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Some prescription nasal sprays with corticosteroids can affect the nasal mucosa when not used as directed

That being said the usual big 4 of nausea, vomiting, diarrhea and constipation lead the charge here as usual

A similar class of medications called dual GLP-1 has a single approved drug on the market: tirzepatide (Mounjaro)

This can be because of high stomach acid or even age

[DOI] [PMC free article] [PubMed] [Google Scholar] 64.Meurot C., Martin C., Sudre L., Breton J., Bougault C., Rattenbach R., Bismuth K., Jacques C., Berenbaum F

For travel, keep enough label information with the tablets to show the medicine name and strength