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The side effect is that it won't give your child any relief. Similasan is a lying company that sells homeopathic "remedies" that have no effects whatsoever. Instead of spending money on their product, just put some water drops in your kids eye, it will have the EXACT SAME EFFECT (namely: nothing)

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Q: What are the side effects of Similasan Pink Eye Relief if used on children under 2?
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