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https://research.monash.edu/en/persons/kate-leslie

Provi de Va cci ne Informa ti on Ma teri a l s hypertension diet plan generic 25 mg esidrix fast delivery, a s requi pink by Na ti ona l Chi l dhood Va cci ne Injury Act of 1986 blood pressure medication osteoporosis buy generic esidrix 12.5 mg online, pri or to blood pressure chart doc order esidrix 12.5 mg online i mmuni za ti on blood pressure questions and answers order esidrix 25mg line. Ma y be us ed a s a boos ter i n chi l dren 12-20 months of a ge a s l ong a s 6 months ha ve el a ps ed s i nce the thi rd dos. Admi ni s ter i n the a nterol a tera l a s pects of the thi gh or the del toi d mus cl e of the higher a rm. Do not i nject i n the gl utea l a rea or the place there ma y be a ma jor nerve trunk. Contra i ndi ca ti ons Hypers ens i ti vi ty to di phtheri a, teta nus toxoi ds, pertus s i s, Haemophilus, or a ny part of the formul a ti on; hi s tory of a ny of the fol l owi ng effects from previ ous a dmi ni s tra ti on of pertus s i s -conta i ni ng va cci ne: Progres s i ve neurol ogi c di s order, i ncl udi ng i nfa nti l e s pa s ms, uncontrol l ed epi l eps y, or progres s i ve epi l eps y (pos tpone unti l condi ti on s ta bi l i zed); encepha l opa thy occurri ng wi thi n 7 da ys of a dmi ni s tra ti on a nd not a ttri buta bl e to a nother ca us e Wa rni ngs /Preca uti ons Concerns associated to antagonistic effects: Ana phyl a ctoi d/hypers ens i ti vi ty rea cti ons: Immedi a the trea tment (i ncl udi ng epi nephri ne 1:a thousand) for a na phyl a ctoi d a nd/or hypers ens i ti vi ty rea cti ons s houl d be a va i l a bl e duri ng va cci ne us. Special populations: Adul ts: Thi s combi na ti on i s not for us e i n a dul ts. Do not a dmi ni s ter a ddi ti ona l va cci nes or i mmunogl obul i ns a t the s a me s i te, or us i ng the s a me s yri nge. Contra i ndi ca ti ons Hypers ens i ti vi ty to di phtheri a a nd teta nus toxoi ds, pertus s i s, pol i ovi rus va cci ne, or a ny part of the va cci ne; encepha l opa thy occurri ng wi thi n 7 da ys of a previ ous pertus s i s va cci ne not (not a ttri buta bl e to a nother i denti fi a bl e ca us e); progres s i ve neurol ogi c di s orders (i ncl udi ng i nfa nti l e s pa s ms, uncontrol l ed epi l eps y, or progres s i ve encepha l opa thy) Wa rni ngs /Preca uti ons Concerns associated to antagonistic effects: Ana phyl a ctoi d/hypers ens i ti vi ty rea cti ons: Immedi a the trea tment (i ncl udi ng epi nephri ne 1:a thousand) for a na phyl a ctoi d a nd/or hypers ens i ti vi ty rea cti ons s houl d be a va i l a bl e duri ng va cci ne us. If i na dvertentl y a dmi ni s tered to chi l dren 7 yea rs of a ge ea rl i er tha n the fi fth dos e i n the s eri es, i t ma y be counted a s a va l i d dos e, provi ded the mi ni mum i nterva l requi rements have been met. For the el derl y who ca nnot doc a pri ma ry i mmuni za ti on s eri es or a t ri s k because of conta ct or tra vel, a dmi ni s ter the i ni ti a l s eri es. Pregna ncy Ri s k Fa ctorC Pregna ncy Cons i dera ti ons Reproducti on s tudi es ha ve not been carried out; not i ndi ca ted for girls of chi l dbea ri ng a ge. Brea s t-Feedi ng Cons i dera ti ons Not i ndi ca ted for us e by pa ti ents 7 yea rs of a ge Advers e Rea cti ons All severe antagonistic reactions should be reported to the U. Advers e events reported wi thi n 4 da ys of va cci na ti on: >10%: Centra l nervous s ys tem: Drows i nes s (19%, gra de three: 1%), fever (ninety nine. Trea tment for a na phyl a cti c rea cti ons s houl d be i mmedi a tel y a va i l a bl e duri ng va cci ne us. Tea ch pa ti ent/ca regi ver pos s i bl e s i de effects /a ppropri a the i nterventi ons a nd a dvers e s ymptoms to report. Pa ti ent Educa ti onNoti fy pres cri ber i mmedi a tel y of a ny a cute rea cti on to va cci na ti on (eg, di ffi cul ty brea thi ng or s wa l l owi ng, ches t pa i n or pa l pi ta ti ons, a cute hea da che, ra s h, s ei zures, hi gh fever). Fol l ow di recti ons for ca re of i njecti on s i te; report pers i s tent rednes s, s wel l i ng, or s i gns of i nfecti on a t i njecti on s i te. Ma y ca us e drows i nes s or l os s of a ppeti te; i f thes e pers i s t past 1-2 da ys or turn into s evere, cons ul t pres cri ber. Conta i ns the s a me di phtheri a, teta nus toxoi ds, a nd pertus s i s a nti gens found i n Infa nri x a nd Pedi a ri x. Bra nd Na mes Penta cel Pha rma col ogi c Ca tegoryVa cci ne, Ina cti va ted (Ba cteri a l); Va cci ne, Ina cti va ted (Vi ra l) Us e: La bel ed Indi ca ti ons Acti ve i mmuni za ti on a ga i ns t di phtheri a, teta nus, pertus s i s, pol i omyel i ti s, a nd i nva s i ve di s ea s e ca us ed by H. Whenever fea s i bl e, the s a me ma nufa cturer s houl d be us ed to provi de the pertus s i s part; however, va cci na ti on s houl d not be deferred i f a s peci fi c bra nd i s not known or i s not a va i l a bl. Dos i ng: Pedi a tri cPri ma ry i mmuni za ti on: Chi l dren 6 weeks to 4 yea rs: I. Chi l dren previ ous l y va cci na ted wi th 1 dos e of Haemophilus b Conjuga the va cci ne: Penta cel ma y be us ed to compl ete the s eri es i n chi l dren s chedul ed to recei ve the opposite components i n the va cci ne; however, i f di fferent bra nds of Haemophilus b Conjuga the va cci ne a re a dmi ni s tered to compl ete the s eri es, three pri ma ry i mmuni zi ng dos es a re needed, fol l owed by a boos ter dos. Note: Compl eti on of 3 dos es of Penta cel provi des pri ma ry i mmuni za ti on a ga i ns t di phtheri a, teta nus, H. Compl eti on of the 4-dos e s eri es wi th Penta cel provi des pri ma ry i mmuni za ti on a ga i ns t pertus s i s. It a l s o provi des a boos ter va cci na ti on a ga i ns t di phtheri a, teta nus, H. Admi ni s ter i n the a nterol a tera l a s pect of thi gh i n chi l dren <1 yea r of a ge or del toi d mus cl e of higher a rm i n ol der chi l dren. Do not a dmi ni s ter a ddi ti ona l va cci nes or i mmunogl obul i ns a t the s a me s i the or us i ng the s a me s yri nge. A fi ne needl e (23-ga uge or s ma l l er) ca n be us ed for the va cci na ti on a nd fi rm pres s ure a ppl i ed to the s i the (wi thout rubbi ng) for a t l ea s t 2 mi nutes.

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For Herakleios arteria zygomatica purchase esidrix 25mg without prescription, the victory at Nineveh meant first of all the solution 406 the Byzantine Art of War of all his logistic issues heart attack arena buy discount esidrix 12.5 mg on-line. Khusrau had many palaces as a substitute of just one or two blood pressure definition order esidrix 25mg online, a Sasanian habit that reemerged with Saddam Hussein and for a similar cause-every was a simulacrum of energy to prehypertension for years esidrix 12.5 mg generic overawe the surroundings. They additionally found sheep, pigs and oxen without quantity, and the whole army rested contentedly. Theophanes relishes the end result: In his palace of [Dastagard], the Roman army found 300 Roman requirements which the Persians had captured at different times. They additionally found on this palace an infinite variety of ostriches, gazelles, wild asses, peacocks and pheasant, and within the searching park huge live lions and tigers. He nonetheless had massive intact forces at his command that have been nonetheless occupying the vast territories newly received, which obviously required substantial garrisons. His subject commander Shahrbaraz was in Syria, with a large army that would have returned to shield the capital Ctesiphon. It is possible that Herakleios stimulated the process by sending him a letter offering peace for propaganda purposes, which Khusrau supposedly rejected: "I am pursuing you as I hasten in direction of peace. What ensued was not a capitulation but a negotiation-there were nonetheless massive Sasanian armies within the subject whose return might have tipped the steadiness. Instead of getting into Ctsesiphon-at some thirty sq. kilometers, its sheer measurement was in all probability intimidating for his small army- Herakleios moved more than 300 miles northeast, returning to the acquainted terrain of Takht-i-Suleiman (now Ganzak) within the foothills of the Zagros Mountains in April 628. He had 408 the Byzantine Art of War just sufficient energy both on land and at sea merely to resist them at the very partitions of the city, and on the waters just in front of it-to not restore an empire submerged by enemy forces. The resolution devised by Herakleios mixed diplomacy and subversion (within both enemy camps) with a high-risk, relational maneuver on a theater-wide scale-an historical rarity in itself. What was "relational" about it, and very profitably too, was that successive seasonal raids by Herakleios had habituated Khusrau and his advisors to count on daring, deep, but in the end inconclusive raids that may last a few months till winter, and would go away the strategic scenario unchanged. Yes, the injury was generally painful, as with the destruction of the Zoroastrian temple at Takht-I-Suleiman, an actual blow to the prestige of Khusrau and his dynasty. It claimed priestly authority-it was named after Sasan or Sassan, great priest of the Temple of Anahita and grandfather of Ardashir the founder-and its rulers have been consecrate before that very same "royal" fireplace of Adur Gushnasp. What occurred next was the lack of the Levant, Egypt, and finally North Africa to the Muslim conquest, but that scarcely nullified the epic victory of Herakleios, because it was the empire itself that Khusrau had needed, and had claimed because the avenger of his benefactor Maurikios, and not just the lands misplaced and regained only to be misplaced once more. As the empire entered its most miserable years, within the gloom there nonetheless shined the bright memory of what had been completed by the expeditionary army of Herakleios. Conclusion: Grand Strategy and the Byzantine "Operational Code" All states have a grand strategy, whether they realize it or not. That is inevitable because grand strategy is simply the level at which information and persuasion, or in trendy phrases intelligence and diplomacy, work together with military energy to decide outcomes in a world of different states, with their own "grand strategies. There is coherence and effectiveness when persuasion and pressure are every nicely guided by accurate intelligence, and then mix synergistically to generate maximum energy from the out there assets. The Byzantines had no central planning staffs to produce paperwork within the trendy method, together with the latest innovation of formal statements of "national strategy" that try to define "pursuits," the means to shield and enhance them, and the alignment of the two in rational or a minimum of rationalized phrases. The Byzantines by no means referred to as it that-even "strategy" is just a Greek-sounding word not utilized by historic or Byzantine Greeks. But they assuredly had a grand strategy, even when it was by no means acknowledged explicitly-that may be a very trendy and certainly rather doubtful habit-but certainly it was applied so repetitively that one might even extract a Byzantine "operational code. Identity the Byzantine ruling elite faced the surface world and its endless risks with a strategic advantage that was neither diplomatic nor military but as a substitute psychological: the highly effective moral reassurance of a triple id that was extra intensely Christian than most trendy minds can simply think about, and specifically Chalcedonian in doctrine; Hellenic in its tradition, joyously possessing pagan Homer, agnostic Thucydides, and irreverent poets-although Hellene was a word long averted, for it meant pagan; and proudly Roman because the Romaioi, the living Romans, not without justification for Roman establishments long endured, a minimum of symbolically. Moreover, the zone that rejected Hellenism, because it had rejected the Roman habit of bathing as too sensual, additionally rejected the excessively intellectual Chalcedonian definition of the twin nature of Christ, both human and divine, insisting on the extra purely monotheistic conception of the one, divine nature of Christ. That is the Monophysite creed nonetheless upheld by the Christians of the Coptic church buildings of Egypt and Syria, the Orthodox church buildings of Ethiopia and Eritrea, the Jacobite and Malankara Orthodox church buildings of India, and in rather more nuanced fashion by the Armenian Orthodox Apostolic Church. In these ecumenical days, Orthodox Christians are no longer deeply dedicated to their sides of the Chalcedonian dispute, however the Byzantine empire of the sixth and seventh centuries was dangerously divided by the Chalcedonian persecution on one side and, on the other, Map thirteen. The empire in 565, 1025, and 1360 412 Conclusion by Monophysite vehemence, which rejected all imperial makes an attempt at doctrinal compromise, notably the monoenergism and monotheletism of Herakleios. The Muslim conquest saved the empire from these deep divisions by slicing away its most vehement dissidents. It was by no means linguistically homogeneous even after that-there were many Armenian-audio system within the east, and plenty of Slav-audio system within the west, while in between there long survived autochthonous languages, such because the Thracian, or Bessic, spoken within reach of the Theodosian Wall and recorded among monks within them. But none of that interfered with participation within the Hellenic tradition for many who needed it, and a different original language comported none of the divisiveness of the doctrinal fracture. It could be said, subsequently, that the lack of Syria and Egypt, in contrast to Latinspeaking and Chalcedonian North Africa, was a mixed curse for the empire: it brought the blessing of non secular harmony, and elevated cultural unity.

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Incompatible: Chl orproma zi ne blood pressure chart kpa esidrix 12.5mg with amex, hydroxyzi ne arrhythmia omega 3 fatty acids cheap esidrix 12.5mg amex, phenytoi n hypertension foods 25mg esidrix sale, pol ymyxi n B s ul fa te arteria hepatica propria generic esidrix 25 mg amex, prochl orpera zi ne edi s yl a te, prochl orpera zi ne mes yl a te, prometha zi ne, va ncomyci n. Variable (consult detailed reference): As corbi c a ci d i njecti on, erythromyci n l a ctobi ona te, proma zi ne, vi ta mi n B compl ex wi th C. Contra i ndi ca ti ons Hypers ens i ti vi ty to chl ora mpheni col or a ny part of the formul a ti on; trea tment of tri vi a l or vi ra l i nfecti ons; ba cteri a l prophyl a xi s Wa rni ngs /Preca uti ons Boxed warnings: Bl ood dys cra s i a s: See "Concerns rel a ted to a dvers e results " bel ow. Boxed Warning]: Serious and deadly blood dyscrasias (aplastic anemia, hypoplastic anemia, thrombocytopenia, and granulocytopenia) have occurred after both brief-term and prolonged therapy. Irrevers i bl e bone ma rrow s uppres s i on ma y occur weeks or months a fter thera py. Shoul d not be us ed for mi nor i nfecti ons or when l es s potenti a l l y toxi c a gents a re effecti ve. Ma y res ul t from drug a ccumul a ti on i n pa ti ents wi th i mpa i pink hepa ti c or rena l functi on. Disease-associated issues: Hepa ti c i mpa i rment: Us e wi th ca uti on i n pa ti ents wi th hepa ti c i mpa i rment; decreased dos a ge beneficial. Geri a tri c Cons i dera ti ons Chl ora mpheni col ha s not been s tudi ed i n the el derl y. It i s not neces s a ry to a djus t the dos e ba s ed upon the decrea s e i n rena l functi on a s s oci a ted wi th a ge. Chl ora mpheni col s houl d be res erved for s eri ous i nfecti ons a nd the ora l kind a voi ded. Pregna ncy Cons i dera ti ons Chl ora mpheni col cros s es the pl a centa produci ng cord concentra ti ons a pproa chi ng ma terna l s erum concentra ti ons. An i ncrea s ed ri s k of tera togeni c results ha s not been i denti fi ed for chl ora mpheni col a nd there ha ve been no reports of feta l ha rm rel a ted to us e of chl ora mpheni col i n pregna ncy. In mos t ca s es, chl ora mpheni col wa s s ta rted duri ng the fi rs t 48 hours of l i fe, but i t ha s a l s o occurred i n ol der pa ti ents a fter hello gh dos es. Symptoms bega n a fter three-4 da ys of thera py, s ta rti ng wi th a bdomi na l di s tenti on a nd conti nui ng to progres s i ve pa l l i d cya nos i s, va s omotor col l a ps e, i rregul a r res pi ra ti on, a nd dea th wi thi n a number of hours of s ymptom ons et. There i s one ca s e report of a n i nfa nt wi th gra y ba by s yndrome a fter in utero expos ure to a s i ngl e ma terna l dos e duri ng l a bor, fol l owed by a 10-fol d overdos e of chl ora mpheni col i n the fi rs t da y of l i fe. The extent of the contri buti on of the s i ngl e dos e gi ven duri ng l a bor i s unknown. The ma nufa cturer recommends ca uti on i f us ed i n a pregna nt pa ti ent nea r term or duri ng l a bor. Chl ora mpheni col i s wel l a bs orbed fol l owi ng ora l a dmi ni s tra ti on; however, meta bol i s m a nd excreti on a re hello ghl y va ri a bl e i n i nfa nts a nd chi l dren. The ha l f-l i fe i s a l s o s i gni fi ca ntl y prol onged i n l ow bi rth wei ght i nfa nts. There ha ve been documented toxi ci ti es i n neona tes a nd preterm i nfa nts when chl ora mpheni col ha s been us ed a t thera peuti c dos es. The ma nufa cturer recommends ca uti on i f us i ng chl ora mpheni col i n a brea s t-feedi ng i nfa nt. Pregna ncy & La cta ti on, In-Depth Chl ora mpheni col i n Pregna cy & La cta ti on Advers e Rea cti ons Frequency not defi ned. Risk D: Consider therapy modification Ba rbi tura tes: Chl ora mpheni col ma y decrea s e the meta bol i s m of Ba rbi tura tes. Risk D: Consider therapy modification Cya nocoba l a mi n: Chl ora mpheni col ma y di mi ni s h the thera peuti c effect of Cya nocoba l a mi n. Risk D: Consider therapy modification Ri fa mpi n: Ma y i ncrea s e the meta bol i s m of Chl ora mpheni col. Risk D: Consider therapy modification Sul fonyl urea s: Chl ora mpheni col ma y decrea s e the meta bol i s m of Sul fonyl urea s. Risk D: Consider therapy modification Etha nol /Nutri ti on/Herb Intera cti ons Food: Ma y decrea s e i ntes ti na l a bs orpti on of vi ta mi n B 12 ma y ha ve i ncrea s ed di eta ry need for ri bofl a vi n, pyri doxi ne, a nd vi ta mi n B 12. Thi s medi ca ti on ca n onl y be a dmi ni s tered by i nfus i on a nd you wi l l be moni tored duri ng ea ch i nfus i on; report i mmedi a tel y unus ua l ches t ti ghtnes s, di ffi cul ty brea thi ng or s wa l l owi ng; i tchi ng or s ki n ra s h; ba ck pa i n or a cute hea da che; or rednes s, s wel l i ng, or pa i n a t i nfus i on s i te. If you ha ve di a betes, drug ma y ca us e fa l s e tes t res ul ts wi th Cl i ni tes t gl ucos e moni tori ng; us e a l terna ti ve gl ucos e moni tori ng. Ma y ca us e na us ea, vomi ti ng (s ma l l, frequent mea l s, frequent mouth ca re, s ucki ng l ozenges, or chewi ng gum ma y hel p). Appa lease Protecti ve Effects of Very Hi gh Da i l y Dos es of Pyri doxi ne a nd Cya nocoba l a mi n," Am J Dis Child, 1967, 114(4):424-6.

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In a ni ma l s, ca ri s oprodol bl ocks i nterneurona l a cti vi ty a nd depres s es pol ys yna pti c neuron tra ns mi s s i on i n the s pi na l twine a nd reti cul a r forma ti on of the bra i n. It i s a l s o meta bol i zed to meproba ma te, whi ch ha s a nxi ol yti c a nd s eda ti ve results. Nordeng H, Za hl s en K, a nd Spi gs et O, "Tra ns fer of Ca ri s oprodol to Brea s t Mi l k," Ther Drug Monit, 2001, 23(three):298-300. Dos i ng: Pedi a tri cRefer to i ndi vi dua l protocol s: Chi l dren (unl a bel ed us e): I. The fol l owi ng dos a ge a djus tments ha ve been us ed by s ome cl i ni ci a ns (Ki ntzel, 1995): Cl cr 46-60 mL/mi nute: Admi ni s ter 80% of dos e Cl cr 31-45 mL/mi nute: Admi ni s ter seventy five% of dos e Cl cr 30 mL/mi nute: Cons i der us e of a l terna ti ve drug. Dos i ng: Hepa ti c Impa i rmentDos a ge a djus tment ma y be neces s a ry; nevertheless, no s peci fi c gui del i nes a re a va i l a bl. Hi gh-dos e ca rmus ti ne: Ma xi mum ra the of i nfus i on of 3 mg/m 2 /mi nute to a voi d exces s i ve fl us hi ng, a gi ta ti on, a nd hypotens i on; i nfus i ons s houl d run over a t l ea s t 2 hours; s ome i nves ti ga ti ona l protocol s di cta the s horter i nfus i ons. Infus i on-rel a ted ca rdi ova s cul a r results a re pri ma ri l y as a result of concomi ta nt etha nol a nd a ceta l dehyde. Any wa fer or remna nt tha t i s eliminated upon repea t s urgery s houl d be di s ca rded a s chemothera py wa s te. Wa fer tha t a re damaged i n ha l f ma y be us ed, nevertheless, wa fers damaged i nto extra tha n 2 pi eces s houl d be di s ca rded. Oxi di zed regenera ted cel l ul os e (Surgi cel ) ma y be pl a ced over the wa fer to s ecure; i rri ga the ca vi ty pri or to cl os ure. Stora ge Injecti on: Store i nta ct vi a l s underneath refri gera ti on a t 2°C to eight°C (36°F to 46°F); vi a l s a re s ta bl e for 36 da ys a t room tempera ture. Recons ti tuted s ol uti ons a re s ta bl e for eight hours a t room tempera ture (25°C) a nd 24 hours underneath refri gera ti on (2°C to eight°C) a nd shielded from l i ght. Recons ti tuti onInjecti on: Ini ti a l l y, di l ute wi th three mL of a bs ol ute a l cohol. Y-site administration: Compatible: Ami fos ti ne, a ztreona m, cefepi me, fi l gra s ti m, fl uda ra bi ne, gemci ta bi ne, gra ni s etron, onda ns etron, pi pera ci l l i n/ta zoba cta m, s a rgra mos ti m, teni pos i de, thi otepa, vi norel bi ne. Contra i ndi ca ti ons Hypers ens i ti vi ty to ca rmus ti ne or a ny element of the formul a ti on Wa rni ngs /Preca uti ons Boxed warnings: Bone ma rrow s uppres s i on: See "Concerns rel a ted to a dvers e results " bel ow. Boxed Warning]: Bone marrow suppression (thrombocytopenia, leukopenia) is the most important toxicity and may be delayed; moni tor bl ood counts weekl y for a t l ea s t 6 weeks a fter a dmi ni s tra ti on. Myel os uppres s i on i s cumul a ti ve; cons i der na di r bl ood counts from pri or dos e for dos a ge a djus tment. Ma y ca us e bl eedi ng (as a result of thrombocytopeni a) or i nfecti ons (as a result of neutropeni a); moni tor cl os el y. Admi ni s ter wi th ca uti on to pa ti ents wi th depres s ed pl a tel et, l eukocyte, or erythrocyte counts; rena l or hepa ti c i mpa i rment. Boxed Warnings]: Dose-related pulmonary toxicity could occur; sufferers receiving cumulative doses >1400 mg/m2 are at higher threat. Delayed onset of pulmonary fibrosis has occurred as much as 17 years after treatment in kids (1-sixteen years) who obtained carmustine in cumulative doses starting from 770-1800 mg/m2 combined with cranial radiotherapy for intracranial tumors. Dosage form specific points: Injecti on: Di l uent conta i ns s i gni fi ca nt a mounts of etha nol; us e ca uti on wi th a l dehyde dehydrogena s e-2 defi ci ency or hi s tory of "a l cohol fl us hi ng s yndrome. Pregna ncy Ri s k Fa ctorD Pregna ncy Cons i dera ti ons Tera togeni ci ty a nd embryotoxi ci ty ha ve been demons tra ted i n a ni ma l s tudi es. Ca rmus ti ne ca n ca us e feta l ha rm i f a dmi ni s tered to a pregna nt woma n. Women of chi l dbea ri ng potenti a l s houl d a voi d becomi ng pregna nt whi l e on trea tment. La cta ti onExcreti on i n brea s t mi l k unknown/not beneficial Brea s t-Feedi ng Cons i dera ti ons Due to the potenti a l for s eri ous a dvers e rea cti ons i n the nurs i ng i nfa nt, brea s t-feedi ng s houl d be di s conti nued.

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