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--- 7 Contraindications / Cautions Sick sinus syndrome Bradycardia Peptic ulcer disease Asthma/COPD Concomitant anticholinergic drugs (reduce effect) --- 8 Drug Interactions Anticholinergics Oppose action CYP3A4 inhibitors (e.g., ketoconazole) levels CYP inducers (e.g., rifampicin) levels Beta-blockers risk of bradycardia --- 9 Comparison With Other Drugs Drug Selectivity Half-life Notes Donepezil CNS selective Long Once daily Rivastigmine Less selective Shorter Patch available Galantamine Moderate Moderate Also enhances nicotinic receptors --- Clinical Pearls Best tolerated among cholinesterase inhibitors No titration beyond recommended schedule Improvement seen in 46 weeks Stop if no clinical benefit To view or add a comment, sign in Overview of the common classes of antihypertensive drugs, their mechanisms, examples 1

Concerns like uneven skin tone, tanning, dark spots, and hyperpigmentation can occur due to several internal and external factors including sun exposure, pollution, hormonal fluctuations, oxidative stress, and lifestyle habits

When glutathione is depleted, this resilience decreases

Severe symptoms are less common over time

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