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The physician may wish to consider contacting a poison control center for up-to-date information on the management of overdosage with methylphenidate. 
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The first step in the management of convulsions, as well as underventilation or apnea due to unintended subarachnoid injection of drug solution, consists of immediate attention to the maintenance of a patent airway and assisted or controlled ventilation with oxygen and a delivery system capable of permitting immediate positive airway pressure by mask. 
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In the United States, enfuvirtide is very expensive (annual treatments can cost $25,000). This cost, coupled with injections that need to be administered twice daily, have relegated the use of enfuvirtide to use in combination with other drugs in people for whom previous treatments have failed. 
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Tolterodine is highly bound to plasma proteins, primarily Î±1-acid glycoprotein.

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Posted by cigoChooxia

- January 23, 2010, 08:46:37 PM

Administration of meperidine or morphine may delay intestinal transit of the imaging agent and may result in nonvisualization.
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Dermoid cysts are not attached to the overlying skin.
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Other means of therapy, however, may be required in such cases.
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Presumably due to the inhibition of the degradation of endogenous bradykinin, persistent nonproductive cough has been reported with all ACE inhibitors, always resolving after discontinuation of therapy.
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All NSAIDs, both COX-2 selective and nonselective, may have a similar risk.
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The major side effect of depigmentation therapy is inflammation (redness and swelling) of the skin.
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Clinical trials of several COX-2 selective and nonselective NSAIDs of up to three years duration have shown an increased risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal.

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EMTALA generally requires hospitals to provide patients with a medical screening examination and to stabilize the patientsâ€™ emergency medical conditions (resolve the emergency condition) to the extent possible given the hospitalâ€™s capabilities before transport.
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Aspirin containing products are contraindicated in patients with bleeding disorders.
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Pooled data from the 3 clinical studies have demonstrated that steady state is reached within 2 weeks of application.
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Therapy may begin at full replacement doses in otherwise healthy individuals less than 50 years old and in those older than 50 years who have been recently treated for hyperthyroidism or who have been hypothyroid for only a short time (such as a few months).
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Pull back on plunger slowly to draw the correct dose into syringe (Figure E).
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When the tip of the device is squeezed, the fluid is transferred into the cylinder.
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The usual initial dosage is 40Â mg Inderal twice daily, whether used alone or added to a diuretic.

Posted by cigoChooxia

- January 23, 2010, 04:19:01 PM

A laser iridotomy is the most commonly performed procedure.
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Study 2 evaluated two different methods of administering infusional 5-FU/LV, with or without irinotecan.
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The severe mucositis lasted less than six days in half the patients treated with palifermin; it lasted less than nine days in half the patients receiving placebo.
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An occupational therapy examination usually includes the Bruininks-Oseretsky Test of Motor Proficiency (BOT).
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If you stop Epzicom because of an allergic reaction,NEVER take Epzicom (abacavir sulfate and lamivudine)or any other abacavir-containing medicine (Ziagen and Trizivir) again.
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Your health care provider should call the Ribavirin Pregnancy Registry at 1-800-593-2214. Your health care provider will be asked to give follow-up information about the pregnancy.
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Drug Interactions The concomitant use of highly nephrotoxic drugs in combination with Ganite may increase the risk for development of renal insufficiency (see [#section-7 WARNINGS]). Available information does not indicate any adverse interaction with diuretics such as furosemide.

Posted by cigoChooxia

- January 23, 2010, 02:14:02 PM

Angle-closure, lens-induced glaucomas include phacomorphic glaucoma and ectopia lentis.
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No evidence of a mutagenic potential of atenolol was uncovered in the dominant lethal test (mouse), in vivo cytogenetics test (Chinese hamster) or Ames test (S typhimurium).
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Emtricitabine should not be used in people who are taking lamivudine, a similar antiretroviral drug which can be found in Combivir, Epivir, Epzicom, and Trizivir.
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Respiratory depression occurs most frequently in the elderly and debilitated patients as well as in those suffering from conditions accompanied by hypoxia or hypercapnia when even moderate therapeutic doses may dangerously decrease pulmonary ventilation.
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A list of these medicines and these medical conditions is in the section â€œWho Should Not Take PROPULSIDÂ®?â€. If you faint or feel faint, become dizzy or have irregular heartbeats while using PROPULSIDÂ®, stop taking PROPULSIDÂ® and get medical help right away.
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Your health-care professional will take a medical and family history before prescribing oral contraceptives and will examine you.

Posted by cigoChooxia

- January 23, 2010, 11:42:01 AM

People who have other psoriatic arthritis patterns may still have this condition.
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For more information, U.S. residents may call the National Cancer Institute's (NCI's) Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) Monday through Friday from 9:00 a.m. to 4:30 p.m. Deaf and hard-of-hearing callers with TTY equipment may call 1-800-332-8615. The call is free and a trained Cancer Information Specialist is available to answer your questions.
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Midday, when the light is strongest, is the best time to be outdoors.
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If you have kept records of urination ("urination diary"), take a copy with you to the appointment.
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Po-210. Although the onset of Acute Radiation Syndrome (ARS) due to internal contamination may be delayed as compared to that caused by external radiation exposure, it is unlikely that an individual will develop new onset ARS many weeks following travel to the UK.
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If serious hypokalemia (serum potassium less than 3.0 mEq/L) is demonstrated by repeat serum potassium determinations, triamterene/hydrochlorothiazide capsules should be discontinued and potassium chloride supplementation initiated.
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Elimination:Oxycodone is eliminated from the systemic circulation with half life (T1/2) values ranging from 3.1 hr to 3.7 hr after single dose administration of oxycodone hydrochloride and ibuprofen tablets.

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Diabetic Eye Disease OverviewDiabetes mellitus is one of the leading causes of irreversible blindness worldwide, and, in the United States, it is the most common cause of blindness in people younger than 65 years of age.
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Another distribution characteristic of C. albicans diaper distribution is its likelihood to be found in the creases of skin (for example, in the skin folds where the legs join with the pelvis).
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In the rat, two groups of 25 pregnant females each were exposed to the aerosol for 30 and 35 minutes, respectively, twice a day from the 6th through the 15th day of gestation.
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Nursing Mothers: The normal potassium ion content of human milk is about 13 mEq per liter.
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In addition, there is evidence of extensive metabolism of Cesamet by multiple P450 enzyme isoforms.
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Most background radiation comes from radioactivity in a person's body.
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Intrathecal chemotherapy and radiation therapy are able to reach leukemia cells in the CNS and are given to kill the leukemia cells and prevent the cancer from recurring (coming back).

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One case of precocious puberty has been reported to date, however due to the recent introduction of manufacturing steps designed to reduce the level of hCG in CeredaseÂ®, the likelihood of this occurrence is reduced.
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ALFENTA may produce muscular rigidity that involves the skeletal muscles of the neck and extremities.
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IN THIS ARTICLELabyrinthitis OverviewLabyrinthitis CausesLabyrinthitis SymptomsWhen to Seek Medical CareExams and TestsLabyrinthitis TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsLabyrinthitis SymptomsThe most common symptoms Vertigo Nausea Vomiting Loss of balanceOther possible symptoms A mild headache Tinnitus (a ringing or rushing noise) Hearing lossThese symptoms often are provoked or made worse by moving your head, sitting up, rolling over, or looking upward.
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They have found that certain alterations in the gene that causes cystic fibrosis may increase the likelihood of developing chronic sinusitis.
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The global incidence of foodborne disease is difficult to estimate, but it has been reported that in 2005 alone 1.8 million people died from diarrheal diseases.
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In children, the disorder generally emerges when they are first introduced to writing.
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Inhalants have also been associated with the sudden death.
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A small nick is made in the anal sphincter to decrease the muscle tone.
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Basic investigators are studying the molecular mechanisms behind Raynaudâ€™s phenomenon, the anatomy of blood vessels, and possible genetic associations.

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Food increases absorption of rifapentine by approximately 43%.[2] Rifapentine is metabolized into a form that also has antibiotic activity, and both rifapentine and this compound contribute to the effectiveness of treatment.
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Consequently, if blood pressure or heart rate continue to rise, consideration should be given to adding a potent volatile liquid inhalation anesthetic or another intravenous medication.
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Some 40% of women will experience a broken bone (fracture) due to osteoporosis during their lifetime.
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Because CAD raises the risk for having a heart attack, people with CAD should learn the symptoms of a heart attack which can include the following: chest tightness, discomfort, or pain; discomfort or pain in the upper body or in one or both arms; shortness of breath.
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When the optic nerve is damaged from increased pressure, open-angle glaucoma and vision loss may result.
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In the rabbit, embryo-fetal study doses of 30, 100, and 200Â mg/kg (28- to 93-fold the expected clinical exposurein men) were administered orally on days 7 to 29 of pregnancy to encompass the late period of external genitalia development.
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ALT was formerly known as serum glutamic-pyruvic transaminase (SGPT) and AST as serum glutamic-oxaloacetic transaminase (SGPT).
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In randomized comparative studies, cefoxitin and cephalothin were comparably safe and effective in the management of infections caused by gram-positive cocci and gram-negative rods susceptible to the cephalosporins.
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It may also be ordered to evaluate if abnormal bleeding is present.

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However, coupled with minor trauma to the scalp, such as scratches or tight braiding, spores can enter through the stratum corneum (a layer of the skin).
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Editors: Ivette Motola, MD, Staff Physician, Department of Emergency Medicine, Harvard Medical School; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James Kimo Takayesu, MD, Staff Physician, Department of Emergency Medicine, Brigham and Women's Hospital/Massachusetts General Hospital.
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This reaction is often severe and presents as fever, nausea, vomiting, headache, rash, and abnormal liver function tests.
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Patients with diabetes who are lactating may require adjustments in insulin dose, meal plan, or both.
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Obesity also can lead to congestive heart failure, a serious condition in which the heart canÂ't pump enough blood to meet your bodyÂ's needs.
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In this medical procedure, a thin tube is inserted into the urethra and bladder to drain urine.
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Second, it inhibits the liver's synthesis of very low density lipoproteins (VLDL), which reduces the total number of VLDL and LDL particles.
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This product (like all oral contraceptives) is intended to prevent pregnancy.
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Sometimes you can feel frustrated, perhaps even angry or resentful.

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IntroductionHigh altitude or mountain sickness is defined when someone feels sick at high altitudes, such as in the mountains or any other altitude-related sicknesses.
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A doctor can recommend resources for a professional home-safety consultant visit.
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Some malformations have recognized genetic or teratogenic causes, but the majority have an unknown etiology (idiopathic conditions) or are caused by a combination of genetic and environmental factors, which are then considered risk factors that increase the liability of malformation.
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One of the earliest methods involved the creation of deep incisions in the cornea to result in intentional weakening and shape alteration for corrective purposes.
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Today, more people than ever before are living with HIV/AIDS.
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During the early phase of treatment (i.e., first 12 weeks), serum iPTH, calcium, and phosphorus levels should be determined weekly.
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The image on the right shows normal bone density.
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These results are similar to observations in male infants with genetic 5Î±-reductase deficiency.
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Although most pharmacies have removed this product from their shelves, it is prudent to carefully examine the label to be sure that the medication you buy (or have at home) does not contain PPA.

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Failure to promptly reduce pain and swelling is often caused by excess debris in the canal that needs to be removed by the doctor.
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The use of these drugs with propoxyphene increases their sedative effects and may lead to overdosage symptoms, including death (see "[#section-15.1 Overdose]" below).
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Depending upon the cause of the colitis, medication may be prescribed to control or cure symptoms.
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Reappearance of abnormal cells on the cervix of women is not altered by treatment of their sexual partners.
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A muscular ring (called the cardiac sphincter) at the end of the esophagus allows food to enter the stomach, and, then, it squeezes shut to prevent food and fluid from going back up the esophagus.
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This study titled "Dietary Approaches to Stop Hypertension (DASH)" was reported in 1997 by the National, Heart, Lung and Blood Institute of the National Institutes of Health.
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Progestogens increase insulin secretion and create insulin resistance, this effect varying with different progestational agents.

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- January 22, 2010, 08:08:31 PM

Olanzapine Monotherapy in Adolescents â€" The safety and efficacy of olanzapine and olanzapine and fluoxetine in combination have not been established in patients under the age of 18 years.
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This condition causes severe or life-threatening complications starting before birth or in infancy.
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Clinicians who feel that partial dehydration enhances radiographic contrast recommend a low liquid intake for 12 hours prior to the procedure; however, adequate hydration has improved the quality of films for other investigators.
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Patients receiving warfarin therapy should receive careful coagulation monitoring when fluoxetine is initiated or stopped.
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Sometimes overly strenuous toilet training may make the child unable to relax the sphincter and the pelvic floor to completely empty the bladder.
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Pap Smear IntroductionCancer of the cervix (cervical cancer) is the second most common cause of cancer-related disease and death among women worldwide.
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This procedure is called percutaneous catheter drainage.
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Encephalopathy describes abnormal brain function due to problems with the brain tissue.
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Optimally, this response unit should be fully equipped with ventilation and oxygenation capabilities, including the ability to provide advanced airway maintenance, endotracheal tube checks, end-tidal CO2 monitoring, and ECG monitoring.

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- January 20, 2010, 05:35:28 PM

Gynecomastia is enlargement of the male breast tissue.
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The effects of age upon the metabolism of fluoxetine have been investigated in 260 elderly but otherwise healthy depressed patients (â‰¥ 60 years of age) who received 20 mg fluoxetine for 6 weeks.
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First, the tongue moves the food around in the mouth for chewing.
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Skin cells are used for this test.
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The dosage of Donnatal Extentabs should be adjusted to the needs of the individual patient to assure symptomatic control with a minimum of adverse reactions.
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Regional chemotherapy is usually used to treat liver cancer.
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In addition, travelers may bring contaminated seafood back to the United States; foodborne outbreaks have been caused by contaminated seafood brought into this country by travelers.
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Your rights as a patron of a hospital Your rights are listed in the hospital’s Patient’s Bill of Rights.
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Small amounts of selenium are necessary for life.

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- January 20, 2010, 03:19:39 PM

Studies comparing CPAP to mouth devices for sleep apnea have found more objective improvement of sleep based on polysomnographic data using a CPAP machine than with an oral device.
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If the pressure is increased, it may indicate glaucoma.
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Patients with Impaired Liver Functionâ€" Patients with impaired liver function may have elevated plasma concentrations of felodipine and may respond to lower doses of PLENDIL; therefore, patients should have their blood pressure monitored closely during dosage adjustment of PLENDIL (see CLINICAL PHARMACOLOGY).
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The sitting diastolic blood pressure (SiDBP) on entry into the study was higher than the 95th percentile level for the patientâ€™s age, gender, and height.
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Significant loss of potassium from urination is also common.
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When used at doses greater than 4 mg/day, which may or may not be required for your treatment, alprazolam has the potential to cause severe emotional and physical dependence in some patients and these patients may find it exceedingly difficult to terminate treatment.
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The most common cause (up to about 80 %) of pericarditis is idiopathic, meaning the reason cannot be determined.
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Note the time the tourniquet was applied and remove as soon as possible.

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- January 20, 2010, 01:05:21 PM

Liver biopsy is important for the diagnosis of hemochromatosis, as well as to assess how advanced the disease is when it is diagnosed.
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The disease is generally unresponsive to corticosteroids and immunosuppressive drugs.
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Information about ongoing clinical trials is available from the NCI Web site.
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NSAIDS (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil, and other) and naproxen (Aleve, Naprosyn, Anaprox and other), and acetominophen [Tylenol] are safe for symptomatic relief.
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To reduce possible discomfort during administration, patients should be instructed that solutions may be warmed to 37Â°C (98Â°F) prior to use.
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Hyperglycemia, in some cases extreme and associated with ketoacidosis or hyperosmolar coma or death, has been reported in patients treated with atypical antipsychotics including clozapine.
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In this situation, all sexual partners also require treatment.
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In animal models, diltiazem interferes with the slow inward (depolarizing) current in excitable tissue.
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Other tests may be ordered to access for different types of vitamin deficiencies.

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