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Acetylcarnitine esters are formed intracellularly during regular metabolic activity

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Major drug Interactions: Other sympathomimetic aerosol bronchodilators or epinephrine should not be used concomitantly with albuterol Albuterol should be administered with extreme caution to patients being treated with MAO inhibitors or tricyclic anti-depressants, since the action of albuterol on the vascular system may be potentiated Figure 3

If side effects become intolerable at any dose level, dropping back to the previous dose for two to four additional weeks before attempting escalation again often allows successful progression

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