Nurosym should not be used if you have any active implanted device, including electronic or medical devices such as a pacemaker, cochlear implant, cerebral shunts, or invasive vagus nerve stimulators. Additionally, if you have non-active implants that may potentially interact with the nervous system, such as metal implants, it's important to consult with your healthcare professional before using Nurosym. Users with known severe coronary disease or recent myocardial infarction (within 5 years), as well as pediatric patients, should also seek medical advice before using Nurosym.