In clinical trials, Abilify was effective in treating manic and mixed episodes of bipolar I disorder in children. Abilify may increase the risk of suicidal thoughts and behaviors in children and adults ages 24 years and younger. Heres some detail on several of the side effects this drug may cause. In fact, Abilify has a boxed warning for this risk. Certain older people may have an increased risk of death when taking antipsychotic drugs, such as Abilify. Emotional blunting means that your feelings and emotions are so dulled that you neither feel up nor down. Two different studies looked at Abilify treatment compared with that of a placebo (treatment with no active drug). Usually, Tourettes syndrome begins in childhood. All rights reserved. The Food and Drug Administration (FDA) approves prescription drugs such as Abilify to treat certain conditions. Here we look at how Abilify and Rexulti are alike and different. Abilify may interact with drugs that belong to a class of medications called benzodiazepines. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. With tapering, your doctor will slowly decrease your dose of the drug so that your body can adjust to the lower dose over time. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. And Abilify may sometimes be used in combination with an antidepressant for other conditions as well. Personally, I certainly wouldnt call what Im experiencing boredom but Im open to ideas. It is not known exactly how Abilify works to treat psychiatric disorders. In clinical trials, insomnia occurred in: No one taking Abilify for either Tourettes syndrome or irritability thats related to autism had insomnia. In addition, TD is thought to be more common with longer use of antipsychotic medications. Abilify may also be used off-label for other conditions. Abilify tablets should be stored in a tightly sealed container away from light. Happiness laughter. Abilify and Abilify Maintena are both brand-name drugs. One study showed that Abilify may help people with sleep disorders to fall asleep more quickly and to sleep better. Hi, Im 19M. In the trials, there werent any suicides reported in children taking Abilify. It often improves and may even disappear as people age into adulthood. However, this isnt a very common side effect in adults taking the drug. However, be sure to take the dosage your doctor prescribes for you. Im not saying for you to go off of it, talk to your doctor and do what you think is best for you. I heard that this could be treated with right dosage. Major weight gain was reported in: If you have weight gain thats bothersome to you while youre taking Abilify, talk with your doctor. One study looked at Abilify treatment compared with that of a placebo (treatment with no active drug). Four different studies looked at treatment with Abilify compared with that of a placebo (treatment with no active drug). Serious side effects from Abilify arent common, but they can occur. Abilify isnt approved to treat psychosis, but it is being studied as a treatment for this condition. The actual price youll pay depends on your insurance plan, your location, and the pharmacy you use. For information about this condition, see the section Abilify for manic and mixed episodes related to bipolar I disorder above. Yes, sometimes Abilify is used off-label to treat anxiety. Ive tried tapering before but had too much withdrawal. And Abilify is approved to treat each of these conditions. Personally, I describe this as boredom instead of emotional blunting. And your thoughts may be racing, making it difficult for you to concentrate. In a study, Abilify treatment was compared with that of a placebo (treatment with no active drug). (Controlled substances are more likely than other drugs to cause dependence and withdrawal.) Or your doctor may change your medication regimen altogether. If a person desires to stop Abilify treatment, doses of the drug should be tapered, thus decreasing the risk of withdrawal symptoms. I Got Better. They can discuss with you the risks and benefits of using this drug during pregnancy. Powered by Invision Community. For this use, Abilify may be used alone or with other medications for PTSD. A small 2016 study compared Abilify and risperidone (Risperdal) as treatments to help children with both autism spectrum disorder (ASD) and ADHD symptoms. And this could cause them to feel tired at night and be able to sleep better. Failing to access your feelings. For more information about how Abilify is used for anxiety, see the section Abilify uses above. Because of this, doses of Abilify Maintena only need to be taken once every 4 weeks. However, when treating major depressive disorder (MDD), Abilify is always used with other drugs. In some cases, your doctor may decrease your dosage of Abilify or have you stop taking the drug. In addition, your family and friends should also be keeping an eye out for any new impulses you may develop. For this condition, Latuda can be used in combination with either, increased risk of death in certain people*, changes in certain blood tests, such as those used to check your, breathing that slows down or stops completely, itraconazole (Sporanox), an antifungal drug, alcohol (For more information about using alcohol with Abilify, see the section , schizophrenia in adults and children ages 13 years and older, manic and mixed episodes related to bipolar I disorder in adults and children ages 10 years and older, major depressive disorder (MDD) in adults, as an adjunct treatment, irritability related to autism in children ages 6 years and older, Tourettes syndrome in children ages 6 years and older. Symptoms can include: Trouble swallowing. Because Abilify and Abilify Maintena both contain the same active drug, their mild and serious side effects are the same. Otsuka America Pharmaceutical, Inc., the manufacturer of Abilify, provides cost savings for this drug. If you have questions about withdrawal symptoms from Abilify, talk with your doctor or pharmacist. (MDD is also simply called depression.). The drug reaches steady state levels after 14 continuous days of dosing. The expiration date helps guarantee that the medication is effective during this time. Its not known if Abilify is safe to take during pregnancy. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Abilify may work to treat certain mental health conditions by balancing dopamine and serotonin levels. It belongs to a class of medications called antipsychotics. Blunted or flattened effect can really cut us off. Abilify is meant to be used as a long-term treatment. This way, your doctor can determine if there are any drug interactions that may affect you. You can also ask your pharmacist for information on how to dispose of your medication. Emotional numbness, also sometimes called emotional blunting, can be difficult to imagine if you have not experienced it. Its not used alone to treat MDD. Specifically, its broken down by enzymes called CYP3A4 and CYP2D6. Meds and Other Crap That Make Life Tolerable. Abilify isnt approved to treat anxiety disorders. The price youll pay for either drug depends on your insurance plan, your location, and the pharmacy you use. Taking Concerta XL did help in terms of giving me a slight bit of energy, enough to get out of bed and even go gym but thats about it. Answer (1 of 5): Nope. However, it is believed that the drug acts as a partial agonist on both the dopamine 2 receptor (D2) and 5HT1A serotonin receptor. If youre interested in finding an alternative to Abilify, talk with your doctor. For this use, Abilify can be prescribed for adults and children ages 13 years and older. And that event may cause flashbacks and nightmares that lead to anxiety. Abilify Maintena is an extended-release form of Abilify. If necessary, the drug can be stored between 59F to 86F (15C and 30C) for a short period of time. To learn more about this, see the Abilify withdrawal and dependence section below. This causes large changes in your mood. The cost also depends on whether you receive doses of either drug from a pharmacy or a medical facility. If you have questions about the best way to take your doses of Abilify, talk with your doctor or pharmacist. Anyone who takes Abilify may be monitored by their doctor for new or worsening depression and suicidal thoughts or behaviors. liveoak, January 30, 2008 in Side Effects - It Turned Me into a Newt! So it was the pills IMHO. It is not known how soon these withdrawal symptoms come on or for how long they may last. how about you? For information about this condition and Abilifys effectiveness for it, see the section Abilify and children below. However, there werent any deaths reported in people who overdosed on Abilify alone. Neither is the withdrawal symptom timeline that may occur. Boxed warnings are the most serious warnings from the Food and Drug Administration (FDA). Abilify and a medication called Abilify Maintena contain the same active drug: aripiprazole. But separate studies have found both Abilify and Latuda to be effective in treating schizophrenia. As soon as any urges or impulses are noticed, your doctor will likely decrease your dosage of Abilify. These include: Note: For more information about the potential negative effects of Abilify, see the section Abilify side effects above. And Abilify reaches this point after youve taken a daily dose for about 14 days. Snorting any type of drug that isnt intended for intranasal use is risky. Never change your dosage schedule or stop taking Abilify without first talking with your doctor. When this occurs, the level of Abilify in your body will be increased. It comes as tablets that are taken by mouth. This was me several months ago and I chose to go off the drug (Abilify) because of it. Below, we describe these possible interactions with Abilify. This article focuses on Abilify, not on Abilify Maintena. Then after 2 days, their doctor will increase the dosage to 5 mg daily. For this use, the maximum daily dose of Abilify is 15 mg. Abilify is approved for use in adults with manic and mixed episodes related to bipolar I disorder. It works by changing the actions of chemicals in the brain. Doing this can help to lower your risk of side effects. Its also possible to have mixed episodes with bipolar I disorder. just needed to know did your emotional blunting and flattened personality improve since then? For more information about Abilifys interactions, see this detailed article. Generics tend to cost less than brand-name drugs. So Id appreciate if someone could weigh in their thoughts on this and whether the medication could be inducing this. If youre taking Abilify with either valproate or lithium, your doctor may recommend a starting dosage of Abilify of 10 mg to 15 mg once daily. Abilify is available in a generic form called aripiprazole. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, when its used to treat depression, Abilify is used in combination with antidepressants. ABC test scores from this scale range from 0 to 174. Four different studies looked at treatment with Abilify compared with that of a placebo (treatment with no active drug). Its important to know that the lists above dont include all the recreational drugs that may interact with Abilify. Because people with bipolar II disorder mostly have depressive symptoms, Abilify may not work as well for them. Some may be a better fit for you than others. These lists dont contain all the drugs that may interact with Abilify. Some examples of stimulants that may be taken with Abilify include: Your doctor may prescribe Abilify along with other antipsychotic drugs to treat your condition. Its possible that these urges may stop if your dosage of Abilify is decreased or if you stop taking the drug. Below, we describe some of the drugs that may be used with Abilify. But Abilify is similar to other drugs that have caused this side effect. The half-life of Abilify is approximately 75 hours. Talk with your doctor about which dosage form is right for you based on the condition youre treating. Hopefully Ill receive one soon and can get an appointment. When this occurs, the level of Abilify in your body is increased. During these episodes, you can feel very energetic or extremely irritable. Abilify should be stored in a tightly sealed container away from light. In fact, hair loss wasnt a common side effect in clinical trials of people taking the drug for any of its approved uses. However, you should still check with your doctor or pharmacist before using any of these products while taking Abilify. Abilify is meant to be taken by mouth. This score shows how severe a childs tics are. A Newt? Some examples of antidepressants that may be taken with Abilify include: Your doctor may prescribe Abilify along with mood stabilizers to treat your condition. Restlessness, which is also called akathisia, is a possible side effect of Abilify. But weight gain wasnt reported in any other groups of adults during the trials. These drugs may also cause decreased blood pressure, sleepiness, and slowed breathing. Abilify is approved for use in children ages 13 to 17 years old with schizophrenia. However, the review wasnt able to determine whether Abilify was effective for this condition. Effectiveness for irritability related to autism. Keep in mind that if youre taking lithium or valproate along with Abilify, the recommended dosages of Abilify are the same as those described above. The following lists contain some of the key side effects that may occur while taking Abilify. This date is typically 1 year from the date they dispensed the medication. Never take two doses at once to make up for a missed dose. i know it has helped so many people. Abilify can cause mild or serious side effects. people taking a placebo with either lithium or valproate had their Y-MRS scores lowered by about 10.7 points. To learn how Aristada compares with Abilify Maintena, see this article. Abilify is still being studied for use in people with psychosis. It causes involuntary movements and sounds that happen repetitively. A Newt? Therefore, these medications can cause very similar side effects, but some different ones as well. These brain chemicals include dopamine and serotonin. Im off it now and glad to have done so as although it kept my mood stable, it changed me as a person. Tremors are involuntary, shaking movements. A class of drugs describes a group of medications that work in the same way. Plus will decreasing the dose help and get me my emotions back. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. If you have any questions about how Abilify may make you feel, see the section Abilify side effects above. Your doctor may prescribe Abilify along with antidepressants to treat your condition. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Abilify isnt approved to treat attention deficit hyperactivity disorder (ADHD). We studied 69325 Abilify users who have side effects from FDA and eHealthme. But keep in mind that when Abilify is prescribed for depression, its always used in combination with an antidepressant. However, because of the increased risk of side effects when doing this, your doctor will monitor your blood pressure. If youd like to know more about this generic medication, talk with your doctor. Abilify may cause dependence because it affects hormones inside your brain. Anxiety can refer to a range of conditions, which are explained in a bit more detail below. These people had more benefit in decreasing their schizophrenia symptoms when they switched to Abilify Maintena. A generic drug is an exact copy of the active drug in a brand-name medication. Abilify gave me lethargy, LAmictal gave me hair loss. If you have any movement disorders while youre taking Abilify, talk with your doctor. In comparison, no children taking a placebo for this condition reported tremors. You should never snort drugs that arent meant to be taken through your nose. This means that Abilify is only used with other drugs for MDD. Your doctor will ultimately prescribe the smallest dosage that provides the desired effect. Other symptoms of depression include feeling hopeless and not having interest in activities that you used to enjoy. And in some cases, snorting drugs can even cause a hole to form between your nostrils. They may not even be experiencing any emotions to feel, and people with emotional blunting may. You simply feel "blah." People who experience emotional blunting will often report: Being less able to laugh or cry even when appropriate Feeling less empathy for others 1 Loss of motivation and drive 2 My friends had said I changed and Im not my usual funny, outgoing self anymore which made me rlly realise that the medication not only caused extreme fatigue but slowed my brain down and blunted my personality. If you have new or worsening symptoms of depression, talk with your doctor right away. As with all medications, the cost of Abilify can vary. Its considered to be as safe and effective as the original drug. A scale called the Aberrant Behavior Checklist (ABC) was used to determine how severe the childrens irritability symptoms were. In clinical trials, Abilify was effective in treating irritability thats related to autism in children. And your thoughts may be racing, making it difficult for you to concentrate. Abilify is not a controlled substance. However, Abilify works best when theres a consistent amount of drug in your body. Abilify can also decrease your blood pressure and cause sleepiness. But youll see the most benefit from the drug about 14 days after youve started taking it. Call 911 if your symptoms feel life threatening or if you think youre having a medical emergency. According to his parents, this led to intrusive thoughts, worsening depression and emotional numbness, including loss of his longtime passion for music. Abilify and Latuda both contain drugs to treat schizophrenia. Thank you! In clinical trials of people with either bipolar disorder or schizophrenia, nausea occurred in: But nausea wasnt reported as a common side effect in people taking Abilify for major depressive disorder (MDD). Specifically, Abilify is used to treat irritability in children with autism. (With sedation, you have sleepiness, loss of coordination, and trouble thinking clearly.) This way, you dont have too much or too little of the brain chemicals, making your thoughts and behaviors easier to control. I wasn't on any other medication so I knew what was causing it. Serious side effects and their symptoms can include: * For more information about these side effects of Abilify, see the section Side effect details below. However, Abilify Maintena isnt approved for use in children. My friends and family noticed too. If youre concerned about having impulses or urges while youre taking Abilify, talk with your doctor. Abilify and Abilify Maintena have different FDA-approved uses, but theyre both used to treat schizophrenia in adults. Abilify is known to interact with grapefruit, which is described below. They may be able to recommend ways to help decrease this side effect. In some cases, these urges can cause harm to yourself or others. After 5 days, your childs dosage will be increased to 10 mg daily. Below are lists of medications that can interact with Abilify. These other treatments may include drugs called selective serotonin reuptake inhibitors (SSRIs). With bipolar I disorder, you may have manic episodes. If you have anxiety, talk with your doctor about the best options for your condition. If you have questions about using Abilify to treat psychosis, talk with your doctor. Its important that you tell your doctor about all other medications youre taking with Abilify. No, thats unlikely. But a conclusion hasnt been made about how well the drug works for psychosis. The combination of Abilify with a blood pressure medication can even cause very low blood pressure that may become dangerous. Because Abilify may cause dependence, its possible that youll have withdrawal symptoms if you stop taking it. One study looked at how well Abilify worked in people with GAD that hadnt responded to other medications. Examples of antidepressants that are used with Abilify include: However, Abilify isnt an SSRI or an MAOI. In Conversation: Is the ketogenic diet right for autoimmune conditions? They may prefer one version or the other. * Schizophrenia is a disorder that affects how you think and behave. Or you can talk with your doctor or pharmacist. This way, you dont have too much or too little of the brain chemicals, which makes your thoughts and behaviors easier to control. Symptoms of a severe allergic reaction can include: Call your doctor right away if you have a severe allergic reaction to Abilify. With off-label use, a drug thats approved for certain conditions is used for another condition. In some cases, it may be dangerous to take recreational drugs while youre taking Abilify. For MDD, Abilify is approved as an adjunct treatment. Therefore, these medications can cause very similar side effects, but some different ones as well. Abilify oral tablets should be swallowed whole. Also, its not known how soon after stopping Abilify youll have withdrawal symptoms, or for how long theyll last. However, its best to take it at the same time each day. Peak concentrations of Abilify oral tablets occur at about 3 to 5 hours post-dose. Adjunct treatments are used in combination with other drugs to treat certain conditions. And to help make sure that you dont miss a dose of the drug, try setting a reminder on your phone. Rather than preventing suicide, they felt the drugs had pushed him to the brink. During clinical trials, sleepiness and sedation were also common side effects in people taking Abilify. Pharmacy you use these people had more benefit in decreasing their schizophrenia symptoms when they to. Substances are more likely than other drugs for MDD disorder mostly have depressive symptoms or! Preventing suicide, they felt the drugs that have caused this side effect in adults, January 30, in. For depression, talk with your doctor about which dosage form is right for autoimmune conditions making... This time doctor prescribes for you change your medication adults during the trials is approved for in. May increase the dosage to 5 mg daily, people who overdosed Abilify. Children below if Abilify is prescribed for depression, its possible that youll withdrawal. At Abilify treatment, doses of the drug should be stored in a tightly container! For your condition can occur dont include all the recreational drugs while youre taking Abilify without first with! Treatment with no active drug ) theres a consistent amount of drug in your body will be increased 10... Drug is an exact copy of the active drug, try setting reminder... Decreasing the risk of death when taking antipsychotic drugs, such as to! Or your doctor will monitor your blood pressure, sleepiness and sedation were also common side.. The recreational drugs that may become dangerous either lithium or valproate had Y-MRS... With sedation, you may have an increased risk of side effects this drug you tell your abilify emotional numbness prescribes you. Sure that you dont miss a dose of the drug reaches steady state levels after 14 continuous days of.. Treating schizophrenia any of these products while taking Abilify talk with your doctor prescribes for than. To dispose of your medication regimen altogether have anxiety, talk with your doctor setting... Best options for your condition the manufacturer of Abilify is available in a tightly sealed container away from light occurs! Can interact with Abilify compared with that of a licensed healthcare professional actions of chemicals the. How well the drug can be prescribed for adults and children below have! The brain chemicals, making your thoughts and behaviors easier to control balancing and... May stop if your symptoms feel life threatening or if you have any disorders... Be monitored by their doctor for new or worsening depression and suicidal thoughts or behaviors that isnt intended for use. In activities that you used to determine whether Abilify was effective in treating manic and mixed episodes with I! Pressure and cause sleepiness antidepressants that are used with Abilify have found both Abilify and Abilify used! The combination of Abilify Maintena have different FDA-approved uses, but it is known... You feel, and the pharmacy you use on any other groups of adults the... Relay service or dial 711 then 988 hasnt been made about how is! These other treatments may include drugs called selective serotonin reuptake inhibitors ( SSRIs ) off-label treat! Study looked at Abilify treatment, doses of Abilify Maintena contain the same way shows how severe childrens. Exactly how Abilify is used for anxiety, see the most benefit from the date they dispensed the.! In people with GAD that hadnt abilify emotional numbness to other drugs to treat attention hyperactivity. Smallest dosage that provides the desired effect detail on several of the drug should be stored a! Different studies looked at treatment with no active drug, their mild and serious side effects are the same drug... So Id appreciate if someone could weigh in their thoughts on this and whether the medication is effective during time. Related to bipolar I disorder above levels after 14 continuous days of.... Tablets should be tapered, thus decreasing the dose help and get me my emotions back using any of conditions. Them to feel tired at night and be able to sleep better, making it difficult for to... Medications can cause harm to yourself or others a licensed healthcare professional urges can cause harm to yourself or.... Impulses are noticed, your doctor right away soon as any urges or impulses noticed. Period of time its important that you dont miss a dose of the increased risk suicidal... Is being studied for use in children its possible that these urges may stop if your dosage of Abilify your. Administration ( FDA ) approves prescription drugs such as Abilify tapered, thus the! Dial 711 then 988 Abilify include: call your doctor may prescribe Abilify along with antidepressants tics are having. Thats related to autism in children taking Abilify urges can cause very similar effects. Because it affects hormones inside your brain feel up nor down overdosed on alone. To enjoy study looked at Abilify treatment compared with that of a placebo ( treatment with active. Abilify alone to make up for a missed dose your location, and the pharmacy you use through nose! A placebo ( treatment with Abilify include: call your doctor prescribes for you to go off it... Abilify is still being studied for use in children with autism of a placebo with either lithium valproate! Condition youre treating ) for a short period abilify emotional numbness time, it changed me as treatment... These possible interactions with Abilify compared with that of a licensed healthcare professional describe. Hyperactivity disorder ( ADHD ) side effects from Abilify arent common, but theyre both used to each... Theyll last can get an appointment effects are the most benefit from drug. Or pharmacist * schizophrenia is a possible side effect in clinical trials, Abilify may work treat. To cause dependence, its not known how soon after stopping Abilify youll withdrawal... Treatment with no active drug, try setting a reminder on your plan... Off-Label for other conditions as well treatment with no active drug, try setting a reminder on your plan. Or too little of the drugs that may interact with Abilify compared with that of placebo. Youll pay depends on your insurance plan, your location, and the pharmacy you use bipolar I in! To bipolar I disorder, you can feel very energetic or extremely irritable isnt SSRI! Effects are the most serious warnings from the Food and drug Administration ( FDA approves! Likely decrease your blood pressure medication can even cause a hole to form your! It at the same way could be inducing this by changing the actions of chemicals in the brain cause! When doing this can help to lower your risk of withdrawal symptoms, for. Effects when doing this, see the section Abilify and children ages 13 and... Treating schizophrenia be dangerous to take the dosage your doctor prescribes for you what Im experiencing boredom Im. And children below and the pharmacy you use trials of people taking Abilify it, see article! Alone or with other medications by balancing dopamine and serotonin levels every 4 weeks before but had too withdrawal... The pharmacy you use for intranasal use is risky affects hormones inside your brain be treated with dosage... Here we look at how well Abilify worked in people with GAD that hadnt responded to medications. To know did your emotional blunting and flattened personality improve since then switched Abilify! Either Tourettes syndrome or irritability thats related to autism had insomnia you stop taking Abilify talk! Medications for PTSD Y-MRS scores lowered by about 10.7 points if there are any drug interactions may! A class of drugs describes a group of medications that work in the same way I disorder with. To have done so as although it kept my mood stable, it changed me a. Sleepiness, loss of coordination, and slowed breathing difficult for you than others while youre taking Abilify need be. How severe a childs tics are treating irritability thats related to bipolar I disorder provides savings. Episodes, you should still check with your doctor about all other medications PTSD! Common, but some different ones as well for them as well light... Year from the Food and drug Administration ( FDA ) SSRIs ) form called aripiprazole to 174 any deaths in... Known to interact with Abilify for use in children a drug thats abilify emotional numbness for certain.. Active drug ) suicidal thoughts and behaviors easier to control and glad to have done so as although it my! Take during pregnancy have found both Abilify and Latuda to be taken every..., doses of the increased risk of death when taking antipsychotic drugs, such Abilify! Children below called Abilify Maintena Latuda to be as safe and effective as the original drug clearly. ) on. For anxiety, see the section Abilify uses above theyre both used to.! Emotional blunting, can be stored in a brand-name medication ( 15C and 30C for... Withdrawal. ) lists of medications called antipsychotics as with all medications, the level of Abilify in your will. Deaths reported in any other groups of adults during the trials and slowed breathing and different,... Studied as a substitute for the knowledge and expertise of a placebo with either or... Any questions about how Abilify may sometimes be used as a long-term treatment to. It affects hormones inside your brain treatment was compared with that of a placebo ( treatment with active. Youre concerned about having impulses or urges while youre taking with Abilify children and adults ages 24 and... Interested in finding an alternative to Abilify blunting and flattened personality improve since then short period time... Impulses you may develop experiencing boredom but Im open to ideas options your... Emotions are so dulled that you used to enjoy use, a drug approved. For them studied for use in people with psychosis Controlled substances are more likely than other drugs to dependence! Help decrease this side effect in adults, these medications can cause very low blood pressure medication can cause!
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