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Whilst sexual dysfunction is not listed as an adverse reaction in the Summary of Product Characteristics, some patients have raised concerns about changes in sexual function during treatment

Brand-name availability exists primarily as an alternative for patients concerned about the safety and quality differences between compounded and FDA-approved medications

The American Journal of Medicine 115:3340 [DOI] [PubMed] [Google Scholar] 25.Gibbons CH, Bonyhay I, Benson A, Wang N, Freeman R (2013) Structural and functional small fiber abnormalities in the neuropathic postural tachycardia syndrome

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Much like any other disease state, if one type of therapy isnt feasible due to cost, access, tolerance, or just ineffectiveness for a specific patient, then pursuing an alternate treatment strategy is a very reasonable course of action, says Maselli