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Contact your healthcare provider promptly if you experience: Severe, persistent cramping that interferes with daily activities or sleep Cramping accompanied by significant weakness or muscle pain Signs of severe electrolyte imbalance: irregular heartbeat, confusion, seizures Cramping with symptoms of allergic reaction: rash, swelling, difficulty breathing Dark urine or significantly reduced urination despite adequate fluid intake Muscle cramps that worsen rather than improve over time Medical guidelines recommend seeking prompt medical advice for severe muscle cramps that persist beyond 10 minutes or recur frequently, particularly when accompanied by other concerning symptoms