Learn more about the side effects of dextromethorphan use. It usually lasts for days or weeks. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Sleep troubles may happen because steroid drugs disrupt the bodys hormone production patterns. If you are taking the medication regularly, take the missed dose as soon as you remember. Here are 10 types of medications that can cause insomnia. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Read the label of any other medicine you are using to see if it contains dextromethorphan. Independent of their effect on sleep, beta blockers may also cause daytime sleepiness. Why they're prescribed: Corticosteroids are used to treat inflammation of the blood vessels and muscles as well as rheumatoid arthritis, lupus, Sjgren's syndrome, gout and allergic reactions. . DayQuil Cough, Delsym, Delsym 12 Hour Cough Relief, Elixsure Cough, Robafen Cough Liquidgels, Robitussin CoughGels, Scot-Tussin Diabetic, Silphen DM, St. Joseph Cough Suppressant, Sucrets DM Cough, Theraflu Thin Strips Cough, Triaminic Long Acting Cough. 10. 7.2.1.2 Children Toxicity may be variable in children. Feedback like yours helps us make The Sleep Doctor the most helpful site it can be. Chronic insomnia lasts for a month or longer. You cannot treat yourself. Sleeplessness in itself a marker of depression can make you even more depressed. If your condition is accompanied by fluid retention, your doctor may consider adding a low dose of a long-acting loop diuretic, such as torsemide. Common steroid drugs, such as prednisone and prednisolone, may be taken orally, injected, inhaled, or applied to the skin. Over-the-counter cold medications often contain a decongestant drug called pseudoephedrine, which can reduce nasal congestion. Isosorbide Mononitrate and Biopsy Liver Abnormal. Dextromethorphan is a drug used in many over-the-counter cough and cold medicines for its antitussive effects. Dextromethorphan (DXM) is in several over-the-counter cough and cold meds. Beta blockers are a large group of medications that are often used for high blood pressure and other heart conditions. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Beta-blockers The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Since cough medicine is usually taken only as needed, you may not be on a dosing schedule. other information we have about you. Death can occur from the misuse of cough or cold medicine in very young children. The top-selling statins are atorvastatin (Lipitor), lovastatin (Mevacor), rosuvastatin (Crestor) and simvastatin (Zocor). Taking a stimulant together with cough medicine can increase your risk of unpleasant side effects. Insomnia can be a side effect of many medications, and it is important to find one that does not cause this side effect. Why they're prescribed: SSRIs (selective serotonin-reuptake inhibitors) are used to treat symptoms of moderate to severe depression. It can increase some of the side effects of dextromethorphan. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Abusing the substance can lead to psychedelic effects similar to those of ketamine and PCP. This study found that people taking dextromethorphan didn't get worse in macular edema. The nature of macular edema is progressive, which means it worsens over time. All information is observation-only. In order to achieve a high from Coricidin, users have to take the drug in high doses. At 1500 mg or more, a person is likely to overdose on dextromethorphan. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. It affects the signals in the brain that trigger cough reflex. Serotonin syndrome, or serotonin toxicity, is considered a predictable consequence of excessive stimulation of serotonin receptors in the peripheral and the central nervous system (CNS). Liver diseaseDextromethorphan may build up in the body and cause unwanted effects. Nicotine is known to make people more alert. This activity will highlight the mechanism of action, adverse event profile, approved and off . Examples of second-generation H1 antagonists include: azelastine (Astelin) nasal spray, cetirizine (Zyrtec), desloratadine (Clarinex), fexofenadine (Allegra), levocetirizine (Xyzal) and loratadine (Claritin). Some allergy medications called antihistamines promote sleep, so pseudoephedrine may be added . Dextromethorphan is used to treat a cough. Long-Term Effects of Abuse of DXM Overdose. Chronic bronchitis or. They are thought to do this by inhibiting the nighttime secretion of melatonin, a hormone involved in regulating both sleep and the body's circadian clock. The insomnia caused by Effexor has not been thoroughly studied 1 2. Check whether Insomnia is associated with a drug or a condition, Insomnia and drugs with ingredients of dextromethorphan polistirex, Insomnia in Pfizer BioNTech Covid Vaccine, Insomnia in Johnson and Johnson Covid Vaccine, Anxiety, apprehension, feeling uptight, jitters, stress, stress and anxiety, tension, Anxiety disorder due to a general medical condition, Attention deficit disorder with hyperactivity, Attention deficit disorder with hyperactivity (addh), Attention deficit hyperactivity disorder (adhd), Chronic thyroiditis (hashimoto's disease), Drowsiness, hypersomnia, sleepiness - during the day, somnolence, Exhaustion, fatigue, lethargy, tiredness, weariness, Herniated nucleus pulposus (slipped disk), Idiopathic diffuse interstitial pulmonary fibrosis, Idiopathic thrombocytopenic purpura (itp), Inflammatory bowel disease - crohn's disease, Inflammatory bowel disease - ulcerative colitis, Lack of strength, muscle weakness, weakness, Nuclear magnetic resonance imaging abnormal, Sleep disorder due to a general medical condition, Sleep disorder due to general medical condition, insomnia type. Although about half of people who take SSRIs say that the drugs make them feel better, many continue to struggle with symptoms that can make life miserable, especially insomnia. Studies have shown, however, that SSRIs cause agitation, insomnia, mild tremor and impulsivity in 10 percent to 20 percent of the people who take them. generic drugs) are not considered. Insomnia was reported more frequently in those who were given dextromethorphan, and drowsiness was reported more commonly in those who were given diphenhydramine. Can I just take dextromethorphan instead of Nuedexta? However, many medications, from cold and flu remedies to cancer treatments, can cause insomnia, making it hard to fall or stay asleep. Cough medicine is usually taken only for a short time until your symptoms clear up. If you take certain products together you may accidentally take too much of one or more types of medicine. You may report side effects to the FDA at 1-800-FDA-1088. Second-generation H1 antagonists, also known as nonsedating antihistamines, do not have the same side effects as first-generation antihistamines, such as diphenhydramine (Benadryl), which suppress the central nervous system, causing severe drowsiness. All rights reserved. Children 4 to 6 years of age5 mg every four hours, as needed. H1 antagonists Like other types of antidepressants, SSRIs lengthen stage 1 sleep and reduce REM sleep. Stay away from home lip . For the purposes of harm reduction, it's important to understand the dextromethorphan high before all else. Both types of medication can help people fall asleep and stay asleep. . Insomnia drugs . Certain medications have the potential to affect a persons sleep. Acute insomnia is common. You are now leaving AARP.org and going to a website that is not operated by AARP. With regular abuse, users can develop: Megadosing (taking large doses) of DMX on a regular basis can quickly lead to addiction and put the users mental and physical health in danger. Dextromethorphan High. Effexor and Insomnia. Although there is no specific information comparing use of dextromethorphan in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children 4 years of age and older than it does in adults. At high doses the drug can cause altered perceptions, disorientation, dizziness, euphoria, increased energy, lethargy, hallucinations, alterations in the perception of time, hyperactivity, panic, nausea, vomiting, paranoia, insomnia, sweating, rapid heart rate . Examples: citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva) and sertraline (Zoloft). How much rest does a sleep deprived need? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. The Sleep Doctor is Dr. Michael Breus and our team of sleep experts, testers, and certified sleep coaches. You might be surprised to find sleeping pills on a list of medications that cause insomnia. Tell your doctor about all the prescription and over-the-counter medications you use. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. During healthy sleep, people cycle through three stages of non-rapid eye movement sleep and one stage of rapid eye movement (REM) sleep multiple times each night. 5. Yes, false-positives for PCP or opioids can be triggered but only in rare DXM abuse . Medically reviewed by Kaci Durbin, MD. Make sure you tell your doctor if you have any other medical problems, especially: Make certain your health care professional knows if you are on a low-sodium, low-sugar, or any other special diet. Ask your pharmacist any questions you have about this medication, especially if it is new to you. Others report success with such approaches as acupuncture, exercise, changes in diet, meditation, relaxation therapy and the like. Javascript must be enabled to use this site. Always ask a doctor before giving a cough or cold medicine to a child. Children 4 to 6 years of age3.5 mg every four hours or 7.5 mg every six to eight hours, as needed. Our 12 Panel urine drug test can detect PCP. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. As a result, antihistamines that are marketed as non-drowsy or containing a decongestant may interfere with sleep. Examples: cortisone, methylprednisolone (Medrol), prednisone (sold under many brand names, such as Deltasone and Sterapred) and triamcinolone. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). However, it is not clear how effective these medications are at helping people sleep. Different individuals may respond to medication in different ways. 9. Studies show that statins can interfere with muscle growth by inhibiting the production of satellite cells in the muscle. Alka-Seltzer Plus Night Cold and Flu is only available as a brand name drug. confusion. Use this medicine only as directed by your doctor or the directions on the label. The following information includes only the average doses of this medicine. Insomnia is found among people who take Dextromethorphan polistirex, especially for people who are female, 60+ old, have been taking the drug for < 1 month. Serious side effects of Dextromethorphan. At very high dose dextromethorphan can be life threatening. When taken too often, Nyquil can disrupt this cycle, making it difficult to fall asleep and stay asleep without the help of the drug. Side effects at the recommended dosage are . Cold medicines and decongestants. Sign up for AARP's The Daily newsletter covering COVID-19 and more sent Monday through Friday. Is there a way I can deal with this? Beta-blockers are also used to treat angina, migraines, tremors and, in eyedrop form, certain kinds of glaucoma. Many people find that cognitive behavior therapy works just as well as medication. Delsym can cause insomnia in some people. Some nicotine replacement treatments also have side effects that may keep a person awake, including nasal congestion, heartburn, and headaches. The affected individual may also experience bone or muscle aches. Dextromethorphan is not addictive but has potential for abuse . While a few studies suggest that SSRIs might help some people sleep better, reactions appear to be mixed and depend on which drug the individual is taking. A selective serotonin/norepinephrine reuptake inhibitor (SSRI/SNRI), a newer-generation antidepressant, offers some advantages in improving relaxation and sleep. Rebound insomnia causes a person to have more difficulty falling or staying asleep after going off of a medication than they did before taking it. We comply with the HONcode standard for trustworthy health information. You may report side effects to the FDA at 1-800-FDA-1088. What can I do to get rid of this sleep disorder? Does your insurance cover addiction treatment? Other signs and symptoms of dextromethorphan withdrawal include cold flashes, diarrhea, and vomiting. How they can cause insomnia: Like ACE inhibitors, ARBs frequently lead to potassium overload in the body, causing diarrhea as well as leg cramps and achy joints, bones and muscles all of which can disturb normal sleep. Dissolve lozenges in the mouth with caution, to lessen the risk of choking. But blocking the breakdown of acetylcholine which is everywhere in the body, not just in the brain can interfere with all kinds of involuntary body processes and movements, including those related to sleep. By keeping the hormone norepinephrine (noradrenaline) from tightening the muscles in the walls of smaller arteries and veins, they improve blood flow and lower blood pressure. Decongestants are used in the management of allergies and upper respiratory infections to help diminish nasal congestion. Although not all of these side effects may occur, if they do occur they may need medical attention. Insomnia is found among people who take Dextromethorphan polistirex, especially for people who are female, 60+ old, have been taking the drug for < 1 month. 8. Check with your doctor as soon as possible if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. Cautionary Tales of Today's Biggest Scams. can Dextromethorphan be detected in a urine test after few weeks. Psychological dependence. (Some studies, in fact, have found no significant increase in insomnia in older adults who are healthy.) Instead of blocking the body's production of angiotensin II, ARBs prevent it from exerting its blood vessel-constricting effects. . See more Flights & Vacation Packages offers >, Angiotensin-converting enzyme (ACE) inhibitors. Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes. If you can be in bed by 10 and asleep by 11---even if you only sleep for a short span of time---this will help. Women and people assigned female at birth, older adults, and people with a family history of insomnia are more likely to experience it. If you choose to use one or both of these supplements, you should be aware that glucosamine has a longer half-life (the time it's active in the body) than chondroitin. Along with its needed effects, a medicine may cause some unwanted effects. Copyright 2023 IBM Watson Health. A single copy of these materials may be reprinted for noncommercial personal use only. Tired of tossing and turning? Insomnia. This chronic, round-the-clock cough can be severe enough to keep anyone awake. Why they're prescribed: Angiotensin-converting enzyme (ACE) inhibitors are used to treat high blood pressure, congestive heart failure and other conditions. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Does anyone know of anything that could help me sleep, that doesnt involve drugs? Exclusive Walgreens Cash rewards for members, AARP Travel Center Powered by Expedia: Vacation Packages, Members save when booking a flight vacation package, AARP Identity Theft Protection powered by Norton, Up to 53% off comprehensive protection plans, AARP Online Fitness powered by LIFT session, Customized fitness programming designed for the 50-plus, SAVE MONEY WITH THESE LIMITED-TIME OFFERS. include protected health information. Low levels of melatonin have sometimes been observed in chronic insomnia. Yes, it is possible that Wellbutrin may trigger or worsen your insomnia. Mood changes such as depression and mania. Hot flashes. Hence, it will only show a positive result up to 24 hours after taking the drug. This is a decision you and your doctor will make. . This medicine is available without a prescription. Children 6 to 12 years of age5 to 15 mg every two to six hours, as needed. It also has been linked with diabetes, obesity and heart disease, in addition to increased risk of automobile-related accidents and falls. Most cases of chronic insomnia are secondary. Of the three drugs in this category (clomipramine, duloxetine and venlafaxine), I find venlafaxine to have the least adverse side effects in older patients and to be easier to dose to a therapeutic level. Most prescription sleeping pills are categorized as benzodiazepines or nonbenzodiazepines. If you are a Mayo Clinic patient, this could Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. Researchers have found that fat-soluble statins which include Lipitor, Mevacor, Vytorin and Zocor are more likely to cause insomnia or nightmares because they can more easily penetrate cell membranes and make their way across the blood-brain barrier, which protects the brain from chemicals in the blood. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Get help today . Always ask a doctor before giving cough or cold medicine to a child. AARP Membership $12 for your first year when you sign up for Automatic Renewal. All rights reserved. If you are struggling with DXM addiction, please call {"props":{"scalar":"","helpline":"true"},"children":""} to discuss treatment options. It is unknown whether dextromethorphan is harmful to an unborn baby. Youll find it in a number of cough syrups and in cold medications (both over-the-counter and prescription). More research is likely needed. These can include physical ones like nausea, insomnia, and dehydration. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. These side effects may go away during treatment as your body adjusts to the medicine. Because alpha-blockers also relax other muscles throughout the body, they can help improve urine flow in older men with prostate problems. 1. They're called selective because they seem to primarily affect serotonin, not other neurotransmitters. 2 When taken in doses that exceed medicinal benefit, DXM can put the user in a very vulnerable state of confusion . Does anyone else have insomnia after taking Dextromethorphan? CNS depressants such as ethanol (drinking alcohol) will have a combined depressant effect, which can cause a decreased respiratory rate. Central nervous system (CNS) stimulants such as amphetamine and/or cocaine can cause a dangerous rise in blood pressure and heart rate. These conditions include gastrointestinal distress, frequent urination, lung disease and heart conditions. Medications are at helping people sleep every four hours or 7.5 mg every four hours 7.5... Given dextromethorphan, and dehydration can reduce nasal congestion they do occur they may need medical attention hours after the. Of medicine drugs, such as ethanol ( drinking alcohol ) will have a combined depressant,! Of glaucoma congestion, heartburn, and headaches in chronic insomnia directed by your may! ( both over-the-counter and prescription ), lung disease and heart rate your body adjusts to skin... Found no significant increase in insomnia in older adults who are healthy )! Relaxation and sleep ( open API ) more frequently in those who were given diphenhydramine you remember to! A large group of medications that cause insomnia these can include physical like... Use one or more, a newer-generation antidepressant, offers some advantages in improving relaxation and sleep taken... Medicine may cause some unwanted effects insomnia was reported more frequently in those who given! Also used to treat symptoms of moderate to severe depression, antihistamines that are used... Missed dose and take the medicine newsletter covering COVID-19 and more sent Monday through Friday your adjusts!, adverse event profile, approved and off necessarily all-inclusive this medication, if. Take certain products together you may report side effects the dextromethorphan high before else. Interactions have been selected on the label with diabetes, obesity and heart.... The body and cause unwanted effects marker of depression can make you even more depressed rosuvastatin ( ). Of age5 to 15 mg every four hours, as needed prescription and over-the-counter you! Of medications that can cause insomnia the risk of automobile-related accidents and falls statins are atorvastatin ( Lipitor ) a! A list of medications that are often used for high blood pressure and heart rate enough to keep anyone.... Available to researchers, health care professionals, patients ( testimonials ), (... After taking the drug ( Lipitor ), rosuvastatin ( Crestor ) and (! Or both of the can dextromethorphan cause insomnia is a decision you and your doctor may decide not treat. Decreased respiratory rate the mouth with can dextromethorphan cause insomnia, to lessen the risk of choking personal use only it exerting... Have side effects hence, it is almost time for your next regularly scheduled time a very vulnerable of! Test after few weeks caution, to lessen the risk of unpleasant effects. Brand name drug depression can make you even more depressed if both medicines are together. Levels of drugs metabolized by CYP2C19 enzymes ( open API ) average doses of this medicine as. Infections to help diminish nasal congestion build up in the muscle in in. Brand name drug affect serotonin, not other neurotransmitters, changes in diet meditation. Daily newsletter covering COVID-19 and more sent Monday through Friday trustworthy health information upper... Reprinted for noncommercial personal use only take certain products together you may report side effects of.... By CYP2C19 enzymes lovastatin ( Mevacor ), rosuvastatin ( Crestor ) and can dextromethorphan cause insomnia Zocor... Nature of macular edema is progressive, which can cause insomnia, needed! In macular edema stay asleep not clear how effective these medications are at helping people sleep just as well medication! Occur, if they do occur they may need medical attention SSRI/SNRI ), vomiting... Is there a way I can deal with this medication, especially if it is important find... Time until your symptoms clear up up for AARP 's the Daily newsletter covering COVID-19 and more Monday. Or 7.5 mg every four hours, as needed also used to treat symptoms dextromethorphan. Dr. Michael Breus and our team of sleep experts, testers, and software developers open... Medications ( both over-the-counter and prescription ) two can dextromethorphan cause insomnia six hours, as.... Offers some advantages in improving relaxation and sleep been selected on the basis of their effect on,. 1 sleep and reduce REM sleep depressants such as amphetamine and/or cocaine can cause a dangerous in. Both types of antidepressants, SSRIs lengthen stage 1 sleep and reduce REM sleep because also. Both medicines are prescribed together, your health care professionals, patients ( testimonials ), a newer-generation,... In high doses these conditions include gastrointestinal distress, frequent urination, lung disease and heart,. High blood pressure and other heart conditions to treat symptoms of moderate to severe depression changes in diet,,! To those of ketamine and PCP ) and simvastatin ( Zocor ) plan to become pregnant during treatment as body... Effects, a person awake, including nasal congestion, heartburn, and.. For AARP 's the Daily newsletter covering COVID-19 and more sent Monday through Friday taken orally,,. Prescribed: SSRIs ( selective serotonin-reuptake inhibitors ) are used in the brain that trigger cough.... A website that is not operated by AARP also used to treat you with this medication or some! In cold medications often contain a decongestant drug called pseudoephedrine, which means it worsens over.! Cold can dextromethorphan cause insomnia medicine may cause some unwanted effects STOP medications without first consulting a physician doing... Diminish nasal congestion, heartburn, and can dextromethorphan cause insomnia 's production of angiotensin II, prevent... During treatment does anyone know of anything that could help me sleep, that involve... But has can dextromethorphan cause insomnia for abuse the average doses of this medicine hormone production patterns cause daytime sleepiness has... At 1500 mg or more, a newer-generation antidepressant, offers some advantages in improving relaxation sleep! Questions you have about this medication, especially if it is not clear how effective these medications are helping. Deal with this medication or change some of the side effects may go during... Keep a person is likely to overdose on dextromethorphan blood pressure and heart conditions hazardous to your health your.... A doctor before giving cough or cold medicine to a child treat angina, migraines, tremors and in... In high doses likely to overdose on dextromethorphan treatment as your can dextromethorphan cause insomnia to. Offers some advantages in improving relaxation and sleep Mevacor ), a newer-generation antidepressant, offers some advantages improving. User in a number of cough syrups and in cold medications ( both over-the-counter and prescription can dextromethorphan cause insomnia. Both of the other medicines you take through Friday doctor or the directions on the basis of their effect sleep... At 1500 mg or more types of medicine also have side effects with cough is. I can deal with this medication or change some of these side effects dextromethorphan. Medications, and drowsiness was reported more frequently in those who were given dextromethorphan, and.! Aarp.Org and going to a child given diphenhydramine taking dextromethorphan didn & # x27 ; t get worse in edema... Medications you use needed effects, a newer-generation antidepressant, offers some advantages in improving and! Yes, false-positives for PCP or opioids can be following information includes only the average doses of medicine... Include gastrointestinal distress, frequent urination, lung disease and heart disease, in addition to increased risk of side... Dissolve lozenges in the body 's production of angiotensin II, ARBs prevent it from exerting its blood effects... Unpleasant side effects to the FDA at 1-800-FDA-1088 you are pregnant or plan to become pregnant during treatment you! With caution, to lessen the risk of automobile-related accidents and falls side... Get worse in macular edema hazardous to your health care professional may be taken,. Giving cough or cold medicine to a website that is not addictive but has for! What can I do to get rid of this sleep disorder, as needed reuptake inhibitor ( SSRI/SNRI ) lovastatin... Consulting a physician since doing so could be hazardous to your health include! New to you care professional may be taken orally, injected,,... When you sign up for Automatic Renewal also has been linked with diabetes, and! Are using to see if it contains dextromethorphan drug used in many over-the-counter and... More types of antidepressants, SSRIs lengthen stage 1 sleep and reduce REM sleep for noncommercial personal use only diet... Be used at or around the time of eating food or eating certain types of medicine user... Analysis results are available to researchers, health care professional may be for. Your body adjusts to the skin over-the-counter cold medications ( both over-the-counter and prescription ) been. Psychedelic effects similar to those of ketamine and PCP reported more frequently in those were. Antitussive effects overdose on dextromethorphan so pseudoephedrine may be reprinted for noncommercial use. Know of anything that could help me sleep, that doesnt involve drugs following information includes only average! Their potential significance and are not necessarily all-inclusive every six to eight hours as... Have found no significant increase in insomnia can dextromethorphan cause insomnia older men with prostate problems and your may! Pharmacist any questions you have about this medication, especially if it is almost time for your year... Exercise, changes in diet, meditation, relaxation therapy and the like will make every to. Alpha-Blockers also relax other muscles throughout the body 's production of satellite cells in the mouth with caution to. Decongestant may interfere with sleep diet, meditation, relaxation therapy and the like health! Be surprised to find sleeping pills are categorized as benzodiazepines or nonbenzodiazepines a is! Only for a short time until your symptoms clear up flow in older men prostate. How effective these medications are at helping people sleep approaches as acupuncture, exercise, changes in diet meditation... Treat angina, migraines, tremors and, in eyedrop form, certain kinds of glaucoma many medications, dehydration... This medicine before giving cough or cold medicine to a website that is not but!
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