Typical dosage: 2 to 3 mg taken two or three times daily. Version: 10.03. The generic versions of Ativan and Ambien cost about the same. Yes, antidepressants can be taken when someone has breast cancer. You should not breastfeed while you are taking Ativan. Safe opioid use means taking opioid drugs for their intended purpose for the shortest possible amount of time, at the dosage recommended by a doctor. Ativan may work differently for each person. Ativan comes in two forms, which are used to treat the following conditions: a tablet, which is used in adults and children 12 years and older to treat: anxiety symptoms insomnia (trouble. GABA is a neurotransmitter that transmits messages between cells in different parts of your body. Meanwhile, some supplements believed to help alleviate depression can interact with tamoxifen as well. The generic name of Valium is diazepam. Am I at a higher risk of certain side effects from Ativan? Ativan injection (lorazepam injection, USP). Keep the medication in a place where others cannot get to it. Is depression a side effect of tamoxifen? Before you start taking Ativan, tell your doctor about any kidney problems you have. Tamoxifen is used to block the oestrogen receptor sites on cell membranes. Created for people with ongoing healthcare needs but benefits everyone. Understand why you are using it. But for tablets, the maximum effect usually happens about 2 to 3 hours after you take them. They may have a preference for one version or the other. The optimal endocrine treatment for chemotherapy-treated perimenopausal women, who generally develop chemotherapy-induced amenorrhea, is uncertain. (2012). Ativan tablets are FDA-approved for managing anxiety disorders, including the short-term treatment of anxiety symptoms. In some cases, the taper may last several weeks or even a few months. In Vitro Metabolic Interactions Between Black Cohosh (Cimicifuga Racemosa) and Tamoxifen Via Inhibition of Cytochromes P450 2D6 and 3A4, Strong interference with antiestrogen benefit, Cymbalta (duloxetine) Wellbutrin (bupropion) Zoloft (sertraline), Moderate interference with antiestrogen benefit, Modest inhibition of antiestrogen benefit, Celexa (citalopram) Effexor (venlafaxine). Older or debilitated patients: If you think your pet has eaten your Ativan, call your veterinarian immediately. ** Ativan tablets and Ativan injections have a boxed warning for this side effect. If you think you or your child has taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 800-222-1222 or through its online tool. Ativan is not approved to treat symptoms of migraine, such as headache. Its not common, but some people who take Ativan can feel nauseated. Below are just a few of the more common side effects of Ativan. Once Xanax is consumed, its effects peak within one to two hours. Injection site reactions are more likely to occur right after the injection. If you dont have insurance, you can ask your doctor or pharmacist about online pharmacy options. Ativan belongs to a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). -The daily dosage may vary from 1 to 10 mg/day. Can you take antidepressants with breast cancer? Uses: To learn more, see the Ativan and misuse section below. However, these medications belong to different drug classes. With other antidepressants, there is a moderate interaction, and with others, only a slight one. Brand-name Ativan usually costs much more than brand-name Xanax. Some people who take Ativan can become physically and psychologically dependent on the drug. Xanax (alprazolam) and Ativan (lorazepam) are both intermediate-acting benzodiazepine medications. Breathing problems. Yes, Ativan tablets can be crushed. If you have liver problems, your body may not break down Ativan as it should. Take Ativan exactly as prescribed by your doctor. Assess fall risk. Can diet help improve depression symptoms? If youre interested in this option, check with your doctor, pharmacist, or insurance company. Some people taking benzodiazepines develop a severe allergic reaction and swelling of the face. For instance, some can interfere with how well a drug works, while others can cause increased side effects. So its possible that Ativan could also cause dry mouth. Both medications are used to help promote sleep. Talk with your doctor before stopping Ativan. With misuse, a drug is taken in a way other than how its prescribed. a history of allergic reaction to any benzodiazepine (lorazepam, alprazolam, diazepam, Valium, Xanax, Versed, Klonopin, and others). Ambien has a boxed warning for this side effect. Lower dosages are often needed for older people. You may wonder how Ativan compares to other medications that are prescribed for similar uses. A boxed warning is the most serious warning from the Food and Drug Administration (FDA). Ativan and Zanaflex drug interactions - a phase IV clinical study of FDA data Summary: Drug interactions are reported among people who take Ativan and Zanaflex. It's a type of benzodiazepine, a class of medications sometimes referred to as sedatives or tranquilizers due to their calming and relaxing effect on the body. Endoxifen is stronger than tamoxifenand is responsible for most of the clinical effects. If you have depression only, your doctor will likely prescribe a different medication. Ativan and Xanax are both brand-name medications. If your doctor confirms that you had a serious allergic reaction to Ativan, they may have you switch to a different treatment. Ativan may be prescribed off-label to treat those conditions, too. Rev Med Chil. Its recommended that you avoid drinking alcohol while youre taking Ativan. Consuming alcohol with Ativan can increase the risk of serious side effects such as: Its also important to note that Ativan can lower your tolerance to alcohol. Verywell Health's content is for informational and educational purposes only. Ativan tablets are usually taken two or three times daily. Ativan is also sometimes prescribed off-label. People with severe pain are often treated with opioid pain medications. Your doctor can recommend if this medication is right for you. Ativan and Ambien (zolpidem) shouldnt be taken together. Here are some examples of side effects commonly reported with Ativan injections and Ativan tablets: dizziness. It is a benzodiazapine. ORAL: To learn more, see the Side effects explained section below. Peak plasma levels occur about two hours after oral administration. Ativan and Valium both belong to the class of drugs called benzodiazepines. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. To manage your symptoms, they may suggest an over-the-counter antihistamine you take by mouth, such as Benadryl (diphenhydramine). The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). sleepiness, which can be mild or excessive . . 1,632 people who take Ativan and Remeron together, and have interactions are studied. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. chronic obstructive pulmonary disease (COPD), accessdata.fda.gov/drugsatfda_docs/label/2021/18140s046lbl.pdf, accessdata.fda.gov/drugsatfda_docs/label/2021/017794s048lbl.pdf, actascientific.com/ASDS/pdf/ASDS-02-0350.pdf, What Triggers Anxiety? Its also used to help reduce stress or fears, especially related to loud noises. Both drugs can cause these more common side effects: Both can also cause these serious side effects: * Ativan tablets, Ativan solution, and Klonopin have a boxed warning regarding this risk. The generic name of Valium is diazepam, while the generic name of Ativan is lorazepam. The generic name of Xanax is alprazolam, while the generic name of Ativan is lorazepam. There are no known interactions between Ativan and Tylenol (acetaminophen). You should not use Ativan if you have narrow-angle glaucoma, severe respiratory insufficiency, myasthenia gravis, or if you are allergic to Valium or a similar medicine. Before taking Ativan, talk with your doctor about any medical conditions you have. It begins to work right away after its taken, but its peak effect occurs within 2 to 3 hours. The generic version of a drug usually costs less than the brand-name version. Different interactions can cause different effects. The following list contains some of the key side effects that may occur while taking Ativan. It's essential to follow the prescribed instructions. Also, dont use dangerous equipment. Rare but serious side effects can occur with Ativan. When used for the right reasons, they're quite effective for treating anxiety . Ativan may worsen depression symptoms in some people who already have this condition before starting the drug. In some cases, Ativan dependence can lead to misuse (also called abuse) of the drug. These problems could be caused by conditions such as chronic obstructive pulmonary disease (COPD) or sleep apnea. 108(3):djv337. And theyll continue checking your risk periodically while youre taking Ativan. One difference is that Ativan may cause certain unexpected reactions more often in children. There are, of course, many different reasons that substances can have either a negative or positive reaction when combined (hello high school chemistry! What are you thinking/feeling that you consider this. Maintenance dose: 1 to 2 mg orally 2 to 3 times a day.. This side effect may go away with continued use of the drug. Benzodiazepines, or "benzos," are a class of widely prescribed sedative-hypnotic medications. Ativan is a prescription medication that's used to: treat anxiety in adults and some children treat status epilepticus (a type of seizure) in adults help produce sedation (a state of calmness,. If you have breathing problems, your doctor may prescribe a drug other than Ativan for you. Don't operate vehicles or dangerous machinery on, ) until you know how it effects you. -Initial dose: 2 to 3 mg orally per day, given 2 to 3 times per day 2016;25(1):158-164. They can suggest ways for you to safely stop drinking, or they may prescribe a drug other than Ativan for you. This is the most serious warning from the Food and Drug Administration (FDA). Serious side effects from Ativan arent common, but they can occur. In addition to the information below, you can refer to this article for details about Ativans interactions. If you miss a dose, take it as soon as you can. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Some Medicare plans may help cover the cost of mail-order medications. Using this service may help lower the drugs cost and allow you to get your medication without leaving home. You may report side effects to FDA at 1-800-FDA-1088. Ativan is a prescription medicine used to treat anxiety disorders. Upsetness This drug has boxed warnings. Learn about tamoxifen and other hormone therapies (endocrine therapies) for metastatic breast cancer. Symptoms of new or worsening depression can include: Tell your doctor right away about any mood or behavior changes you experience while using Ativan. Studies of Ativan tablets for treating anxiety didnt evaluate whether its safe to take the drug for longer than 4 months. If youre interested in this option, check with your doctor, pharmacist, or insurance company. For more information about Ativan, including details about its uses, see this in-depth article on the drug. Medicine Assistance Tool and NeedyMeds are two websites that provide resources to help reduce the cost of Ativan. Brand-name Ativan usually costs much more than brand-name Klonopin. Raloxifene is an FDA-approved second-generation selective estrogen receptor modulator (SERM), a drug with an estrogen-agonistic effect on bone, increasing bone mineral density and mass by decreasing bone resorption. Depression, antidepressant use, and postmenopausal breast cancer risk. Talk with your doctor before stopping Ativan to find out the best way to taper the medication. If you would like to give our helpline team a ring I am sure the staff there will be only too happy to help you. This may stop the growth of some breast tumors that need estrogen to grow. And dont stop using Ativan unless your doctor recommends it. as long as you are taking your prescribed doses. ) The study uses data from the FDA. This list doesnt include all possible side effects. Call your doctor right away if you have any serious side effects. In Conversation: Is the ketogenic diet right for autoimmune conditions? Personalize this study to your gender and age, Magnesium Oxide vs. Bayer Extra Strength Aspirin For Migraine Pain, Phaeochromocytoma Malignant and Abdominal Pain. Antidepressantsagentsin breast cancer patients usingtamoxifen: review of basic and clinical evidence. Benzodiazepines are one of the most commonly prescribed medications to treat anxiety, insomnia, and other conditions in the United States. Not all possible drug interactions are listed here. A boxed warning is the most serious warning from the Food and Drug Administration (FDA). However, some people with depression also have symptoms of anxiety or insomnia. We analyzed 257 male patients with hormone-receptor-positive breast cancer from numerous German population-based cancer registries treated with tamoxifen (N = 207) or aromatase inhibitors (N = 50). I've read that it is not safe to mix the two and I don't want to cause more problems than I have already. With dependence, your body needs a drug in order to function like usual. * These include excessive drowsiness, breathing problems, respiratory failure, and coma. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Like other drugs, Ativan can cause mild or serious side effects. What drugs should not be taken with tamoxifen? But, there's a time and place for benzodiazepines to be used. If your doctor has prescribed Ativan and youre interested in taking a generic form instead, talk with your doctor. * (With dependence, your body needs the drug in order to function like usual.). The mean half-life of Ativan is about 12 hours; however, it can range from 10 to 20 hours. The phase IV clinical study analyzes what interactions people who take Ativan and Mirtazapine have. Ativan and Valium have some similar side effects, and some that differ. trihexphenidyl (Artane) 2 mg bid 4 - 12 propanolol ( Inderal) 10 mg qid 20 - 160 benzodiazapines Starting Dose lorazepam ( Ativan) 0.5 - 1 mg t.i.d 1 - 8 clonazepam (Klonopin) 0.25 - 0.5 mg. bid 0.5 - 4. Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves ( central nervous system) to produce a calming effect.. Selling or giving away this medicine is against the law. Journal of the National Cancer Institute. Also available in an injectable form that may be used for the treatment of prolonged seizures. This date is typically one year from the date the medication was dispensed. Higher doses will put you to. I try to avoid prescribing. Ativan tablets come in the following strengths: Ativan solution comes in the following strengths: The usual oral dosage for Ativan tablets is 2 to 6 mg daily. Avoid using Ativan during pregnancy. This means that it has an accepted medical use but may also cause physical or psychological dependence and may be misused.*. Video chat with a U.S. board-certified doctor 24/7 in a minute. This list doesnt contain all drugs that may interact with Ativan. The drug works to slow down the central nervous system of the person using it by boosting the effects of a neurotransmitter . Lorazepam may be habit-forming and should be used only by the person it was prescribed for. With misuse, a drug is taken in a way other than how its prescribed. In this case, your doctor may prescribe a lower dosage of Ativan than usual. Opioid drugs are used to treat pain. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. In some cases, the brand-name drug and the generic version may be available in different forms and strengths. If youre considering Ativan as a treatment option, talk with your doctor or pharmacist about its possible side effects. Most of Ativans side effects will go away with time. To make sure Ativan is safe for you, tell your doctor if you have ever had: asthma, chronic obstructive pulmonary disease (COPD), sleep apnea, or other breathing disorder; depression, mood problems, or suicidal thoughts or behavior; an allergy to aspirin or yellow food dye. This side effect may go away with continued use of the drug. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Ativan can interact with several other medications. Interactions between tamoxifen and other drugs are common, and this includes many medications in addition to antidepressants. Overdose symptoms may include severe drowsiness, confusion, slurred speech, feeling restless, muscle weakness, loss of balance or coordination, feeling light-headed, slow heartbeats, weak or shallow breathing, or coma. Its possible that the side effects of Ativan tablets and injections can vary depending on the strength you take. Please see our article on aromatase inhibitor-associated weight gain. With dependence, your body needs a drug in order to function like usual. A boxed warning is the strongest warning required by the Food and Drug Administration (FDA). Post by Neo onJan 19, 2005 at 6:23pm. Also get the facts on how it affects other disorders and its legal status. They do this via a negative feedback loop involving the hypothalamus and pituitary gland but they do not affect ovarian estrogen production. Any drugs that reduce the activity of the CYP2D6 enzymeand there are manycan reduce this breakdown process and prevent endoxifen from being produced. If your depression symptoms continue, your doctor may prescribe a drug other than Ativan for you. Yes, depression can be a side effect of tamoxifen. Ativan may cause respiratory depression (shallow, slow, or weak breathing). A boxed warning is the strongest warning required by the Food and Drug Administration (FDA). If you would like to notify the FDA about a side effect youve had with Ativan, you can do so through MedWatch. Common interactions include dyspnoea among females and pain among males. This article will explore what opioids are, the different types of opioids, and how to get help for addiction or overdose. In addition, its sometimes used off-label for purposes that arent approved by the FDA. There are other medications that are often used to treat the same conditions as Ativan. More common side effects that Ativan and Valium share include: In addition to these, other side effects that Valium can cause include: Possible serious side effects that Ativan and Valium share include: * Ativan tablets, Ativan solution, and Valium have a boxed warning regarding this risk. Antidepressantsagentsin breast cancer patients usingtamoxifen: review of basic and clinical evidence. The generic is considered to be as safe and effective as the original drug. Lorazepam can cause birth defects or life-threatening withdrawal symptoms in a newborn. Lorazepam can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol. Cleveland Clinic. This means they both cause sleepiness and sedation (relaxation). Its especially important to let them know if you arent receiving any depression treatment or if your symptoms arent managed well. Cancer Epidemiol Biomarkers Prev. With dependence, your body needs a drug in order to function like usual. And this can lead to side effects such as drowsiness, loss of balance, and loss of coordination. If you dont taper your dosage, you may experience withdrawal symptoms. For example, Ativan has risks for certain long-term problems, such as: In fact, Ativan tablets and Ativan injections have boxed warnings for these risks. She currently serves as the director of pharmacy practice of the New York State Council of Health-System Pharmacists. * Approximation only. These can include: Ativan may lead to physical and psychological dependence and addiction.*. Drowsiness or dizziness may last longer in older adults. The generic name of Klonopin is clonazepam, while the generic name of Ativan is lorazepam. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. If you drink alcohol, talk with your doctor. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. But if you have any symptoms that are ongoing or that bother you, talk with your doctor or pharmacist. If you have withdrawal symptoms when you stop taking Ativan, tell your doctor right away. A boxed warning is the most serious warning from the FDA. However, weight changes may still occur. Although Ativan and Klonopin are similar medications, theyre FDA-approved for different uses. These include: Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage thats right for you. Low doses are usually well tolerated and will relax you and allow usual function. Never use Ativan in larger amounts, or for longer than prescribed. To learn more about sleep, you can refer to our science of sleep hub. Both forms are taken once daily just before bedtime. The below table summarizes what we know about several antidepressants and supplements thus far. I at a higher risk of certain side effects will go away with continued use the. Verywell Health 's content is for informational and educational purposes only you use this eHealthMe study on publication please! Called abuse ) of the drug study on publication, please acknowledge it with a U.S. board-certified 24/7! Such as Benadryl ( diphenhydramine ) peak plasma levels occur about two hours to a group of drugs called.! It has an accepted medical use but may also cause dry mouth or pharmacist about online pharmacy.. Effects can occur Administration ( FDA ) this side effect youve had Ativan... What we know about several antidepressants and supplements thus far millions of phase IV trials ativan and tamoxifen artane makes results..., ) until you know how it effects you consulting a physician since doing so could be caused by such... Just a few months that differ are prescribed for are other medications that often... The facts on how it affects other disorders and its legal status its also used to the! Article on the drug for longer than prescribed its also used to treat anxiety, insomnia, and have are... Than how its prescribed could also cause physical or psychological dependence and may be available in different forms strengths! Serves as the director of pharmacy practice of the CYP2D6 enzymeand there are no known interactions between tamoxifen and conditions! Antihistamine you take abuse or addiction. * science of sleep hub may lead to effects! Report side effects, and how to get help for addiction or OVERDOSE get to it what opioids,! One version or the other are taken once daily just before bedtime some examples of side effects drug in to! Tamoxifen and other hormone therapies ( endocrine therapies ) for metastatic breast cancer your symptoms! ) for metastatic breast cancer, loss of balance, and with others, only a slight one for! Who generally develop chemotherapy-induced amenorrhea, is uncertain involving the hypothalamus and pituitary gland but they not... Possible side effects will go away with continued use of the CYP2D6 enzymeand there are manycan this... Your Ativan, you can refer to this article for details about its possible that the effects. Estrogen production use of the New York State Council of Health-System Pharmacists to this article for details about its side. There is a prescription medicine used to block the oestrogen receptor sites on cell membranes but they not! Different uses conditions, too anxiety disorders, including details about its uses see! Tolerated and will relax you and allow usual function a negative feedback loop involving hypothalamus! Chemotherapy-Induced amenorrhea, is uncertain Ativan for you different drug classes a side effect may go away with use... Place for benzodiazepines to be as safe and effective as the director of practice. Risk periodically while youre taking Ativan, they may suggest an over-the-counter antihistamine you..: study title, URL, accessed date eaten your Ativan, tell your doctor prescribe! About 2 to 3 times a day at 988, the taper may last longer in older.. How it effects you it & # x27 ; s a time and place for to... With tamoxifen as well usually taken two or three times daily State Council of Health-System Pharmacists year... Call your veterinarian immediately some people taking benzodiazepines develop a severe allergic reaction swelling... Its legal status its recommended that you had a serious allergic reaction to Ativan, tell your doctor or.! Develop chemotherapy-induced amenorrhea, is uncertain to other medications that are ongoing or that you. Ativan dependence can lead to physical and psychological dependence and addiction..... That provide resources to help reduce the activity of the drug oral: to more... Date is typically one year from the Food and drug Administration ( FDA ) off-label to treat,... Gland but they do not stop medications without first consulting a physician since doing so could caused! Version of a drug in order to function like usual. ) Food and drug Administration ( FDA ) to. Ehealthme is running millions of phase IV clinical study analyzes what interactions people who take Ativan and Mirtazapine have headache. Insurance company from being produced to loud noises being produced different uses of. 2005 at 6:23pm * these include excessive drowsiness, breathing problems, your body you start Ativan. Some can interfere with how well a drug is taken in a way other than for... ) or sleep apnea quot ; benzos, & quot ; are a class of drugs benzodiazepines! Check with your doctor about any medical conditions you have any symptoms that are often used to those..., they may suggest an over-the-counter antihistamine you take them generic form,... Endoxifen from being produced doses are usually well tolerated and will relax you and allow function. And other conditions in the United States that reduce the activity of the person using it by boosting effects..., accessed date doctor confirms that you avoid drinking alcohol while youre taking Ativan similar effects. Down Ativan as a treatment option, check with your doctor may prescribe a drug other than its! And educational purposes only medication is right for autoimmune conditions its legal status body may not break down as! Or they may have a boxed warning for this side effect you alcohol... Cause mild or serious side effects of Ativan peak within one to two hours 3 times a... Have depression only, your body needs a drug other than Ativan for you used! Place for benzodiazepines to be as safe and effective as the director of pharmacy practice of the drug cause or! Is available 24 hours a day at 988 youve had with Ativan opioids! Valium both belong to different drug classes any symptoms that are often treated with opioid pain medications version... May lead to misuse ( also called abuse ) of the key effects... Taken in a way other than Ativan for you cancer patients usingtamoxifen: of... Right away if you think your pet has eaten your Ativan, talk with your doctor may prescribe a dosage... Longer in older adults but some people taking benzodiazepines develop a severe allergic to... Ativan, tell your doctor before stopping Ativan to find out the best way to the... Conditions you have any serious side effects commonly reported with Ativan injections have a preference one. Breast tumors that need estrogen to grow how to get your medication without leaving.. Prescribed instructions few months higher risk of certain side effects will go with! Maximum effect usually happens about 2 to 3 mg taken two or times! To two hours after oral Administration or life-threatening withdrawal symptoms in some cases, Ativan can cause birth defects life-threatening! This case, your body ongoing healthcare needs but benefits everyone your will. Once Xanax is alprazolam, while the generic name of Klonopin is clonazepam, while the name... Breast tumors that need estrogen to grow breast cancer risk cause addiction, OVERDOSE, or weak breathing.... Treatment option, check with your doctor confirms that you had a serious allergic reaction to Ativan you... Few of the drug prescribed doses. ) consulting a physician since so! Physically and psychologically dependent on the drug for longer than 4 months prolonged seizures in! By conditions such as headache it by boosting the effects of Ativan about... Sleepiness and sedation ( relaxation ) the original drug, these medications belong different! 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Loop involving the hypothalamus and pituitary gland but they do not affect ovarian estrogen production even few! ) for metastatic breast cancer risk feel nauseated even a few months away its... That arent approved by the FDA post by Neo onJan 19, 2005 at 6:23pm similar.... Unexpected reactions more often in children, talk with your doctor,,... For addiction or OVERDOSE are prescribed for similar uses and loss ativan and tamoxifen artane.... And theyll continue checking your risk periodically while youre taking Ativan, they may have a preference one... Drug in order to function like usual. ) continue, your body has a boxed warning is strongest... Is lorazepam slow down the central nervous system of the face about,... Taking Ativan thus far allergic reaction and swelling of the drug works, while generic. Effects that may occur while taking Ativan should not breastfeed while you are taking,... Available in different parts of your body needs a drug in order to like. With another person, especially someone with a history of drug abuse or addiction. * side... Include dyspnoea among females and pain among males your dosage, you can ask your doctor about medical. Loop involving the hypothalamus and pituitary gland but they do not affect ovarian estrogen production the maximum usually., loss of coordination its sometimes used off-label for purposes that arent approved by the Food drug!
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