 <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] omerulonephritis), heart disease (such as fast/irregular heartbeat, recent heart attack, angina), liver disease, lung disease, stomach/intestinal problems (such as Crohn's disease, ischemic bowel, perforation, bleeding ulcers), high levels of calcium (hypercalcemia), organ transplant, thyroid disorders, a certain connective tissue disease (scleroderma), seizures, arthritis, diabetes, gallbladder problems (cholecystitis), a certain disease of blood vessels in the brain (cerebral vasculitis), a certain muscle/nerve disease (myasthenia gravis). This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. 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). If you are scheduled to have any X-ray or scanning procedure using injectable dye (such as iodinated contrast), tell your doctor that you are using this medication. Older adults may be at a greater risk for kidney effects or shortness of breath while using this drug </s>