According to Drugs.com's Pill Identifier, there is one round white tablet that is imprinted only with '49'. It contains Quetiapine fumarate 50 mg. Verify this with your doctor or pharmacist.
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According to Drugs.com's Pill Identifier, there is one pill that has only 'H 49' imprinted on it: Sulfamethoxazole and Trimethoprim 800mg/160mg (a white, elliptical tablet).