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[7] (This interaction is not significant when levodopa is combined with carbidopa, as in standard carbidopa/levodopa therapy, because carbidopa prevents peripheral levodopa breakdown.) Another notable interaction involves the chemotherapeutic agent altretamine: coadministration of pyridoxine can decrease altretamines effectiveness and is generally advised against unless specifically directed

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Injections into clenched muscles can cause more pain

If any of these effects persist or worsen, please consult a doctor or pharmacist promptly

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We also include CMHCs in the first line that includes all providers