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Precautions of Hamdard Joshina Syrup Before using Joshina syrup, inform your doctor about your current list of medications which you are using, allergies, pre-existing diseases and current health conditions. Not to be used for more than 4-6 weeks. Patients with increased heart rate. Joshina may interact with the following drugs and products, which changes its effects: Hydrocortisone Oral contraceptives Prednisolone Contraindications of Hamdard Joshina Syrup Increased pressure of blood Kidney failure