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Dosage adjustments may be required based on serum phenytoin concentrations and clinical response. Phenytoin is primarily metabolized in the liver. Patients with hepatic disease may have an increased fraction of unbound 'free' phenytoin.

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If you experience any symptoms of severe hypercalcemia arrhythmia, loss of consciousness, kidney stones, the application of antineoplastic drug Nolvadex should be immediately stopped. Usually Nolvadex may cause mild to moderate adverse reactions, seldom resulting in withdrawal of therapy with the hormonal antineoplastic agent.

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The other medications in this family that are similar to Viagra include. These include. Very rarely, some people have had very serious side effects when using Viagra.

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