Homeopaths notice that after taking the remedy some patients experience a period of well being and optimism. Sometimes however, symptoms can appear to get worse for a short time - this is often a good sign that the remedy is taking effect. Sometimes a cold, rash or some form of discharge may appear as a 'spring cleaning' effect. Similarly, old symptoms can reappear, usually for a short period. It is useful to make some notes as changes occur to take to the follow-up appointment.