 <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]  advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.The precautions of Effient Oral: Before taking prasugrel, tell your doctor or pharmacist if you are allergic to it; or to similar antiplatelet drugs (thienopyridines such as clopidogrel); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood disorders (such as hemophilia), bleeding problems (such as bleeding of the stomach/intestines, bleeding in the brain), blood clots in the brain (stroke, transient ischemic attack-TIA), recent major injury/surgery, liver disease, stomach/intestinal ulcers. Before having surgery or any medical/dental procedures (including heart bypass surgery-CABG), tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). To lower the chance of getting cut, bruised, or injured, use caution with sharp objects like razors and nail cut </s>