This study was led by Robert Nadelman, M.D., of New York Medical College in Valhalla, N.Y. On a random basis, they were given either a 200-milligram dose of doxycycline, or inactive placebo pills. Evidence of definite Lyme disease developed in only one of 235 patients who received doxycycline (0.4%), as compared to 8 of 247 who received placebo (3.2%). This difference was highly significant.

While confirming the effectiveness of this prophylactic antibiotic regimen, the study also shows that even in a Lyme disease-carrying tick-infested area, infection after deer tick bites are very uncommon.

In an editorial in the same issue, Eugene Shapiro, M.D. of the Yale University School of Medicine states that if the analysis by Dr. Nadelman s group is accurate, “it would be necessary to treat about 40 persons to prevent one case of Lyme disease.” He also points out that “nearly one-third of the subjects who were treated with doxycycline reported transient adverse side effects, primarily nausea or vomiting.” In addition, this drug can cause adverse effects in children below age 8, and in pregnant or nursing women. “In areas where Lyme disease is [common], checking carefully for ticks and removing them promptly may be an effective strategy for preventing Lyme disease,” Dr. Shapiro concludes.

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The first article describes a study analyzing the benefits, or lack thereof, of prolonged antibiotic treatment for patients who had been previously diagnosed with Lyme disease, but continued to complain of various symptoms, such as muscle and joint pain, memory or concentration problems, or painful “pins-and needles” type discomforts. These symptoms were accompanied, in most cases, by severe fatigue.

Short-term antibiotic treatment in the acute stage of Lyme disease is highly effective in preventing the more disabling later stages, which can involve the joints, nervous system, and heart. But some clinicians and patients believe that vague symptoms can be the result of an entity called “chronic” Lyme disease, and that long-term (i.e., several months) intravenous antibiotic treatment can effectively remedy these complaints. Case reports and small, uncontrolled trials have supported this theory in patients who have been diagnosed with Lyme disease, with or without blood test confirmation via antibody tests looking for evidence of exposure to the bacterium (Borrelia burgdorferei) which causes Lyme disease.

The study authors, led by Mark Klempner, M.D., from the New England Medical Center and Tufts University School of Medicine in Boston, intended to evaluate 260 patients, 194 who had positive antibody tests, and 66 who were negative for anti-borrelia antibodies, and compare their symptomatic response to treatment. There was no evidence of persistent active infection in either of the groups.

The patients were equally divided into two groups: those receiving active therapy, the intravenous antibiotic ceftriaxone for 30 days, followed by 60 days treatment with oral antibiotic doxycycline (which is similar to tetracycline); and the control group, which was to receive identical appearing placebo — inactive intravenous solution and inactive pills — over the same time period.

But the interim analysis led the study authors to discontinue the study after 107 patients had been evaluated, since the results were already clear-cut: the symptoms noted had not changed in those given the active treatment compared to those in the placebo group. While both groups had severe impairment in health-related quality of life assessment at the outset of the study, there were no important differences in the results with antibiotic therapy as compared with those given placebo. In the placebo group, there was improvement in 36% of patients, no change in 25%, and deterioration in 39%. These responses were not significantly different from the treatment group.

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Hormone Replacement (ERT or HRT):
Replenishing the body with estrogen is an important step in treating menopause. Your doctor can help relieve the menopausal symptoms your are currently experiencing… and help protect you from the long-term problem of osteoporosis by prescribing treatment in the form of estrogen replacements therapy (ERT) or hormone replacement therapy (HRT).

ERT contains estrogen alone. It is usually prescribed for a woman who does not have a uterus. HRT contains 2 hormones—estrogen and progestin. Estrogen therapy given alone can cause a buildup of the cells of the lining of the uterus (endometrium), increasing the risk of a condition called hyperpasia. If left untreated, this condition could sometime lead to cancer of the uterus. Adding a progestin to estrogen therapy helps to prevent overgrowth of the lining of the uterus, reducing but not eliminating this risk.

Is replacement therapy right for me?
After carefully reviewing all of your symptoms, medical and menstrual histories, and your risk factors for osteoporosis, you and your doctor can determine if replacement therapy is right for you.

What risks are associated with hormone replacement?
All estrogen-containing products raise the risk for blood clots and gallbladder disease. These effects are due in part to estrogen’s interaction with the liver. In addition, women who still have a uterus are at increased risk for uterine cancer if they are unopposed estrogen. The addition of progesterone to women’s estrogen replacement therapy essentially resolves this risk.

How does hormone replacement therapy (HRT) effect the risk if breast cancer?
Between the years 1975 and 1995 there have been 33 studies conducted to determine the effects if HRT on breast cancer. Twenty-five (25) of the studies found either no effect or decreased risk of breast cancer in women on hormones. Eight (8) studies found a slight elevation in risk fir breast cancer in patients who took hormones for over 5 years. Interestingly, in the patients who did get breast cancer, there was a 16% reduction in mortality for the estrogen users as compared to the women who were not on hormone therapy and developed breast cancer.

In summary, the preponderance of the evidence suggests HRT does not raise the risk of breast cancer with short-term use. It may however slightly raise the risk for breast cancer with long-term use. The Women’s Health Initiative Study, due to be completed in 2007-2008, should answer this question more definitely in the future.

Does 0.625 mg of Conjugated Equine Estrogen work?
In multiple scientific studies, 0.625 mg of CEE has been shown to relieve symptoms, to improve bladder and sexual function, lower the risk of cardiovascular disease (50% reduction) osteoporotic fracture (60% reduction), Alzheimer’s Disease (30% reduction) and colon cancer (50% reduction).

Are there alternatives to Conjugated Equine Estrogen (CEE) and/or medroxy progesterone (MP)?
While CEE/MP have been very effective for millions of patients, approximately 30% of women who take these medications eventually stop them due to side effects of fear of breast cancer. Over the last 5 years, several new hormone replacement therapies have become available. These include naturally derived estrogen/ progesterone/ testosterone pills, patches, and creams.

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S-adenosylmethionine (SAM-e) is a compound found in all living cells of the body. SAM-e has shown benefit with depression, osteoarthritis, and liver disorders.

SAM-e is produced in the body from the amino acid methionine and the energy powerhouse, adenosine triphosphate (ATP). SAM-e is involved in over 40 biochemical processes in the human body including detoxification reactions, joint tissue structure and the production of brain chemicals. SAM-e has shown benefit with depression, osteoarthritis, and liver disorders. Exactly how it works in these unrelated applications hasn’t been determined but several theories have been suggested.

An inadequate amount of methyl donors have been implicated an underlying cause of depression. SAM-e, as a methyl donor, may affect brain function by activating brain neurotransmitters (brain chemicals). SAM-e appears to also make brain cells more responsive to neurotransmitters by improving the binding of the neurotransmitters to receptor sites, thus increasing brain levels of serotonin and norepinephrine, which are associated with emotional well being. SAM-e has been shown to be as effective as antidepressant medication without the side effects the side effects associated with the medication. Several studies have shown SAM-e is also effective at maintaining emotional balance.

SAM-e may promote cartilage formation and repair by enhancing synthesis of proteoglycans, compounds essential for cartilage health. It does this by donating a sulfur group. SAM-e can also restore and maintain healthy joint function.

Studies have shown impressive results with osteoarthritis. Morning stiffness, pain at rest and pain on movement all show improvement. SAM-e has been shown to be as effective as NSAIDS (non steroidal anti-inflammatory drugs) for pain control without the side effects.

SAM-e appears to promote healthy liver function. SAM-e improves the production of glutathione, a powerful antioxidant that plays a key role in detoxification of things such as alcohol, drugs and environmental toxins from the body. SAM-e also enhances healthy liver function by stimulating bile flow from the liver, maintaining normal levels of bilirubin (a component of bile) and improving liver cell membrane function.

SAM-e is not found in abundance in the diet. An essential precursor of SAM-e, methionine, is found in most protein foods. A deficiency of methionine, choline, vitamin B12 or folic acid can inhibit the body’s ability to produce SAM-e.

Healthy people do not need to take the supplement. Typical supplement levels for those who do need it are 1600 mg/day for depression, 800-1200 mg/day for osteoarthritis, 1200 mg/day for liver disorders. All amounts should be taken in divided doses.

SAM-e has been shown to be extremely safe in most individuals. Occasional nausea and gastrointestinal upset has been reported. This usually occurred with large doses being taken. It is recommended to start with a low dose and work your way up.

People with bipolar disorder, also known as manic depression, should not use SAM-e without the supervision of their doctors as it can aggravate the “up” cycles. Use of SAM-e is highly contraindicated with Parkinson’s disease. Both animal and human studies have shown increased methylation can cause depletion of dopamine and block the effects of L-dopa.

If you have received a recent diagnosis of genital herpes, you may be shocked and a bit befuddled. You cannot cure genital herpes, but you can treat it. Genital herpes can affect many aspects of your life, even though it can be controlled.

If you have received a prescription for Valtrex to treat your genital herpes, you will find valuable information in this article to help raise your awareness of Valtrex and help you become more comfortable with its use, as Valtrex will now be a part of your daily regimen.

Valacyclovir Hydrochloride, or Valtrex, is used to treat genital herpes. Valtrex is sold as blue tablets with an oblong shape. These tablets come in either 500 mg or 1000 mg strengths. When treating genital herpes, patients take one gram of Valtrex twice a day for ten days. Five hundred milligrams taken two or three times a day for a total of three days is the common treatment period for recurring genital herpes. Valtrex is also good for treating the accompanying cold sores. For this example, Valtrex is given twice daily for one day at a dose of two grams, and this is begun as soon as a cold sore is noticed.

Valacyclovir Hydrochloride is the main ingredient in Valtrex and this is metabolized by your system via a first-pass through the hepatic and/or intestinal system, finally being converted to acyclovir. Acyclovir inhibits the herpes virus because it is a ‘fake’ acyclic nucleotide. Then the acyclovir is included in the DNA chains, and the DNA chain that contains the herpes virus is eliminated. This process happens over and over again, and as a consequence, the herpes virus and its symptoms are taken care of, but not cured. The peak effects of Valtrex are noticeable within 2.5 to 3 hours after taking the medication orally. If you are taking any sort of cimetidine (Tagamet) or  probenacide (Benemid), the elimination of this medicine may be decreased by taking Valtrex.

If you have any reaction to Valacyclovir Hydrochloride, do not take Valtrex. If you are a patient experiencing renal impairment and your doctor has prescribed Valtrex to you, ensure that your doctor gives you a reduced dosage of Valtrex.

Acyclovir can build up in the renal tubes of patients that are dehydrated. (For this reason it is vital to consume lots of fluids when you are taking Valtrex.) Most likely your physician informed you that even though you are taking Valtrex, the virus can still become active in your body due to various herpes mutations; at these times, it is critical to abstain from sex or to practice very safe sex in order to protect your partner from contracting the disease. (This might be a bit much, however I think you understand what I mean!)

Valtrex does have side effects including stomach pain, vomiting, nausea and headache. It is possible to experience tremors. Seek medical attention immediately if you encounter any type of allergic reaction including hives, rashes or swelling of the throat. If you forget to take a dose, do it when you realize it, unless it is actually closer to the time to take the next dose. You should never take two doses at once. Keep Valtrex in a dry, cool place away from sunlight and kids. Valtrex can lose potency when exposed to sunlight. Moreover, it is important to continue taking Valtrex, no matter how well you begin to feel or how much the herpes symptoms have lessened.

Anti-viral and daily suppressive medications can also help relieve symptoms. These include Acyclovir (Zovirax) and Famciclovir (Famvir) which, when taken in conjunction with warm baths and analgesic medications like Ibuprofen, can help alleviate symptoms.

Abilify can help your schizophrenia by reducing its symptoms. For instance, you may feel renewed attachment to loved ones and favorite things. Moreover, it may work to clarify your thoughts and minimize confusion or intrusive thoughts and imagined voices.

You could feel better within one to two weeks after starting Abilify. Everyone is unique though, responding in a unique way to medications; thus, you must continue using the medication even when it does not instantly produce results.

The best thing about Abilify is that it frees your day from cumbersome medication schedules. Because this is a once per day medication, patients need only remember to take a single dose, and then feel free for the remainder of the day. Abilify is produced in two forms: tablet and oral solution. The pill form is prescribed in dosages ranging from 5 up to 30 milligrams. The oral form is prescribed in doses ranging from 5 up to 25 milliliters.

Like most medications, side effects are possible with Abilify. Tremors, constipation, restlessness, lightheadedness, and sleepiness are some common side effects of this schizophrenia medication. Abilify users might exhibit these signs – throwing up, nausea, sleeplessness, anxious feelings and/or headache. There are some cases of weight gain by some patients during the consumption of Abilify, as shown in some studies.

Moreover, taking Abilify may result in a number of serious side effects. Signs to be alert for are elevated blood pressure and cardiac rate, perspiring, confused state, tremors, muscle rigidity and elevated temperature. Signs like these could point to a condition called neuroleptic malignant syndrome, a lethal illness which may at times be linked with medications to combat psychosis. Furthermore, be alert to signs of abnormal or out of control movements. Abilify is reputed to raise the odds of stroke in older subjects using this medication to counteract dementia.

Also, diabetics and anyone susceptible to contracting diabetes needs to be aware that Abilify could elevate glucose levels in the bloodstream.

It is essential that you and your physician consider Abilify’s pros and cons to decide if it is appropriate as a treatment for your symptoms.

Disclaimer: The information provided above is not intended to be used as medical advice. You should consult with a qualified professional to find more information about Abilify.

Reading and understanding the labels of medications is the first step in using them safely. The number of people who fail to fully understand or even read prescription drug labels is alarming. Medication labels usually deliver their information in a standardized format. The following explanations will help you understand what all of this information means.

How to Read the Label When Selecting a Safe Non-prescription Medication:

Active Ingredient — When reading the label on a medication, the first thing you will see is the active ingredient list, which tells you the effective elements of the medication’s formula. The amount of each active ingredient per tablet or capsule will also be listed. There may be two or more active ingredients in any given medication. Before using any medication you must check that the active ingredient is not one to which you have had any prior allergic reaction. Your pharmacist can give you further information on the active ingredient if you have any questions.

Usage — The second heading on the label is usually the list of uses. The various conditions for which the medication is indicated should be listed on the label. This is how you determine if the medication is proper for your particular symptoms. If your symptoms aren’t on the list of official indications for the medication, then don’t use it.

Warnings — The section titled warnings should always be read carefully and followed. This is where you will find information about possible interactions with other medications and foods. Tylenol, for example, warns against consuming more than three glasses of alcohol per day. There will also be instructions indicating whether the medication is safe for pregnant women and children. Ask your doctor or pharmacist about potential interactions between your prescription and non-prescription medications. When combining two or more medications, it’s recommended that you contact your doctor first.

Directions — Read the directions for instructions on proper dosage amount and timing. Never exceed the listed dosage limits. Just because a medication is sold non-prescription doesn’t mean that it can’t cause serious complications if used incorrectly. There will be specific safe dosage amounts listed for children. A child under the age of twelve should never be given the full adult dosage of a medication.

Inactive Ingredients — This is the list of components that don’t contribute to the treatment of symptoms. Preservatives, food colorings, and fillers are typical examples. Pay special attention to this section if you have any known allergies or sensitivities to medications or foods.

Other Tips — Another important tip is to make sure you take notice of the expiration date. Circle the expiration date on any medication you buy as a reminder not to keep it beyond the expiration date. If you ever have a bad reaction to medication make note of both the brand name and the ingredients, both active and inactive. Be sure to inform both your doctor and pharmacist and retain a written record for yourself.

You will be able to make safe and informed decisions about non-prescription medications once you have learned to read and understand their labels. Always read the fine print; your health depends on it.

There are several causes of yeast infections. When new yeast enters the vagina, it leads to a yeast infection. Yeast infections can also be caused when there is more yeast in the vagina than bacteria. It is usually caused by ingesting antibiotics for different conditions. When the inner vagina is injured (a possibility following chemotherapy), a woman may become predisposed to contract yeast infections too. Women who are pregnant, taking birth control pills, have a suppressed immune system or have diabetes mellitus have a greater chance of contracting yeast infections than other women.

Yeast infection does not belong in the category of STD’s and can even afflict women who are sexually inactive. Nevertheless, sometimes when a man has intercourse with a woman with yeast infection, his penis may get a yeast infection, making its skin itchy.

Symptoms

It is not absolutely certain that you have a yeast infection even though you show the symptoms of a yeast infection. That is because yeast infection symptoms can be the same as several other conditions. Thus it is advisable to see a physician and get a professional opinion.

The chief symptom of a yeast infection is an itchiness of the vagina or vulva (the outside part of the female genitalia). Some symptoms of yeast infections are burning, soreness, vaginal discharge, and pain during urination or intercourse. When discharge appears, it is odorless and somewhat similar to cottage cheese, white with a heavy texture and feature.

7% of women experience recurring yeast infections. Yeast infections are labeled as recurring when a women contracts at least four yeast infections in a year, all occurring without use of antibiotics. You might have an underlying condition if you have recurring yeast infections.

Treatment

Anti fungal medications are used to treat yeast infections. Some are applied on the surface, or topically. You apply a topical medicine in and on the vagina. You can also take an oral anti-fungal medicine.

More than one kind of medication may be needed if an infection is caused by multiple kinds of yeast microbes. Topical anti fungal creams include butoconazole (Femstat 3), clotrimazole (Lotrimin), miconazole (Monistat) and terconazole (Terazol 3). Fluconazole (Diflucan) is the most popular oral medication for treating yeast infections. For yeast infections, physicians usually favor topical medication rather than oral medication. The oral medicine is not to be ingested when pregnant or breast feeding, and can cause side effects including headache, nausea and abdominal ache. Topical medicines don’t cause side effects normally.

You can treat a yeast infection with an over the counter medicine. If symptoms fail to go away though, it would be advisable to visit a doctor to make sure you do not have something other than yeast infection. Bacterial vaginosis, chlamydia, and gonorrhea all have the same symptoms as a yeast infection.

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Is it legal to buy Diflucan?

You can be sure it is legal. You verify that the Diflucan is for personal use and not for resale. All drugs are legal for use in most of the countries. Generic Fluconazole should successfully go through customs, American among them. Tell the pharmacy if you bump into problems with the customs house and they will refill your Fluconazole order, without extra charge.

What if I am purchasing Diflucan on the web for the first time?

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Dizziness is one of the side effects that happens frequently with Gabapentin usage. Usually, this happens during the start of treatment, but generally becomes less after your body begins to get used to the drug. Drowsiness in the extreme is another common complaint of users of Neurontin. Steer clear of motor vehicle and heavy machinery operation until you know how drowsy this prescription will make you.

Peripheral edema is another side effect stated commonly by users of Neurontin. The feet and hands swell during this condition which is uncomfortable. Visit a physician immediately, if the condition is painful, or is not relieved after a short time after beginning treatment with Gabapentin.

In some initial studies, rats developed carcinomas. Although the rats’ life spans were not decreased by the carcinomas, additional studies are needed.

It is highly recommended that you discuss your neuropathic pain, and the exploration of this treatment further, to discover the details of the side effects of Neurotin or Gabapentin. Living with physical pain is a truly awful experience. Gabapentin offers much needed relief for many people.

There are a few reasons you should NOT take Zanaflex medication: if you have allergies to any Zanaflex ingredient; if you take ciprofoxacin or fluvoxamine.
If these apply to you, let your doctor know right away.

Before you use generic Zanaflex: There are some medical conditions which possibly can interact with Zanaflex.

Inform your physician or pharmacist if you suffer from any medical conditions specifically in the following areas:
- if you are pregnant, planning to become pregnant, or are breast-feeding;
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement;
- if you have allergies to medicines, foods, or other substances;
- if you have liver or kidney problems or prostate problems.

There are some medicines that may interact with Zanaflex:
Inform your physician if you are taking additional drug, specifically any of the following: Acyclovir, antiarrhythmics (eg, amiodarone, mexiletine, propafenone), cimetidine, famotidine, fluvoxamine, hormonal contraceptives (eg, birth control pills), quinolone antibiotics (eg, ciprofloxacin), ticlopidine, verapamil, or zileuton because they may increase the risk of Zanaflex’s side effects.

This list may not include all the interactions that are possible. If you take any other medicines, you should ask your physician if they will interact with Zanaflex. Before you begin, stop or change the dose of any medication you should check with your physician.

Using Zanaflex drug:
Follow the directions your doctor gives you for using Zanaflex.
Read the label for exact dosing instructions.
Zanaflex is taken orally.
Food can alter the way your body absorbs and uses the medicine Zanaflex. It is important that you talk with your doctor to find out the most effective way to take your medicine, particularly when you are thinking about changing your dose, or if your doctor is prescribing a dose form of Zanaflex which is different from the one you are currently taking (such as tablets or capsules.)
Do not end your use of Zanaflex suddenly. If you are required to stop using Zanaflex your physician will slowly reduce your dose to stop symptoms of withdrawal, which could be high blood pressure, rapid heartbeat, tremor, anxiety and muscle tension.
Take any missed doses of Zanaflex as soon as possible. If it is close to your next dosage simply pass over the forgotten one and get back to your normal routine. Never take two doses at once.

Talk to your doctor about any questions you have about Zanaflex.

For your safety, it is important to know the following information: Zanaflex can make you drowsy, dizzy, lightheaded, or faint. Side effects may worsen when used with alcohol or other medicines. Be careful when using Zanaflex. Wait to drive or do other potentially unsafe tasks until you know how you react to it.
Do not consume alcohol or use drugs that could bring on fatigue while using Zanaflex as it could ramp up their side effects. If you want to know which medicines may make you drowsy, let the pharmacist know what your questions are.
The side effects of Zanaflex are dizziness, lightheadedness and fainting; they can be magnified by alcohol, hot weather, excessive exercise, or fever. Sit up and stand slowly, especially in the morning, to prevent this. If you experience these, sit or lie down.
Don’t change from Zanaflex tablets to capsules unless your doctor tells you to. Switching to another form after you have started to take one can increase the risk of side effects. If you find that you have received something different from the medicine you usually take, ask your doctor or the pharmacist prior to taking Zanaflex.

Inform your physician or dentist that you ingest Zanaflex before you get any medical or dental treatment, emergency care or surgery.
Check with your physician before taking more than the prescribed dose or if you use it longer than it was prescribed for.
When you take Zanaflex, you may have to have to undergo some lab tests like liver tests. These tests can be used to check for side effects and to monitor your condition. Make certain that you go to every doctor and lab appointment.
Use Zanaflex with care for the ELDERLY; they might be extra susceptible to its effects.
Zanaflex shouldn’t be prescribed for CHILDREN; safety and efficacy in children has not yet been established.
BREAST-FEEDING AND PREGNANCY: There is no conclusive evidence whether or not Zanaflex causes harm to fetuses. Let your doctor know if you become pregnant. If you are pregnant you will want to talk about the risks and benefits of Zanaflex. Scientists are unsure if Zanaflex is excreted in breast milk. Anyone who is breast-feeding, or plans to breast-feed at the same time they are using Zanaflex, should check with their physician. Talk about any risks or possible harm to your baby.

Possible Zanaflex Side Effects: All medications can cause side effects, but most people have no, or only minor, side effects.

There are some common side effects such as becoming constipated, dizzy, drowsy, flushed, tired, weak, or having a dry mouth; call your physician if any of these side effects are persistent or if they are bothering you.

Get medical attention immediately if you experience any of these side effects: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in emotions, mood, or behavior; hallucinations; increased muscle spasms; muscle weakness; slow heartbeat; trouble urinating or lack of bladder control; urinary tract infection; yellowing of the skin or eyes.

There might be other possible side effects. Call the person who provides your health care with any questions regarding the side effects.

Proper storage: To be stored properly, Zanaflex medicine should be stored at a temperature of 77 degrees F (25 degrees C). Storage for short periods are allowed at between 15 and 30 degrees C. Do not store near heat, light, or moisture. Zanaflex should not be kept in a bathroom. It is important to keep Zanaflex away from kids and pets.

General information: Only the patient who has been given the prescription should take Zanaflex.
This medicine should not be shared with anyone else.
Call your doctor if you find that your symptoms are not going away, or if they worsen.

This is only a summary. It does not have all the information available about Zanaflex. If you have concerns regarding the medication you are using or need further information, ask your physician, pharmacist, or other health care provider.

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