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symptoms: nausea, vomiting, abdominal pain, confusion, fruity breath) Dehydration and hypotension (risk factors: diuretic use, low‑salt diet, elderly, renal impairment) Life‑threatening allergic reactions (angioedema, anaphylaxis) Hypoglycemia when combined with insulin or sulfonylureas Pancreatitis (severe abdominal pain radiating to back, nausea, vomiting) Fournier’s gangrene (necrotizing fasciitis of perineum) Monitoring and precautions Take Farxiga daily