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The expiration date marks the point at which the manufacturer (or compounding pharmacy) can no longer guarantee the medication contains the labeled dose and remains free from harmful bacterial growth

One other very rare longer term side effect reported in the clinical studies of QWO is post-inflammatory hyperpigmentation, which typically can be treated with depigmentation creams as well as lasers

The risk of peptic ulceration with corticosteroids alone is relatively low but increases significantly when combined with NSAIDs