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Inadequate initial treatment may result in suboptimal responses and persistent symptoms

Patient Scenarios Requiring 503A Compounding Some scenarios in which patients may need compounded medications include: Allergies or sensitivities to dyes or ingredients Difficulty swallowing standard tablets or capsules Dosages not commercially available Multi-drug combinations not sold commercially, such as pain creams Compounding Quick Facts Compounding in the U.S

Step 4: Start low and monitor Begin with the lowest available dose

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Patients taking anticoagulants (such as warfarin, apixaban, or rivaroxaban) or antiplatelet agents (including aspirin or clopidogrel) have an increased bleeding tendency and are more prone to bruising from minor trauma