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These are not safety findings they are gaps in the safety dataset

When an anticonvulsant is being used to manage behavior, stabilize mood, or treat a psychiatric disorder, the facility should attempt periodic tapering of the medication or provide documentation of medical necessity as outlined in the OBRA guidelines

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Moreover, skeletal muscle injury models have suggested a beneficial effect not only for disturbances that occur as a result of direct trauma but also for systemic insults including hyperkalamia and hypermagnesia

In practice, counseling is most effective when focused on defining the specific agent, route of administration, source reliability, and timing relative to surgery rather than debating unproven efficacy claims