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Parasitol Res (2011) 109(5):1395402

In contrast, the lectin-stimulated lymphocyte blast production, serum immunoglobulin levels, and cytotoxicity caused by antibody-dependent cells were unaffected

Precautions commonly involve blood count monitoring, renal assessment, folic acid or vitamin B12 supplementation when specified by prescribing information, and avoidance in contraindicated patients