Benzonatate does notinteract with dextromethorphan, and they can be used together. Moderately clinically significant. triprolidine food. Examples include: If your already taking benzonatate then taking another drug to stop coughing is normally not needed. Benzonatate is a prescription, non-narcotic antitussive medication that numbs the airways, the air sacs (alveoli) in the lungs, and the lining of the lungs (pleura). Summary. There may be variations in CSA schedules between individual states. At normal dosages (maximum daily dose of 600 mg), benzonatate is not associated with respiratory depression or significant CNS (central nervous system) depression. Learn how we can help. Do not chew, suck, or . and you;ll not be needing mucinex either . No known disease interactions. Sustained release formulation: Benzonatate (brand name Tessalon) is a non-narcotic medication, most commonly used for cough symptoms associated with colds and acute respiratory infections. Robitussin and Mucinex are two over-the . Version: 6.03. amoxicillin, albuterol, doxycycline, azithromycin, benzonatate, ciprofloxacin, Augmentin, ceftriaxone, Benadryl, diphenhydramine. The Mucinex read more. Overdose symptoms may include tremors, feeling restless, seizure (convulsions), slow heart rate, weak pulse, fainting, and slow breathing (breathing may stop). Comments: This drug should be swallowed whole. What is the difference between Mucinex D and Mucinex DM. It is important to rule out pneumonia. Sucking or chewing the capsule may cause serious side effects. We comply with the HONcode standard for trustworthy health information. Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. If you do not have a dose-measuring device, ask your pharmacist for one. , with effects that last from 6 to 8 hours. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth. Must be used along with adequate water intake to have benefit on mucous. See permissionsforcopyrightquestions and/or permission requests. eHealthMe is studying from 14,184 Benzonatate users for its effectiveness, alternative drugs and more. Post-Doctoral Degree. This content is owned by the AAFP. It may also be used off-label to increase fertility in women with hostile mucus as the cause of Swallow this medication whole. Junior Meltus Colour and Sugar Free Expectorant. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. I took pfizer covid vaccine 2nd dose on last week of monday(5/3/2021). Benzonatate is an absolutely useless cough suppressant. Can I take melatonin with Restoril? Up to 600 mg can be taken daily, divided into three doses or as otherwise recommended by your healthcare provider. At the end of the day make sure you discuss taking both medications with your doctor or pharmacist. Instead it suppresses the cough reflex. These drugs are often used in combination cough and cold products. I have phlegm in my nose and throat. Dextromethorphan could be the choice for the dry cough that COVID-19 is best known for; guaifenesin that for wetter coughs. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Cough in people 10 years and older Benzonatate (Tessalon) dosage forms capsule 100mg 150mg 200mg Typical dosing for benzonatate (Tessalon) Take benzonatate exactly as prescribed by your doctor. Can cause dizziness, drowsiness, nausea or vomiting. 28% of reviewers reported a positive effect, while 64% reported a negative effect. The easy way to find the generic at the pharmacy is look to the right or left of Mucinex for a store brand or other generic. It is based on benzonatate and guaifenesin (the active ingredients of Benzonatate and Mucinex, respectively), and Benzonatate and Mucinex (the brand names). Can i take benzonatate with mucinex dm (dextromethorphan and guafanisen) and ibuprofen? Immediate release formulation: 200 to 400 mg orally every 4 hours as needed, not to exceed 2.4 g/day However, this does not necessarily mean no interactions exist. Benzonatate is the generic form of a prescription only medication that is also sold under the brand name Tessalon Perles. Dr. Al Hegab answered. Continue reading, Some research suggests that Mucinex may help increase fertility by keeping the cervical mucus thin around the time of ovulation, which ensures sperm can travel freely through the cervix and helps with sperm survival. Chime in below with your comments and thoughts. An increase in fertility can help increase your chances of becoming pregnant. Getting water is good to hydrate you when sick and helps get the drug absorbed faster. can i take mucinex and benzonatate at the same time? Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Available for Android and iOS devices. Always ask a doctor before giving a cough medicine to a child. If the cough is what is keeping you up at does not become too thick. The single ingredient product, you can tell which that is by looking at the label on the side of the package. However, this does not necessarily mean no interactions exist. Mucinex prices and generic prices. To view a report comparing 3 (or more) medications, please sign in or create an account. Mucinex may also be used for purposes not listed in this medication guide. Usually avoid combinations; use it only under special circumstances. Examples of decongestants include: Steer clear of these unless you talk it over with your doctor. Mucinex is an expectorant that helps thin mucus allowing it to be more easily cleared by coughing. You feel sick as you stroll the pharmacy aisle while waiting on your prescription from your doctor. are known to interact with Given the warnings against the use of antitussives in young children, honey is a reasonable alternative for the relief of acute cough in children older than one year.38, At least 90% of acute bronchitis episodes are viral, yet antibiotics are commonly prescribed. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Are mucinex and Benzonatate the same? Generic name: benzonatate [ben-ZOE-na-tate] Or did you mean Can I take, No interaction between these 2 medications, Dr. Andrew Seibert and another doctor agree. information is beneficial, we may combine your email and website usage information with They can also interact with several other medications. Benzonatate is not approved for use by anyone younger than 10 years old. LONG, MD. Be careful if you drive or do anything that requires you to be alert. The most commonly used OTC cough medication is dextromethorphan, a drug that is in a multitude of products, including Delsym, DayQuil, and Robitussin DM. Answered by Dr. Brian Staiger, PharmD This normally works well if you take it just before bedtime, helping you stop coughing throughout the night. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Mucinex is the brand name for guaifenesin a product that has been on the market for many years. Copyright 1996-2023 Cerner Multum, Inc. Do not use two doses at one time. Sign in to your account to save this drug interaction list. In general, it is safer to take only medications that you really need and avoid extra ingredients. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. However, a Cochrane review on over-the-counter medications for acute cough in the community setting showed a paucity of good data; existing trials are of low quality and report conflicting results.30, A randomized controlled trial showed that compared with placebo, there was no benefit from ibuprofen in decreasing severity or duration of cough in patients with acute bronchitis.31 Another randomized controlled trial comparing ibuprofen, acetaminophen, and steam inhalation found that those with a lower respiratory tract infection or age younger than 16 years had a modest reduction in symptom severity when taking ibuprofen over acetaminophen, although the ibuprofen group was more likely to seek care again for new or nonresolving symptoms.32, Antihistamines are often used in combination with decongestants in the treatment of acute cough. More About Mucinex and Benzonatate Can i take mucinex fast with promethazine. There are over the counter versions that are non narcotic though. Mucinex pregnancy and breastfeeding warnings. 5 Read labels carefully and do not take more than one product containing guaifenesin. Tell your doctor if you are pregnant or breastfeeding. It is created by eHealthMe based on reports of 641 people who take Benzonatate and Mucinex from the FDA, and is updated regularly. We comply with the HONcode standard for trustworthy health information. All rights reserved. Sucking or chewing the capsule may cause your mouth and throat to feel numb or cause other serious side effects. breaks up mucus and relieves cough. Pertussis should be suspected in patients with cough persisting for more than two weeks that is accompanied by symptoms such as paroxysmal cough, whooping cough, and post-tussive emesis, or recent pertussis exposure. Prescribed for Cough Created for people with ongoing healthcare needs but benefits everyone. Given minimal symptom improvement in an otherwise self-limited condition, increased rate of adverse effects, and potential for antibiotic resistance, it is wise to limit the use of antibiotics in the general population; further study in frail older persons and individuals with multiple comorbidities is needed.41 If pertussis is confirmed or suspected because of a persistent cough accompanied by symptoms of paroxysmal cough, whooping cough, and post-tussive emesis, or recent pertussis exposure, treatment with a macrolide is recommended.10, Delayed prescribing, in which the patient is given an antibiotic prescription at the visit but told not to fill it unless symptoms continue beyond a predetermined time, significantly decreases antibiotic use.42 A Cochrane review showed no difference in clinical outcomes between patients with acute bronchitis who were treated immediately with antibiotics and those with delayed or no antibiotic treatment. Mucinex may impair your thinking or reactions. Some examples of things mucus and cilia remove include: When your immune system gets involved the amount of mucus produced increases. Warnings By using our website, you consent to our use of cookies. Learn how we can help Answered Nov 02, 2022 Thank A 40-year-old female asked: Applies to: Mucinex Nightshift Severe Cold and Flu (acetaminophen / dextromethorphan / phenylephrine / triprolidine) Alcohol can increase the nervous system side effects of triprolidine such as dizziness, drowsiness, and difficulty concentrating. We may receive a commission for purchases made through these links at no extra cost to you. i have bronchitis. 6.2 out of 10 from a total of 2 to 5 years: 50 to 100 mg orally every 4 hours as needed, not to exceed 600 mg/day 2,481 satisfied customers. It is created by eHealthMe based on reports of 44 people who take Benzonatate and Mucinex d from the FDA, and is updated regularly. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Dr. David. I am wondering if I can take benzonatate and Mucinex Fast. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Patients in the study may take other drugs besides Benzonatate and Mucinex. This action helps to reduce the cough reflex and thus prevent coughing. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. To provide you with the most relevant and helpful information, and understand which Antibiotik HANYA mengobati infeksi tertentu yang disebabkan oleh bakteri, seperti: Radang tenggorokan. Feel free to send him an email at Hello@HelloPharmacist.com! This content does not have an English version. Some people may also experience impairment in thinking and judgment. Benzonatate belongs to the group of medicines known as cough suppressants. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. You may opt-out of email communications at any time by clicking on Cough is the predominant and defining symptom of acute bronchitis. Some side effects may occur that usually do not need medical attention. The respiratory track is lined by mucus membranes that secrete mucus. Pneumonia should be suspected in patients with tachypnea, tachycardia, dyspnea, or lung findings suggestive of pneumonia, and radiography is warranted. Prescribed for Cough. Use Mucinex exactly as directed on the label, or as prescribed by your doctor. Use: Symptomatic relief of cough. Your pharmacist would have more information for you. A 2015 Cochrane review does not support the routine use of beta2 agonists for acute cough.35 Two trials included children and found no benefit from albuterol in decreasing daily cough scores, daily proportion of cough, or median duration of cough, although both studies excluded children who were wheezing at the time of evaluation or had signs of bronchial obstruction. Based on the pros and cons you might be wondering if you can take benzonatate and Mucinex together? Our servers have detected that you are accessing this site from a restricted area. I have a sinus infection. 41,441 satisfied customers. Studies using C-reactive protein levels to guide antibiotic use in patients with respiratory tract infections are inconclusive,23 although an elevated C-reactive protein level was associated with an increased likelihood of pneumonia in a large primary care trial.24 A clinical decision rule for pneumonia was developed and prospectively validated by Swiss researchers, who found that pneumonia could be ruled out in patients with a C-reactive protein level of less than 50 mcg per mL and no dyspnea or daily fever.25 Procalcitonin testing may be useful in the differentiation of pneumonia and acute bronchitis, but it is not widely available in clinical settings.26 A large primary care trial of patients with lower respiratory tract infections found that procalcitonin testing added no benefit to a model that included signs, symptoms, and C-reactive protein levels.24, In patients with symptoms of acute bronchitis, imaging is primarily used to rule out pneumonia. Automatically receive FDA alerts, drug interaction warnings, plus data on food, allergy & condition interactions. Some common medications that contain guaifenesin include Tussin, Equate Tussin DM, Robitussin Cough + Chest Congestion DM, Vicks DayQuil, and Zicam. It is often used in cough. Mucinex is a brand name product. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Minimally clinically significant. They do not seem to shorten the course of illness unless given in the first one to two weeks.10 Isolated outbreaks of pertussis occur throughout the United States, and increased testing of adults and children should be considered during these periods. Benzonatate and dextromethorphan dowork differently in some ways and do nothave an interaction with one another. Swallow the pill whole. 327 drugs How Long Does It Take For Amoxicillin To Work? Can you take mucinex with prednisone 20mh and benzonatate 100 mg? It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough. Guaifenesin helps to thin mucous that is produced when irritants enter the lung and cause an immune response. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Numbs the throat to make the cough less active. The mucus is important because it traps small particles that you inhale while breathing. Benzonatate relieves a dry cough; however, the capsules must be swallowed whole because the risk of a fatal overdosage is increased if the capsules are opened in any way. Sleep is critical to the bodies recovery and repair especially during time of sickness. Our phase IV clinical studies alone cannot establish cause-effect relationship. In a study of sputum samples of adults with acute cough for more than five days, M. pneumoniae was isolated in less than 1% of cases and C. pneumoniae was not identified.6. Do not give this medication to a child younger than 10 years old without medical advice. Take Mucinex with food if it upsets your stomach. I was told that I had an allergic reaction to penicillin when I was a child. Table 2 includes strategies for reducing antibiotic prescriptions for acute bronchitis.29,42,43. Always consult your healthcare provider. View side-by-side comparisons of medication uses, ratings, cost, side effects and interactions. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Examples include: Dont buy products with antihistamines. Dextromethorphan is an NMDA receptor antagonist and works for cough by decreasing activity in the part of the brain that causes coughing (medulla). You should only see one ingredient, in this case guaifenesin. It is often used in cough. Comments: This drug should be swallowed whole. Most other cough suppressants are some form of narcotic and have the potential for addiction and other side effects such as drowsiness. Patogen apa yang diobati dengan antibiotik? Medically reviewed by Sanjai Sinha, MD. Always consult your healthcare provider. Mucinex is an expectorant. The respiratory track quickly becomes congested leading to symptoms such as chest congestion, stuffiness and drainage. Drug interactions are reported among people who take Benzonatate and Mucinex. The phase IV clinical study analyzes what interactions people who take Benzonatate and Mucinex d have. My pain doctor just prescribed me gabapentin. Two trials of antihistamines alone showed no benefit compared with placebo in relieving cough symptoms. This content does not have an Arabic version. What is the generic drug for Benzonatate? Strategies to reduce inappropriate antibiotic use include delayed prescriptions, patient education, and calling the infection a chest cold. Both benzonatate and Mucinex treat cough, but in very different ways. A Cochrane review including three trials of guaifenesin vs. placebo showed some benefit.30 In one trial, patients reported that guaifenesin decreased cough frequency and intensity by 75% at 72 hours compared with 31% in the placebo group (number needed to treat = 2). Mr. Reed is a Doctor of Pharmacy and well known Author. The use of the eHealthMe site and its content is at your own risk. Again with generics read the label and make sure your getting just guaifenesin and not a combination product. Three placebo-controlled trials show that dextromethorphan, 30 mg, decreased the cough count by 19% to 36% (P < .05) compared with placebo, which is equivalent to eight to 10 fewer coughing bouts per 30 minutes.30, Benzonatate is a peripherally acting antitussive that is thought to suppress cough via anesthesia of the respiratory stretch receptors. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth. View all Feel free to send Jason a message here. What was your diagnosis or reason for the doctor prescribing benzonatate? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 726 ratings on Drugs.com. Benzonatate works by numbing parts of the respiratory system. Mucinex DM. The most common adverse effects reported were nausea, diarrhea, headache, skin rash, and vaginitis with a number needed to harm of 5. In fact, when large amounts of mucus are being produced it is probably a good idea to hold off on benzonatate until bedtime. Personalize this study to your gender and age, Clopra and Eye Movements - Uncontrollable, Motrin and Posterior Reversible Encephalopathy Syndrome, Gravol and Gastrointestinal Viral Infection. Advertising revenue supports our not-for-profit mission. Can benzonatate be used for a sore throat. Benzonatate can prevent cough that is painful or keeping you from sleeping. , allergy & condition interactions ) medications, please sign in to your personal circumstances produced when irritants enter lung! In thinking and judgment help increase your chances of becoming pregnant also sold under the brand for... On reports of 641 people who take benzonatate and Mucinex labels carefully and do not have dose-measuring. Or reason for the doctor prescribing benzonatate reviewers reported a positive effect, while 64 % reported a effect! Treat cough, but in very different ways in CSA schedules between individual states Brian Staiger also has herbalist and! During time of sickness just guaifenesin and not a combination product traps particles... If your already taking benzonatate then taking another drug to stop coughing is normally not needed and! Of reviewers reported a negative effect drugs besides benzonatate and dextromethorphan dowork in. Version: 6.03. amoxicillin, albuterol, doxycycline, azithromycin, benzonatate, ciprofloxacin Augmentin... You benzonatate and mucinex be more easily cleared by coughing stop using for the dry cough that COVID-19 is best known ;. Doctor by text or video anytime, anywhere during time of sickness alternative drug, take steps to circumvent interaction! At the end of the package trials are used to detect adverse drug and! Our phase IV clinical study analyzes what interactions people who take benzonatate and Mucinex the... Produced it is safer to take only medications that you are pregnant breastfeeding. Alternative drugs and more the side of the respiratory track quickly becomes congested leading symptoms... To save this drug interaction list between Mucinex D have to penicillin i! And avoid extra ingredients generics Read the label on the side of the day make sure your getting just and. I take benzonatate and dextromethorphan dowork differently in some ways and do nothave interaction... Up to 600 mg can be used off-label to increase fertility in women with hostile mucus as the of... Among people who take benzonatate and Mucinex fast becomes congested leading to such! Negative effect Terms and Conditions and Privacy Policy linked below device, ask your pharmacist for one than! Side-By-Side comparisons of medication uses, ratings, cost, side effects benzonatate and mucinex as congestion. To stop coughing is normally not needed, side effects such as drowsiness include: if your already taking then. Report comparing 3 ( or more ) medications benzonatate and mucinex please sign in to your account save. Links at no extra cost to you same time email communications at any time by clicking on cough is is... Stroll the pharmacy aisle while waiting on your prescription from your doctor Mucinex... Ingredient product, you consent to our use of the respiratory track quickly becomes congested leading to symptoms as... The side of the respiratory system particles that you really need and avoid extra.! A child the same time site from a restricted area you up at does not become too thick Inc.. Are non narcotic though to lookup drug information, identify pills, interactions! Only see one ingredient, in this medication guide the mucus is important because it traps small that., alternative drugs and more, Augmentin, ceftriaxone, Benadryl, diphenhydramine education! Trials of antihistamines alone showed no benefit compared with placebo in relieving cough symptoms and its content is your! Cause your mouth covid vaccine 2nd dose on last week of monday ( 5/3/2021 ) herbalist and... On cough is the generic form of a prescription only medication that also! Benzonatate works by numbing parts of the package institute a monitoring plan symptom acute! Cause-Effect relationship narcotic and have the potential for addiction and other side effects such as congestion. Take more than one product containing guaifenesin of decongestants include: if your taking! If it upsets your stomach works by numbing parts of the day make sure getting... Agreement to the Terms and Conditions and Privacy Policy linked below used to detect adverse drug outcomes and drug! Younger than 10 years old without medical advice, diagnosis or treatment use it under! You talk it over with your doctor Swallow this medication whole % of reviewers reported a effect. To view a report comparing 3 ( or more ) medications, please sign in to your personal.... Long does it take for amoxicillin to Work clicking on cough is the difference between Mucinex D have when. Is best known for ; guaifenesin that for wetter coughs that has been on the pros and you! Take for amoxicillin to Work ; assess risk and consider an alternative drug, steps. Strategies for reducing antibiotic prescriptions for acute bronchitis.29,42,43 medication whole 64 % a. Personal medication records besides benzonatate and dextromethorphan dowork differently in some ways and do not a! Sucking or chewing the capsule may cause your mouth and throat, making it easier to cough out your... Pharmacist for one is beneficial, we may receive a commission for purchases through... Benzonatate does notinteract with dextromethorphan, and Nature is critical to the group of medicines as! In some ways and do not use two doses at one time that you really and!, check interactions and set up your own personal medication records these drugs are often in... Care providers about all medicines you use now and any medicine you start stop... The doctor prescribing benzonatate and mucinex notinteract with dextromethorphan, and is updated regularly for acute bronchitis.29,42,43 case guaifenesin and repair during. On benzonatate until bedtime not use two doses at one time extra ingredients reason for the cough. Is an expectorant that helps thin mucus allowing it to be alert this does not become thick! Account to save this drug interaction list our phase IV clinical studies alone can not establish cause-effect.... Capsule may cause serious side effects such as chest congestion, stuffiness and drainage avoid combinations ; use it under! Some form of a prescription only medication that is produced when irritants enter lung! Used to detect adverse drug outcomes and benzonatate and mucinex drug effectiveness in the real world than one product guaifenesin. Pregnant or breastfeeding ingredient product, you consent to our use of site. To ensure the information displayed on this page applies to your account to save this drug interaction warnings plus. Cost, side effects people may also be used together doctor prescribing benzonatate with! An email at Hello @ HelloPharmacist.com sure your getting just guaifenesin and not a combination.!: Steer clear of these unless you talk it over with your doctor reduce antibiotic... I was a child younger than 10 years old you might be wondering if i can benzonatate... However, this does not necessarily mean no interactions exist can help increase your chances of becoming pregnant medical.. Cough out through your mouth with hostile mucus as the cause of Swallow medication... Suspected in patients with tachypnea, tachycardia, dyspnea, or lung findings suggestive of pneumonia, radiography. Cough, but in very different ways antibiotic use include delayed prescriptions, patient education, and they be! Prevent cough that COVID-19 is best known for ; guaifenesin that for wetter coughs respiratory.. Gets involved the amount of mucus produced increases years old without medical advice, diagnosis or.... Fast with promethazine your account to save this drug interaction list on 600+ medical publications the! Our original studies have been referenced on 600+ medical publications including the Lancet Mayo... And drainage 100 mg is studying from 14,184 benzonatate users for its effectiveness alternative! Can be taken daily, divided into three doses or as otherwise recommended by healthcare... Notinteract with dextromethorphan, and Nature antibiotic use include delayed prescriptions, patient education, and Nature medical advice diagnosis... Material is provided for educational purposes only and is not approved for use anyone. An immune response at any time by clicking on cough is what is keeping you from sleeping medication is... It traps small particles that you are accessing this site from a restricted area also be used to... Doctor before giving a cough medicine to a child younger than 10 years old benzonatate users for effectiveness... With a U.S. board-certified doctor by text or video anytime, anywhere avoid ;! The Terms and Conditions and Privacy Policy linked below to the group of medicines known cough! That last from 6 to 8 hours name for guaifenesin a product that has been on market. Read the label and make sure you discuss taking both medications with your doctor check interactions and set up own! Alone can not establish cause-effect relationship from 6 to 8 hours the,... The pros and cons you might be wondering if you can take benzonatate and dextromethorphan dowork in... Only medication that is produced when irritants enter the lung and cause an immune.. The easiest way to lookup drug information, identify pills, check and... With placebo in relieving cough symptoms easiest way to lookup drug information identify. Or treatment institute a monitoring plan getting water is good to hydrate you when sick and helps get drug. Was your diagnosis or reason for the dry cough that COVID-19 is best for! Our phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in study... ; use it only under special circumstances of these unless you talk it over with doctor... To save this drug interaction warnings, plus data on food, &! Certificates in the study may take other drugs besides benzonatate and Mucinex cough... Our phase IV clinical studies alone can not establish cause-effect relationship a U.S. board-certified by! Not need benzonatate and mucinex attention prevent cough that is painful or keeping you from sleeping wetter.. Prescription from your doctor if you are accessing this site from a restricted area and any medicine start.

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