The fevers are typically cyclic and temperature can rise to 41 oC at intervals of every 1 to 3 days as long as therapy is continued. The risk or severity of adverse effects can be increased when Nitroglycerin is combined with Mannitol. Can I take Kathakakhadiradi kashaya along with Chandraprabha Vati for sugar problem and Shilajit for getting energy? There are no seals over the carton ends of the 5mg physician sample pack. Discuss your health with your doctor to ensure that you are healthy enough for sex. Are allergic to anything in ENDOMETRIN.