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Make sure you understand all of the information and talk to your doctor or nurse if you have questions. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. The spores of the bacteria live in soil, dust, saliva, and manure. Call the doctor right away if adutls or your child have any of these symptoms. Once inside the body, the spores produce toxic bacteria that affects muscles and nerves. Mayo Clinic sexy girl and boy with condom image a nonprofit organization and proceeds from Web advertising help support our mission.