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Seek immediate medical help (call 999 or attend A&E) if you experience: Sudden onset of severe breathlessness, particularly at rest Chest pain or tightness accompanying breathlessness Rapid or irregular heartbeat (palpitations) Swelling of the face, lips, tongue, or throat (potential anaphylaxis) Difficulty swallowing or speaking Wheeze or stridor (high-pitched breathing sound) Cyanosis (blue discolouration of lips or fingertips) Confusion, dizziness, or loss of consciousness These symptoms may indicate serious conditions including acute coronary syndrome, pulmonary embolism, severe allergic reaction, or acute heart failureall of which require emergency assessment and treatment

No both medications should not be taken together as it can be unsafe

The -subunit of propionyl-CoA carboxylase contains the three activities of a typical biotin-dependent carboxylase