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In patients with alcohol dependence and delirium unresponsive to high doses of benzodiazepines, alcoholic pellagra should be considered, since chronic alcoholism leads to a lack of tryptophan 2,3-dioxygenase, an enzyme linked to niacin synthesis
Cautions when prescribing fezolinetant There are no data on the effects of fezolinetant use in pregnant or lactating women or a breastfed child
This methodical progression serves multiple functions: Allows physiological adaptation to receptor stimulation Reduces treatment discontinuation from gastrointestinal adverse events Enables monitoring of metabolic markers at each dose level The gradual approach addresses common tolerability challenges associated with incretin-based medications, particularly nausea, vomiting, and diarrhea that can occur with rapid dose introduction
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