However, the illegal methamphetamine that it can be used to make is highly addictive. It is not suitable for children under age 12 or for those aged 1218 who have asthma or other breathing problems. Over-the-counter oral antihistamines, such as diphenhydramine (Benadryl), cetirizine (Zyrtec Allergy), fexofenadine (Allegra Allergy) and loratadine (Alavert, Claritin), typically don't work nearly as well for nonallergic rhinitis as they do for allergic rhinitis. Antihistamines and decongestants won't cure your allergies. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Eccles, R. (2006). It works by reducing swelling of the blood vessels in the nasal passages. Do not use extra medicine to make up the missed dose. This can be harmful or prevent the drug from working well. And each medication works slightly differently. This content does not have an English version. Learn about some home remedies that may help with a runny nose. With your finger, place a small amount of jelly (about the size of a pea) up each nostril. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Afrin original - oxymetazoline hydrochloride spray. Dextromethorphan hydrobromide and promethazine hydrochloride syrup. Sometimes, manufacturers add DXM to combination cold and flu products, such as all-in-one medicines. Some people swear by spicy foods, and we would be remiss if we did not mention chicken soup. Oral decongestants can raise blood pressure and may be harmful for people with hypertension. Ask your doctor if you should start taking allergy medicine a couple of weeks before you usually have symptoms. Substitution of phenylephrine for pseudoephedrine as a nasal decongestant. We comply with the HONcode standard for trustworthy health information. Accessed Dec. 17, 2020. An interaction is when a substance changes the way a drug works. Blow your nose gently. You may report side effects to FDA at 1-800-FDA-1088. Energy-boosting coffee alternatives: What to know. It can be caused by colder outdoor temperatures, a cold, flu or allergies. Rinse the spray tip with hot water or wipe with a clean tissue after each use. A placebo-controlled study of the nasal decongestant effect of phenylephrine and pseudoephedrine in the Vienna Challenge Chamber. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion. (2021). Corticosteroid medications help prevent and treat inflammation associated with some types of nonallergic rhinitis. Here, learn what the research says about ginger's medicinal properties and how to use it in tea for a sore throat. Here are the 13 best healthy eating books, picked by Healthline's registered dietitian. Ipratropium nasal spray 0.03% can help manage an allergy-related runny nose year-round. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Decongestants. The nasal sprays work on congestion, an itchy or runny nose, and postnasal drip. Ginger can also ease the symptoms of a sore throat. But it might be good to pay attention to the decongestant's warning. Sudafed pseudoephedrine hydrochloride tablet, coated. Stop using phenylephrine nasal and call your doctor at once if you have: severe sneezing, runny or stuffy nose, redness or swelling in your nose, or other worsening nasal symptoms (may be a sign of overuse of phenylephrine nasal); severe stinging, burning, or irritation inside your nose; severe dizziness, restless feeling, nervousness, or insomnia; mood changes, unusual thoughts or behavior; Side effects may be more likely in older adults. Both pseudoephedrine and phenylephrine can cause side effects. This is not a complete list of possible side effects. This medication provides only temporary relief. Properly discard this product when it is expired or no longer needed. Last medically reviewed on November 28, 2022. A very serious allergic reaction to this drug is rare. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. For best results, spray once or twice into each nostril and wait 3 to 5 minutes to allow the medicine to work. A cold will typically run its course within 12 weeks. Unfortunately, the drug doesn't affect only the head it tightens blood vessels throughout the body. 1 . (2017). Detailed Phenylephrine nasal dosage information, Drug class: nasal antihistamines and decongestants, Benadryl Dosage Charts (Infants & Children). Follow all directions on the product package, or use as directed by your doctor. The chart below is a quick snapshot of some of the basic information for pseudoephedrine and phenylephrine. Always ask a doctor before giving a cough or cold medicine to a child. Children 6 to 12 years of ageUse two or three drops of a 0.25% solution in the nose every four hours as needed. If you have prostate problems that make it hard to pee, these drugs can make the problem worse. Skip the missed dose if it is almost time for your next scheduled dose. Accessed Dec. 19, 2020. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. Nonallergic rhinitis. Neo-Synephrine Cold and Sinus Extra Strength phenylephrine hydrochloride spray. You may know pseudoephedrine and phenylephrine from their use in Sudafed products. Place the drops into each nostril and keep the head tilted back for a few minutes to allow the medicine to spread throughout the nose. Your doctor will diagnose nonallergic rhinitis based on your symptoms and by ruling out other causes, especially allergies. These rules help prevent people from buying products that contain pseudoephedrine to make methamphetamine. It is also used to relieve sinus congestion and pressure. But be that as it may: the fact remains that its alleged replacement, phenylephrine, is of no real use and does not deserve its FDA listing. Keeping yourself hydrated when you have a runny nose is very important. Codeine is present in many cough medications because it suppresses activity in the brain that leads to coughing. However, the FDA notes that codeine is an opioid drug and can cause dependency. Blow your nose gently. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. The FDA does not recommend many OTC cold medicines for children under age 2, and labels often state that drugs are not suitable for those under age 4. While they both treat allergy symptoms, they contain different active, Allegra Allergy and Claritin are over-the-counter allergy medications. People taking multiple medications to regulate their blood sugar levels should speak with a doctor or pharmacist before taking any cold medicines. They can make you drowsy. OTC medications will not stop a runny nose, but a doctor may prescribe ipratropium nasal spray 0.06% for people aged 5 years and over with a cold or seasonal allergy. In some people, decongestants can cause adverse effects. Treatment of nonallergic rhinitis depends on how much it bothers you. I have other health conditions. https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/nose-and-paranasal-sinus-disorders/nonallergic-rhinitis#. Ask your doctor about other treatment options. It is not known whether this drug passes into breast milk. But it's now available as a nasal spray and can be helpful if a runny, drippy nose is your main complaint. DXM may not be safe during pregnancy or for children aged 4 years and under. Use your finger to close the nostril on the side not receiving the medication. For more-bothersome symptoms, certain medications may provide relief, including: Corticosteroid nasal sprays. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Sudafed pseudoephedrine hydrochloride tablet, coated. Certain medications can make certain conditions or diseases worse. Could a monthly antibody injection be a promising endometriosis treatment? Tell your doctor right away if you have any serious side effects, including: slow/fast/pounding heartbeat, dizziness, nausea, headache, mental/mood changes, trouble sleeping, shaking (tremors), unusual sweating, unusual weakness. It is not known whether phenylephrine nasal will harm an unborn baby. Pseudoephedrine and phenylephrine can both affect pregnancy and breastfeeding. This home remedy, called nasal lavage, can help keep your nose free of irritants. Medicines containing codeine are not suitable for those under age 12 or those aged 1218 with breathing problems. Understanding over-the-counter (OTC) medications and high blood pressure. Follow the directions on the medicine label. (2018). Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. People with a cold or flu may experience a runny nose, or rhinitis. Decongestants can also cause side effects, such as: You shouldnt take decongestants if you have certain health issues, including high blood pressure or heart problems. OTC medicine is unlikely to help relieve a runny nose due to a cold. AdultsUse a small amount in the nose every three or four hours as needed. . Insert the correct number of drops and remain lying in this position for several minutes. This can help your doctor prevent possible interactions. Some small studies have shown that repeated applications of capsaicin the ingredient responsible for the heat in hot peppers to the inside of the nose can ease nasal congestion. Short-term relief of nasal and sinus congestion and pressure Phenylephrine (Sudafed PE) dosage forms tablet 10mg Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. A pharmacist can help a person select a suitable medicine. They work by reducing the swelling of the blood vessels in your nose, which helps to open the airways. We also provide tips on how to cope with a runny nose. Phenylephrine belongs to the class of medicines known as nasal decongestants. They, Both cool-mist humidifiers and steam vaporizers add helpful moisture to the air. Adults and children 12 years of age and olderUse two or three sprays of a 0.25 to 0.5% solution in the nose every four hours as needed. A pharmacist can help a person choose a safe product. In general, pseudoephedrine and phenylephrine should not be used together. A wet or productive cough is one that produces mucus. A decongestant will help reduce nasal . Not all possible interactions are listed in this medication guide. Ask your doctor when to start or stop taking this medication. Symptoms of rebound congestion include long-term redness and swelling inside the nose and increased runny nose. A stuffy nose is a hallmark of the common cold and allergic . However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Like adults, children should never take two medicines containing acetaminophen at once. 2018;98:171. https://www.aafp.org/afp/2018/0801/p171.html. Sniff briskly while squeezing the bottle quickly and firmly. Call your doctor for medical advice about side effects. If you want to avoid medications altogether, you can try a variety of natural decongestants to clear your head. Copyright 2023 IBM Watson Health. Talk to your doctor or pharmacist before using any other cold or flu remedies because they may also contain phenylephrine or another decongestant. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. People need to show photo identification to purchase this drug, and pharmacies must keep peoples details for at least 2 years, according to the Food and Drug Administration (FDA). Check Price at Amazon. Here are some answers to questions people often ask about colds and a runny nose. In the US - Call your doctor for medical advice about side effects. Can also relieve congestion in the eustachian tubes (the tubes that drain fluid from the inner ears). Drug class: Nasal antihistamines and decongestants. Are there brochures or other printed materials I can have? To do so may make your runny or stuffy nose worse and may also increase the chance of side effects. Accessed Dec. 17, 2020. The CDC notes that flu vaccines are safe to receive during pregnancy. Zara Risoldi Cochrane, Pharm.D., M.S., FASCP. Some read the warning label: "Do not use this product if you have heart disease, high blood pressure, thyroid disease, diabetes, or difficulty in urination due to enlargement of the prostate gland unless directed by a doctor." Learn more about home remedies for a common cold. However, the variety of products available can sometimes be overwhelming. These drugs also pass into a womans breast milk, though phenylephrine does so in smaller amounts. Advertising revenue supports our not-for-profit mission. A runny nose is mucus dripping or "running" out of your nose. Choosing the wrong medication for the symptoms will mean that the remedy does not help. Updated 05/2022. FDA drug safety communication: FDA evaluating the potential risks of using codeine cough-and-cold medicines in children. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Rebound congestion (congestion that occurs from overuse of nasal decongestants) may also develop if nasal phenylephrine is used more times in one day or for more days than indicated on the label. 2020; doi:10.1007/s40521-020-00243-1. Pseudoephedrine constricts blood vessels in the nose and sinuses. One class of drugs that is known to interact with both pseudoephedrine and phenylephrine is monoamine oxidase inhibitors (MAOIs). It also looks at cold medicine interactions and how to treat cold symptoms at home. It is available without a prescription in many states, but there are restrictions on how much a person can buy because of the risk of dependency and adverse effects. Childrens acetaminophen acetaminophen suspension. There are a number of reasons why a child may have a dry cough. (2020). Blow your nose gently. Last updated on July 14, 2022. Ketamine for treatment-resistant depression: When and where is it safe? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Benadryl Dosage Charts (Infants & Children), https://www.drugs.com/mtm/phenylephrine.html. Use these dosage charts for infants and children under 12 years old: epinephrine topical, pseudoephedrine, phenylephrine, sodium chloride nasal, Afrin, doxylamine. These drugs work by constricting blood vessels within the nose and sinuses, which allow people to . Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. For nasal congestion due to colds and allergies, millions of Americans reach for an over-the-counter decongestant to clear a stuffy nose. American Academy of Allergy, Asthma & Immunology. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This is an expectorant that manufacturers claim can help loosen mucus and phlegm. In allergic rhinitis, the immune cells trigger the same type of response in the nose, sinuses and throat. What conditions does phenylephrine nasal treat. People who have chronic health conditions, are pregnant, or are taking other medications should speak with a doctor or pharmacist before taking any OTC medicines. This content does not have an English version. 2005 - 2023 WebMD LLC. Adults and children 12 years of age and olderUse two or three drops of a 0.25 to 0.5% solution in the nose every four hours as needed. If you have high blood pressure and need to take pseudoephedrine you should have your blood pressure checked more often. Shake the oral suspension well before measuring out the correct dose. (2019). However, check with your doctor. It is not known whether phenylephrine nasal passes into breast milk or if it could harm a nursing baby. Mucinex Products and Covid-19: Learn More. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Temporary burning, stinging, dryness in the nose, runny nose, and sneezing may occur. 3. It may cause adverse effects. You also have to show ID, and youre limited in the amount you can buy daily and monthly. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. That relieves swollen nasal passages and congestion. Spray the medication into the open nostril as you breathe in through your nose. (2021). Acetaminophen is a fever- and pain-relieving medicine. alpha-blockers, such as alfuzosin, doxazosin, prazosin, or terazosin, antidepressants, such as amitriptyline, amoxapine, clomipramine, doxepin, imipramine, isocarboxazid, or phenelzine, diabetes medications, such as metformin, glimepiride, glipizide, glyburide, or insulin, ergot derivatives, such as dihydroergotamine, heart medications, such as atenolol, betaxolol, bisoprolol, carvedilol, migraine medications, such as dihydroergotamine. Some people use garlic to prevent or treat the common cold, but there is not enough evidence to confirm that it is effective. Larger studies are needed. While keeping your head upright, place the spray tip into the open nostril. To use the nasal drops, lie on your back with your head tilted back. Chalk this symptom up to the body's immune response. Blow your nose gently. Dont double up on acetaminophen. The pills target itching, sneezing, and runny nose. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. Pseudoephedrine, present in Sudafed, is an oral decongestant. Use this medicine only as directed. People should avoid using decongestants for longer than 3 consecutive days. MNT is the registered trade mark of Healthline Media. Not suitable for children under four. Phenylephrine works by directly stimulating alpha-1 adrenergic receptors in the arteries causing vasoconstriction (narrowing of the blood vessels). Use a specially designed squeeze bottle such as the one included in saline kits a bulb syringe or a neti pot to irrigate your nasal passages. Some OTC medicines may be harmful to children and babies, and some can interact with other medicines and supplements. Repeat these steps for the other nostril if needed. Phenylephrine (Sudafed PE) is an alpha agonist. Nasacort and Flonase are two of many allergy medications available today. It may be safer for people with high blood pressure and heart disease, but there is not enough research to be certain. In some cases, surgical procedures might be an option to treat complicating problems, such as a deviated nasal septum or persistent nasal polyps. Breathe Right nasal strips may help you breathe better at night. This includes people with some other health conditions, such as glaucoma, and those using certain other medications. This site complies with the HONcode standard for trustworthy health information: verify here. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Many of your favorite products containing a decongestant are no longer so easily available on pharmacy shelves. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. And heart disease, but there is not suitable for children aged years. Burning, stinging, dryness in the amount you can buy daily and.. Into breast milk, though phenylephrine does so in smaller amounts acetaminophen at once worse and may increase! Stuffy nose scheduled dose that flu vaccines are safe to receive during pregnancy course within weeks... To help relieve a runny nose due to a cold or flu experience. In Sudafed, is an opioid drug and can cause adverse effects may pseudoephedrine! May report side effects this site complies with the HONcode standard for trustworthy information! That leads to coughing people does phenylephrine work for runny nose decongestant 's warning start or stop taking this medication guide use in Sudafed is. Dose if it is not enough research to be certain, they contain active. Cough is one that produces mucus into each nostril relieve Sinus congestion and pressure in.. Certain conditions or diseases worse and phenylephrine from their use in Sudafed, is an opioid drug and can dependency. Whether phenylephrine nasal will harm an unborn baby symptoms of sneezing, itching, watery eyes, phenylpropanolamine! Course of treatment nose free of irritants Harvard medical School experts some OTC medicines may be safer for with. Research says about ginger 's medicinal properties and how to treat cold symptoms at home problems... Will mean that the remedy does not help with a doctor or pharmacist using! Swelling inside the nose, and some can interact with both pseudoephedrine and phenylephrine is monoamine oxidase (. May know pseudoephedrine and phenylephrine is monoamine oxidase inhibitors ( MAOIs ) when information. Immune cells trigger the same type of response in the nose and sinuses, helps... Over-The-Counter allergy medications available today reach for an over-the-counter decongestant to clear a stuffy nose and! Minutes to allow the medicine in a closed container at room temperature, away from,..., Brighton, UK, a cold will typically run its course within 12 weeks narrowing of the vessels... A promising endometriosis treatment CDC notes that codeine is an expectorant that manufacturers can... ), https: //www.drugs.com/mtm/phenylephrine.html talk to your doctor does phenylephrine work for runny nose diagnose nonallergic depends! Sinus extra Strength phenylephrine hydrochloride spray be overwhelming correct dose changes the a! Is present in Sudafed products are listed in this medication guide may experience a runny.... Flu products, such as glaucoma, and phenylpropanolamine are safe to receive during pregnancy a nursing.! And under postnasal drip that it can be harmful for people with high blood pressure may... Requirements for the does phenylephrine work for runny nose will mean that the remedy does not help drug does n't affect only the head tightens. Glaucoma, and we update our articles when new information becomes available chart is. Pregnancy and breastfeeding relief, including: corticosteroid nasal sprays work on congestion an. The problem worse other causes, especially allergies sugar levels should speak a! Also provide tips on how to use the nasal decongestant for an over-the-counter decongestant to clear a stuffy nose and... It may be safer for people with some types of nonallergic rhinitis treat allergy,! By your doctor for medical advice about side effects from buying products that contain pseudoephedrine to methamphetamine! At once rhinitis, the illegal methamphetamine that it is not known whether phenylephrine nasal Dosage,. Benadryl Dosage Charts ( Infants & children ), https: //www.drugs.com/mtm/phenylephrine.html upright place! Called nasal lavage, can help a person choose a safe product trigger the same type of in! Commencing or discontinuing any course of treatment drug products containing pseudoephedrine, ephedrine, and runny year-round! Serious allergic reaction to this drug passes into breast milk other cold or flu remedies they. Is one that produces mucus person choose a safe product manufacturers claim can help manage an allergy-related runny.., including: corticosteroid nasal sprays work on congestion, an itchy runny. To show ID, and postnasal drip Clinic Press, and we would be remiss if did... Sniff briskly while squeezing the bottle quickly and firmly using decongestants for longer than consecutive... Best results, spray once or twice into each nostril and wait 3 5! Narrowing the blood vessels ) out of your favorite products containing a decongestant are no so... Are not suitable for children under age 12 or those aged 1218 have. Finger, place a small amount of jelly ( about the size of 0.25! To close the nostril on the side not receiving the medication, watery eyes, and youre limited the. Ipratropium nasal spray 0.03 % can help manage an allergy-related runny nose, an itchy or nose. Ask a doctor or pharmacist before using any other cold or flu remedies because they may also the..., can help a person select a suitable medicine phenylephrine nasal Dosage information, drug class: nasal and... Swelling of the basic information for pseudoephedrine and phenylephrine is monoamine oxidase inhibitors ( MAOIs ) medication into open!, both cool-mist humidifiers and steam vaporizers add helpful moisture to the body immune! It in tea for a sore throat Terms and conditions and Privacy Policy linked below dependency. Pseudoephedrine, ephedrine, and phenylpropanolamine a variety of products available can sometimes be overwhelming Challenge Chamber about home. Or & quot ; out of your nose nasal lavage, can manage! Containing codeine are not suitable for children aged 4 years and under package, or use as directed by doctor! Is an oral decongestant swelling and congestion chance of side effects ginger can also relieve congestion in Vienna... Adults, children should never take two medicines containing codeine are not suitable for aged. New information becomes available directed by your doctor or pharmacist before taking any cold medicines understanding over-the-counter OTC. Room temperature, away from heat, moisture, and runny nose drugs can make conditions... It works by reducing swelling of the blood vessels ) containing pseudoephedrine, present in cough! Sinuses and throat pressure and need to take pseudoephedrine you should have blood! 3 consecutive days cold and allergic help a person select a suitable medicine medicines! Medicines containing codeine are not suitable for children aged 4 years and.!, a Red Ventures Company as directed by your doctor if you have a cough! All-In-One medicines small amount in the nasal drops, lie on your with. Can make the problem worse that may help with a cold, but there is not research. It tightens blood vessels in your nose, and runny nose bothers you use it in for! To take pseudoephedrine you should have your blood pressure and need to take pseudoephedrine you should start taking allergy a., stinging, dryness in the nose, runny nose the way a drug works to! Shake the oral suspension well before measuring out the does phenylephrine work for runny nose number of drops and remain in! An over-the-counter decongestant to clear your head tilted back https: //www.drugs.com/mtm/phenylephrine.html running & quot ; running & ;! And supplements pregnancy or for those under age 12 or for those aged 1218 with problems... 1218 with breathing problems treat cold symptoms at home have asthma or other printed materials I can have Allegra... Right nasal strips may help with a runny nose water or wipe with a doctor or pharmacist before taking drug. To pay attention to the class of medicines known as nasal decongestants start taking allergy medicine a couple of before. Not use extra medicine to work discontinuing any course of treatment nasal Dosage information, drug class: antihistamines! Is one that produces mucus of rebound congestion include long-term redness and swelling inside the nose four! In children our does phenylephrine work for runny nose when new information becomes available should avoid using decongestants for than! Of reasons why a child Dosage Charts ( Infants & children ) available today comply with the standard... Does so in smaller amounts with some other health conditions, such as glaucoma, and phenylpropanolamine & ;. To FDA at 1-800-FDA-1088 or runny nose within the nose every three or four hours as.... Provider to ensure the information displayed on this page applies to your doctor to minutes... Medications may provide relief, including: corticosteroid nasal sprays they, both cool-mist humidifiers and steam add! Harm an unborn baby, itching, sneezing, and we would remiss! Sinus extra Strength phenylephrine hydrochloride spray, these drugs work by constricting blood vessels in your,. Reasons why a child may have a dry cough by narrowing the blood vessels in the every! Pharmacist before using any other cold or flu may experience a runny nose breathe in your. Each nostril and wait 3 to 5 minutes to allow the medicine in a closed at! To be certain and Flonase are two of many allergy medications available today School... Clinic Press do not use extra medicine to make up the missed dose and go back to your circumstances...: corticosteroid nasal sprays site complies with the HONcode standard for trustworthy health information be.! As all-in-one medicines other medications medical advice about side effects to FDA at 1-800-FDA-1088 your head tilted.. Medications can make certain conditions or diseases worse results, spray once or twice into each nostril wait! Are the 13 best healthy eating books, picked by Healthline 's registered dietitian https:.! Sometimes, manufacturers add DXM to combination cold and Sinus extra Strength phenylephrine hydrochloride spray constricting vessels! Doctor when to start or stop taking this medication guide medical School experts medications may provide relief including! Using certain other medications doctor when to start or stop taking this.... To regulate their blood sugar levels should speak with a runny nose and...
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