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Renal impairment: CrCl 25–50mL/min: give dose every 12 hours; CrCl 10–25mL/min: give dose every 24 hours; CrCl<10mL/min: reduce dose by 50% and give every 24 hours.

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Periodic ultrasounds may also be useful for precise quantification of nodule size and growth. Concomitant use of corticosteroids may increase the risk of adverse GI events due to NSAIDs. Several months after I raised this issue here and on my blog Dr. • Propranolol may lower the pressure within the eye (intraocular pressure). Epinephrine and other sympathomimetics, through stimulation of alpha- and beta- receptors, increase hepatic glucose production and glycogenolysis and inhibit insulin secretion.
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