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Switching Patients to a Tricyclic Antidepressant (TCA) Dosage of a TCA may need to be reduced, and plasma TCA concentrations may need to be monitored temporarily when fluoxetine is coadministered or has been recently discontinued [see Drug Interactions (7.9)]

Think about it this way if you were a competitive soccer player, you would spend months out of the year preparing for hundreds of hours of game time out on the field

It has been reported that the use of 10% dextrose solutions is associated with an improvement of the catabolic state and of ketosis that could exacerbate nausea (134)

Prevention of cardiovascular disease Evidence Update January 2014 NICE