taking any supplements Unusual symptoms after starting any new supplement, including rashes, gastrointestinal disturbance, or sleep problems For urgent but non-emergency concerns, contact NHS 111

Continuous use without breaks may reduce its long-term effectiveness and increase adaptation

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Oxcarbazine: Urinary excretion of MHD (~30%) and its glucuronide conjugates (~50%)