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warnings and cautions
5. WARNINGS AND PRECAUTIONS 5.1. Shoulder pain requires differential diagnosis for chronic cervical syndrome, ischemic heart disease (acute/chronic, on the left side), gallbladder disease (pain on the right side), cervical-brachial nerve pain, muscle trigger points in the trapezius muscles. 5.2. Skin cleansing/disinfection is required before application. Saprophytic bacteria may produce injection site abscesses with improper skin preparation.
6. ADVERSE REACTIONS 6.1 The most common mild adverse reaction is slight reddening at the injection site due to the mechanical effect of the needle or a superficial skin reaction of mild erythema.