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A few patients who have experienced hypoglycemic reactions after transfer from animal-source insulin to human insulin have reported that the early warning symptoms of hypoglycemia were less pronounced or different from those experienced with their previous insulin. 
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For most individual subjects changes in QTc values were less than 20 msec and evenly distributed between increases and decreases of the same magnitude. 
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The concurrent and/or sequential systemic, oral, or topical use of kanamycin and other potentially nephrotoxic, and/or neurotoxic drugs, particularly polymyxin B, bacitracin, colistin, amphotericin B, cisplatin, vancomycin, and all other aminoglycosides (including paromomycin) should be avoided because the toxicity may be additive. 
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Sometimes the steroid itself is not found but drugs that are used as masking agents are. 
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The enzyme or enzymes responsible for this metabolism have not been identified. 
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When the medication is stopped, the side effects disappear. 
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However, there have been rare reports of possible abstinence syndromes in newborns after prolonged use of pentazocine during pregnancy. 
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In animal studies, the S enantiomer has 15 to 50 times the activity of the R enantiomer in reducing myocardial contractility in isolated blood-perfused dog papillary muscle, respectively, and twice the effect in reducing peripheral resistance. 
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Thyroid stimulating hormone (TSH) has been shown to be both inhibited and stimulated by opioids.