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Surveillance:Respiration, cardiac function (ECG monitoring), blood pressure, body temperature, pupillary reflexes, and kidney and bladder function should be monitored for several days. Possible cardiotoxicity with concomitant thyroid medications. I have been using from last one month Himplasia – one tablet a day because since I am taking tablets for High blood pressure which contain an agent for urinating I am a bit apprehensive. Chronic pain is a huge health concern and health cost around the world today. The CDC recommends 200 mcg/kg PO as a single dose, with a repeat dose 2 weeks later as a first line option. The metabolism of Troleandomycin can be decreased when combined with Clarithromycin.