2A (top), we noted in some patients a concentration-dependent negative inotropic effect followed by a positive inotropic effect
Wrist splints at night can help
If storing in the refrigerator, let it come to room temperature before use
This may involve dietary modifications (such as eating smaller, more frequent meals of low-fiber and low-fat foods), medications to stimulate stomach emptying or control symptoms like nausea and vomiting, and sometimes procedures or surgery in severe cases
If more than 5 days have passed, skip it and take the next dose on the regular day
Clinics that schedule monthly check-ins, run ongoing lab tests, and keep electronic health records secure and up-to-date are more likely to catch issues early and keep you on track