 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  injured, use caution with sharp objects like razors and nail cutters, and avoid activities such as contact sports. This drug may make you tired. Alcohol or marijuana (cannabis) can make you more tired. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be more sensitive to the side effects of this drug, especially easy bruising/bleeding, bleeding from the stomach or intestines, unusual tiredness, signs of infection (such as sore throat that doesn't go away, fever, chills, cough). Tell your doctor if you are pregnant or plan to become pregnant. You should not become pregnant while using omacetaxine. Omacetaxine may harm an unborn baby. Your doctor should order a pregnancy test before you start this medication. Women should ask about reliable forms of birth control while using this medication and for 6 months after stopping treatment. Men should ask about reliable forms of birth control while using this medication and for 3 months after stopping </s>