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Dont take L-arginine with amiloride (Midamor), spironolactone (Aldactone, Carospir) or triamterene (Dyrenium)
For example, in patients with congestive heart failure, reduced cardiac output leads to decreased Q H and therefore decreased clearance, resulting in higher plasma concentrations and an increased risk of toxicity
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Progress by no more than 10 to 15 percent per week
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