 <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]  tell your doctor or pharmacist if you are allergic to it; or to other allergen extracts; 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: breathing disorders (such as asthma, chronic obstructive pulmonary disease-COPD), heart problems (such as angina, irregular heartbeat, previous heart attack), high blood pressure, mouth irritation (such as due to cold sore, ulcer, infection), a certain esophagus problem (eosinophilic esophagitis), previous allergic reaction, other current allergy treatments (such as allergy shots, other allergen extracts). Before having surgery or a dental procedure, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Your doctor or dentist may direct you to temporarily stop treatment with this medication after dental surgery or a procedure (such as tooth extraction). Ask your doctor or dentist for details. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes </s>