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Listed contraindications include active opioid use, uncontrolled hypertension, psychiatric instability, severe hepatic or renal impairment, and a personal history of pancreatitis
This isn't a casual recommendation
For patients on apixaban, rivaroxaban, or other DOACs, routine INR monitoring isn't necessary, but you should report any new symptoms of bleeding (unusual bruising, nosebleeds, blood in stool) or clotting (leg swelling, chest pain, shortness of breath) to your doctor immediately
INDICATIONS Ramelteon is a sedative, also called a hypnotic
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