Chemicals. Nonsteroidal compounds Table 1 ; were synthesized and characterized in our laboratories as described previously Nair et al., 2004, 2005 ; . The purities of synthesized compounds were confirmed by NMR, elemental analysis, and mass spectrometry. [17 -methyl-3H]Mibolerone [3H]MIB, 84 Ci mmol ; and unlabeled MIB were purchased from PerkinElmer Life Sciences Boston, MA ; . Hydroxyapatite HAP ; was purchased from Bio-Rad Laboratories Hercules, CA ; . EcoLite ; scintillation cocktail was purchased from.
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This publication was produced by the Department of Health and Social Services, Division of Public Health, Section of Epidemiology, in order to assist health care providers in the diagnosis, treatment and control of tuberculosis. It was printed by Alaska Printing Inc., at a cost of $2.33 per copy in Anchorage, Alaska.
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Apri APTIVUS . aranelle . ARANESP ARAVA * . See.leflunomide ARICEPT ARICEPT.ODT ARIMIDEX aripiprazole aristocort.a ARISTOCORT.A * . See.triamcinolone.acetonide ARISTOSPAN.INTRA-ARTICULAR ARISTOSPAN.INTRALESIONAL ARMOUR.THYROID . AROMASIN arsenic.trioxide ARTANE * . See.trihexyphenidyl.hcl ARZOL.SILVER.NIT.APPLICATORS ASACOL ascomp-codeine ASENDIN * . See.amoxapine ASMANEX . asparaginase . aspirin-codeine . aspirin-dipyridamole . ASTELIN ATABEX . atamet ATARAX * . See.hydroxyzine.hcl atazanavir.sulfate atenolol . atenolol-chlorthalidone . atomoxetine.hcl . atorvastatin lcium atovaquone atovaquone-proguanil.hcl . atropine-care . atropine.sulfate ATROVENT * . See.ipratropium omide.inhalation.soln, See.ipratropium omide.nasal ATROVENT.HFA . ATTENUVAX AUGMENTIN AUGMENTIN * . See.amoxicillin-pot.clavulanate . AUGMENTIN.XR aug.betamethasone.dipropionate AURALGAN * . See.a b.otic, e.allergen, e.antiben, e.antipyrine-benzocaine, e.aurodex, e.auroguard, . See.balagan, e.benzotic, e.dolotic, e.otogesicSee.otogesic.otic, e.otra.nr, e.pro-otic . auranofin . aurodex . auroguard AVANDAMET . AVANDARYL AVANDIA . avar-e and clavulanic.
Buspirone undergoes extensive first pass metabolism; however, food does decrease its absorption which may, in turn, increase its bioavailability by decreasing the firstpass effect. Buspirone is metabolized into several metabolites, one of which is active. It is metabolized in the liver and deserves caution in those with liver impairment. Hydrxyzine is metabolized mainly by the liver into cetirizine, an active metabolite with H-1 antagonistic activity. Meprobamate, with chronic administration, may have a plasma half-life of 24-48 hours. It can induce some hepatic microsomal enzymes. Physical and psychological dependence may occur with meprobamate and the benzodiazepines. Treatment Efficacy Recently the SSRIs paroxetine ; have attained the indication for use in anxiety, specifically generalized anxiety and social anxiety. However, the agents in this review are used some more than others ; as a first-line medication for anxiety and for acute anxiety as well as for patients who do not respond to other medications. The antidepressants have emerged as effective therapy and often first-line treatment.2 Benzodiazepines are usually preferred over meprobamate and barbiturates for the management of anxiety and tension because of their relatively low abuse potential, because they cause less sedation and production of less toxicity with acute overdosage. In general, there is no evidence that any one benzodiazepine is more effective than another of adequate dosage. The difference may be more due to their pharmacokinetic properties instead.3 One article said that clinical experience suggests SSRI non-responders may benefit from augmentation with benzodiazepines.4 Buspirone has a favorable side-effect profile with little on no dependency issues. However, it has a slow onset of action, usually requiring 7-10 days to take effect. Like many other psychotropic agents, though, optimal therapeutic effects may not be evident for 3-4 weeks.5 The benzodiazepine anxiolytic agents remain popular and important agents in treating anxiety despite the side effects and dependency issues surrounding these agents. They seem especially useful in severe or acute situations when an immediate effect is needed.6 In a 6 week, double-blind, randomized, placebo controlled study of 94 outpatients, the safety and efficacy of alprazolam and buspirone were compared. Clinically important differences were noted between drugs in the onset of effect, with alprazolam producing rapid and sustained improvement within the first week of treatment, and.
Proved temper, and improved mood ; Table 2 ; . No women reported hypomania. Onset and duration of mania and other elevated-moodrelated symptoms varied in both the placebo-controlled and the uncontrolled longer-term studies Tables 1 and 2 ; . Of the 7 duloxetine-treated women reporting mania, euphoria, or other elevated moods, 2 had a history of insomnia Tables 1 and 2 1 discontinued because of aggravated insomnia. Overall, no women discontinued because of elevated moods. Hydrosyzine for anxiety ; and zolpidem tartrate a hypnotic agent ; were used concomitantly by 2 of the women who reported symptoms suggestive of mood elevation Table 2 ; . The 34-year-old Hispanic woman who took zolpidem tartrate discontinued the study because of aggravated insomnia. Mean BDI-II scores did not differ at baseline between duloxetine- and placebo-treated subjects. Only 24 3.6% ; of 666 subjects had appreciable symptoms of depression based on a BDI-II score of 17 or greater at baseline. In these women, duloxetine-treated subjects had a mean decrease of 8.2 points in their BDI-II scores from baseline to postbaseline compared with a 5.4-point decrease in placebo subjects p .46 ; . Although this difference was not statistically significant, the small number of subjects provided very little statistical power for this comparison. Subjects without appreciable symptoms of depression baseline BDI-II score 17 ; had no significant change from baseline to endpoint in their BDI-II scores mean change, duloxetine + .26 vs. placebo + .20 points, p .68 ; . DISCUSSION Duloxetine does not seem to induce mood elevation, as measured by the few reports of symptoms such as mania and euphoria, when used for the treatment of SUI in women. One case of mania was reported in the placebotreated group while 1 case of mania was reported in the uncontrolled longer-term studies. No cases of hypomania and rosiglitazone.
Keywords : antipsychotic drugs , dopamine receptors , schizophrenia departments of pharmacology and psychiatry, medical science building, university of toronto, 8 taddle creek road, toronto, ontario, m5s 1a8 canada tel.
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Once EMS providers suspect the diagnosis of stroke, they should establish the time of onset of symptoms. This time represents time zero for the patient. If the patient wakes from sleep or is found with symptoms of a stroke, time zero is the last time the patient was observed to be normal. EMS providers must rapidly deliver the patient to a medical facility capable of providing acute stroke care and provide prearrival notification to the receiving facility.25 EMS providers should consider transporting a witness, family member, or caregiver with the patient to verify the time of onset of stroke symptoms. En route to the facility.
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Department of Basic Medical Sciences Biochemistry Section ; University of the West Indies, Mona, Kingston 7, Jamaica W.I. E-mail: dragoo uwimona .jm.
The following information has been adapted from the 1998 Guidelines for Treatment of Sexually Transmitted Diseases by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention CDC ; , Atlanta, Georgia. This protocol describes the procedures necessary to comprehensively interview and examine the sexual assault patient, document findings and collect evidence to aid in the investigation and prosecution of the crime. The protocol promotes and encourages the highest quality medical and emotional care for all patients but does not purport to mandate or restrict medical decision making. Recommendations in the protocol regarding medical evaluation and treatment issues are included only as guidelines or suggestions to assist the examiner. The ultimate responsibility for medical management of the sexual assault patient rests with the clinician and is beyond the scope of the protocol. A. SEXUALLY TRANSMITTED DISEASE MANAGEMENT IN ADOLESCENT AND ADULT VICTIMS OF SEXUAL ASSAULT $ In sexually active adults and adolescents, the issues of sexually transmitted disease STD ; risk and identification after sexual assault is more important for the medical and psychological management of the patient than for forensic purposes since the infection could have been present before the assault. $ No firm data or consensus has been developed to determine the risk of a victim contracting an STD following a sexual assault. $ The most frequently diagnosed infections at the time of the sexual assault evaluation are trichomoniasis, bacterial vaginosis, chlamydia, and gonorrhea. Chlamydia and gonorrhea pose the added potential risk of ascending infection PID or Pelvic Inflammatory Disease ; . Other significant STDs that are a potential complication of sexual assault include hepatitis B and C, syphilis, HIV Human Immunodeficiency Virus ; , HSV Herpes Simplex Virus ; , and HPV Human Papilloma Virus ; . 1. Standard STD testing $ The CDC recommends pre-treatment cultures for N. gonorrhoeae, C. Trachomatis, and a wet mount to evaluate for evidence of bacterial vaginosis and yeast. Wet mount and culture if available ; for T. vaginalis should be done. $ This protocol does not require these tests, and leaves their use to the discretion of the clinician. For adults and sexually active adolescents, these tests do not have forensic evidential value because they only show preexisting health conditions and dutasteride.
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The second tier, which has a slightly higher copayment, includes those brandname drugs for which generics are not available. The Health Plan has designated these agents "preferred" based on clinical efficacy, safety profile, and cost effectiveness. The third tier includes specialty medications. This tier includes high-cost medications and biologicals, regardless of how the medication is administered injectable, oral, transdermal, or inhalant ; . These medications are often used to treat complex clinical conditions and usually require close management by a physician because of their potential side effects and the need for frequent dosage adjustments. These drugs have the highest copayment. The Value Choice program requires a member to use a generic version of the drug if one is available. This means that if a member receives a brand-name drug when a generic is available, the member must pay 100% of the contracted rate for the brand-name drug. The contracted rate is a special rate negotiated by UPMC Health Plan and should offer a cost savings over the standard retail rate. Also, quantities are limited to a 30-day supply from retail locations and for specialty medications. A 90-day supply of most drugs are available from our mail-order vendor. If a member needs a generic prescription drug that is not listed in the table, the member will pay the lowest copayment for the medication. If the member requires a brand-name drug that is not listed on the table, the member will pay 100% of the contracted rate for that drug. Benefit exclusions are listed in the "Medications Not Covered by Value Choice" table. All of the brand-name and specialty medications covered by Value Choice are listed in the Pharmacy Benefit Guide. This list includes some commonly prescribed generic drugs. Please note that there are many other generic drugs that Value Choice covers besides the ones listed in the table and abacavir.
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Table 18. Putative mechanisms of nausea and vomiting and their respective treatments Mechanism Description Treatment A neuroleptic eg, prochlorperazine, haloperidol ; or a prokinetic drug with dopamine antagonist properties eg, metoclopramide ; is typically first-line therapy. If neuroleptics are ineffective at relatively high doses, other options include a trial with an alternative opioid or route of opioid administration or treatment with an alternative neuroleptic eg, haloperidol, chlorpromazine ; , antihistamine eg, diphenhydramine, hydroxyzine ; , benzodiazepine eg, lorazepam ; , corticosteroid eg, dexamethasone ; , or serotonin antagonist eg, ondansetron ; . Patients may benefit from use of an anticholinergic drug eg, scopolamine ; , an antihistamine eg, meclizine, promethazine ; , or a benzodiazepine eg, lorazepam.
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NDC 00615454253 00615454263 00615454453 Label Name POTASSIUM CL 10MEQ TAB SA POTASSIUM CL 10MEQ TAB SA ISOSORBIDE MN 60MG TAB SA ISOSORBIDE MN 30MG TAB SA FERROUS GLUCONATE 240MG UD TAB DIAZEPAM 5MG ML VIAL DIPHENHYDRAMINE 50MG ML VIAL HEPARIN SODIUM 1MU ML VIAL GENTAMICIN 10MG ML VIAL GENTAMICIN 40MG ML VIAL HEPARIN SODIUM 10MU ML VIAL HEP-LOCK U P 100U ML VIAL HEP-LOCK U P 10U ML VIAL LIDOCAINE HCL 1% VIAL PHENOBARBITAL 65MG ML VIAL PHENOBARBITAL 130MG ML VIAL PHENYTOIN 50MG ML VIAL DURAMORPH 1MG ML AMPUL MORPHINE 10MG ML AMPUL CHLORPROMAZINE 25MG ML AMP DIAZEPAM 5MG ML AMPUL FUROSEMIDE 10MG ML AMPUL PROMETHAZINE 25MG ML AMPUL PROMETHAZINE 50MG ML AMPUL DEXAMETHASONE 4MG ML VIAL DEXAMETHASONE 10MG ML VIAL DIAZEPAM 5MG ML VIAL MDV FUROSEMIDE 10MG ML VIAL GENTAMICIN 40MG ML VIAL MORPHINE 15MG ML VIAL LIDOCAINE HCL 1% VIAL LIDOCAINE HCL 1% VIAL LIDOCAINE HCL 2% VIAL LIDOCAINE HCL 2% VIAL HEP-LOCK 100U ML VIAL HEP-LOCK 10U ML VIAL HEPARIN SODIUM 1MU ML VIAL HEP-LOCK 10U ML VIAL HEP-LOCK 100U ML VIAL HEPARIN SODIUM 5MU ML VIAL HEPARIN SODIUM 10MU ML VIAL HYDROXYZINE 50MG ML VIAL BACTERIOSTATIC SALINE VIAL SULFAMETHOXAZOLE W TMP VIAL TUSSAFED-LA CAPLET SA BONINE 25MG CHEW TABLET LITHIUM CARBONATE 300MG CAP LITHIUM CARBONATE 300MG CAP ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 325MG TABLET AMINOPHYLLINE 100MG TABLET AMINOPHYLLINE 200MG TABLET AMINOPHYLLINE 200MG TABLET No. Claims 4 5 4 Amount Paid $36.71 $48.56 $53.65 $27.26 $26.10 $693.80 $9, 883.51 $180.65 $147.95 $2, 160.41 $3, 872.87 $810.45 $195.52 $630.85 $442.31 $62.82 $3, 088.31 $962.80 $343.15 $3, 418.36 $352.81 $689.45 $187, 649.39 $37, 225.82 $848.81 $21.56 $2, 583.71 $463.81 $704.41 $1, 196.80 $5, 291.35 $5, 808.28 $17.82 $18.31 $1, 324.24 $6, 092.62 $274.82 $3, 775.79 $11, 093.67 $6, 146.72 $3, 159.71 $2, 479.89 $4, 575.77 $1, 565.61 $3, 219.96 $20.41 $112.85 $283.29 $743.80 $227.42 $16.00 $70.26 $13.32.
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Acrivastine Pseudoephed Cap 8mg 60mg Benadryl Allergy Relief Cap 8mg Mizolastine Tab 10mg M R Desloratadine Tab 5mg Desloratadine Oral Soln 2.5mg 5ml Neoclarityn Tab 5mg Levocetirizine Tab 5mg Xyzal Tab 5mg Loratadine Tab 10mg Loratadine Syr 5mg 5ml Fexofenadine HCl Tab 120mg Fexofenadine HCl Tab 180mg Fexofenadine HCl Tab 30mg Telfast 120 Tab 120mg Telfast 180 Tab 180mg Brompheniramine Mal Elix 2mg 5ml Dimotane Elix 2mg 5ml Chlorphenamine Mal Inj 10mg ml 1ml Amp Chlorphenamine Mal Oral Soln 2mg 5ml Chlorphenamine Mal Tab 4mg Chlorphenamine Mal OralSoln 2mg 5mlS F Piriton Tab 4mg Piriton Syr 2mg 5ml Clemastine Fumar Tab 1mg Cetirizine HCl Tab 10mg Cetirizine HCl Oral Soln 1mg 1ml S F Zirtek Allergy Tab 10mg Hydr9xyzine HCl Syr 10mg 5ml Hydrpxyzine HCl Tab 10mg Hydroxyzin3 HCl Tab 25mg Atarax Tab 10mg Atarax Tab 25mg Cyproheptadine HCl Tab 4mg Diphenhydramine HCl Tab 25mg Promethazine HCl Tab 10mg Promethazine HCl Tab 25mg.
Table 1. Single Entity Miscellaneous Anxiolytics, Sedatives, and Hypnotics in this Review 2-6 Example Generic Name Formulation Brand Name s ; Buspirone Tablet Buspar * Chloral hydrate Capsule, suppository, syrup Aquachloral, Noctec * , Somnote * Chlormezanone Tablet Trancopal Dexmedetomidine Injection Precedex Droperidol Injection Inapsine * Eszopiclone Tablet Lunesta Ethchlorvynol Capsule Placidyl Glutethimide Tablet Doriden Hydroxyzine hydrochloride Injection, syrup, tablet Atarax * Hydroxyzine pamoate Capsule, suspension Vistaril * Methotrimeprazine Injection Levoprome Meprobamate Tablet Miltown * Zaleplon Capsule Sonata Zolpidem Tablet Ambien Zolpidem, extended-release Tablet, extended-release Ambien CR.
International Conference Center, Nairobi, Kenya. Sponsored by the International Society on Hypertension in Blacks. Abstracts and awards nominations by Dec 1, 1988. Inquiries: Cecile Cate, Executive Director, International Society on Hypertension in Blacks, 69 Butler St SE, Atlanta, GA 30303. July 23-28: 13th Interamerican Congress of Cardiology. Rio de Janeiro. Sponsored by the Interamerican Society of Cardiology, the International Society and Federation of Cardiology, and the Brazilian Society of Cardiology. Official languages: English, Spanish, and Portuguese. Inquiries: Brazilian Society of Cardiology, Av Paula Sousa 364, Rio de Janeiro, RJ, Brazil 20271, or Mario F.C. Maranhao, MD, Rotating Secretary of the Interamerican Society of Cardiology, Av Batel, 1839, Curitiba, PR, Brazil 80420. Tel 21-2841290 Rio de Janeiro ; or 41-2447441 Curitiba ; . Sept 3-6: 1989 Annual Scientific Meeting: Engineering for Health. Bristol, England. Inquiries: The Biological Engineering Society, Royal College of Surgeons, Lincoln's Inn Fields, London, England WC2A 3PN. Sept 7-9: 10th European Meeting of the International Society of Heart Research. Rotterdam, The Netherlands. Inquiries: Erasmus University Rotterdam, Office for Postgraduate Medical Education, PO Box 1738, 3000 DR Rotterdam, The Netherlands. Tel 010-4635048 5013. Telex 25076 mbrt nl. Sept 7-9: Electrocardiography: Past and Future. Hyatt Beach Regency, Nice, France. Sponsored by the New York Academy of Sciences and the European Congress of Cardiology. Oscar Garfein, MD, and Philippe Coumel, MD, conference chairmen. Inquiries: Conference Department, New York Academy of Sciences, 2 East 63rd St, New York, NY 10021. 212-838-0230. Sept 19-21: International Symposium on Percutaneous Balloon ValvulopJasty. Fuzhou, People's Republic of China. Abstracts by April 15, 1989. Inquiries: ISPBV, Union Hospital, 11 Xingquan Rd, Fuahou Fujian, People's Republic of China. Tel 591-5578%. Cable 8906 Fuzhou. Oct 15-19: First International Stroke Congress. Miyako Hotel, Kyoto, Japan. Cosponsored by the Japanese Cerebrovascular Disease Society and the Japan Heart Foundation. Inquiries: Secretariat, First International Stroke Congress, c o Japan Convention Services, Inc, Nippon Press Center Bldg, 2- 2-1, Uchisaiwai-cho Chiyoda-ku, Tokyo 100, Japan. Tel 03-508-1213. Telex 222-9025 JCS J. Fax 03-508-0820. Oct 17-22: 18th International Epilepsy Congress. New Delhi, India. Inquiries: Prof M.C. Maheshwari, Secretary-General, 18th International Epilepsy Congress 89, Department of Neurology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi-110029, India. Dec 3-7: International Roundtable on Silent Myocardial Ischemia. Tel Aviv, Israel. Cosponsored by the cont'd on ad page 37.
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Nonsteroidal anti-inflammatory drugs nsaids ; have both beneficial and deleterious effects on the colon.
OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , amphotericin B Fungisone ; , azithromycin Zithromax ; , cidofovir Vistide ; , clarithromycin Biaxin ; , clindamycin Cleocin ; , famciclovir Famvir ; , fluconazole Diflucan ; , fomivirsen, foscarnet Foscavir ; , ganciclovir Cytovene ; , isoniazid Nydrazid, Rifamate ; , itraconazole Sporonox ; , leucovorin, peginterferon alfa 2b Peg-Intron ; * , pentamidine Pentam, Nebupent ; , ribavirin Rebetol ; * , pyrazinamide, pyrimethamine Daraprim, Fansidar ; , rifabutin Mycobutin ; , rifampim, valacyclovir Valtrex ; , valganciclovir Valcyte ; . sulfadiazine, TMP SMX Bactrim ; . Other OIs-, atovaquone Mepron ; , ciprofloxacin Cipro, Ciloxan ; , clotrimazole Lotrimin, Mycelex ; , clotrimazole betamethasone cream Lotrisone cream ; , dapsone, daunorubicin citrate liposomal DaunoXome ; , erythromycin, ethambutol Myambutol ; , epoetin alpha Epogen, Procrit ; , filgrastim Neupogen ; , ketoconazole Nizoral ; , miconazole Monistat ; , nystatin Mycostatin ; , paromomycin Humatin ; , primaquine. TREATMENTS FOR METABOLIC DISORDERS Hyperlipidemia- atorvastatin Lipitor ; , fenofibrate Tricor ; , gemfibrozil generic only ; , glipizide, pravastatin Pravachol ; . Wasting - megestrol acetate Megace ; , nandrolone, oxandrolone Oxandrin ; , testosterone injection and patches ; , thalidomide Thalomid ; . ALL OTHERS amitriptyline Elavil ; , amoxicillin, augmentin, buproprion Wellbutrin, Zyban ; , cephalexin, citalopran HBr Celexa ; , clotrimazole betamethasone Lotrisone Cream ; , diphenoxylate-atropine Lomotil ; , divalproex Depakote, Depakene ; , doxycycline, escitalopram oxalate Lexapro ; , fluoxetine Prozac ; , fluphenazine Prolixin ; , gabapentin Neurontin ; , haldoperidol Haldol ; , hydroxyzine Atarax ; , imiquimod Aldara ; , interferon alfa-2A Roferon-A, Intron-A ; * , levetiracetam Keppra ; , lithum, loperamide Imodium ; , metformin, metronidazole, mirtazapine Remeron ; , nortriptyline Aventlyl, Pamelor ; , octreotide Sandostatin ; , olanzapine Zyprexa ; , oxymetholone Anadrol-50 ; , paroxetine Paxil ; , peg-interferon alfa 2a Pegasys ; * , perphenazine Trilafon ; , polymyxin B sulfate Polytrim ; prochlorperazine Compazine ; , risperidone Risperdal ; , sertraline Zoloft ; , trazadone Desyrel Desyrel Dividose ; , trimethoprim, venlafaxine HCl Effexor, EffexorXR.
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The LQT2 mutations N470D asparagine to aspartic acid ; , G601S glycine to serine ; , and V822M valine to methionine ; have been shown previously to be trafficking-defective channel proteins.9 11 The HERG N470D, G601S, and V822M mutations were generated by site-directed mutagenesis of wild-type HERG cDNA with the use of the GeneEditor in vitro mutagenesis system Promega ; . Transfection of human embryonic kidney HEK293 ; cells with HERG wild-type, N470D, G601S, and V822M cDNA was carried out with Lipofectamine Invitrogen ; . Stable cell lines were generated through G418 Invitrogen ; antibiotic selection, and successful transfection was confirmed by Western blot analysis. The cell lines were cultured in MEM, as previously described.4, for instance, hydroxyzine metabolism.
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