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If an NSAID is considered necessary, the lowest effective dose should be used and for the shortest possible duration. Lodine should not be used in patients with active or history of recurrent peptic ulceration or a history of peptic ulcer disease with two or more distinct episodes of proven ulceration or bleeding.

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Appropriately conducted trials are needed to determine the clinical value of functional, structural, and pharmacokinetic nuances. The pharmacokinetic differences among anticholinegic agents allow for the selection of agents based on individual factors Table 3. Trospium may be less likely to cross the blood-brain barrier unproven benefit.

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