 <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]  products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some drugs that may interact with this product include: cisplatin, drugs that can harm the liver (such as acetaminophen, amiodarone, isoniazid, methotrexate, methyldopa), hormones (such as estrogen, birth control pills/patch/ring), warfarin, drugs removed from your body by certain liver enzymes (including codeine, flecainide, haloperidol, metoprolol, ondansetron, risperidone, tramadol, antidepressants such as amitriptyline, desipramine, imipramine, paroxetine). Check the labels on all your pain relievers/fever reducers because they may contain aspirin (which is like an ingredient in this product) or acetaminophen (which can harm the liver). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually 81-162 milligrams a day), you should continue taking it unless your doctor instructs </s>