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5.2 Risks to Patients with Serious Cardiac Disease Sudden death has been reported in patients with structural cardiac abnormalities or other serious cardiac disease who were treated with CNS stimulants at the recommended ADHD dosage

Sthle M, Hellberg S, Virta J, Liljenbck H, Metsl O, Li XG, Jauhiainen M, Saukko P, Yl-Herttuala S, Nuutila P

Safe Disposal of Expired or Unused Reconstituted Medication Unused or expired reconstituted retatrutide should be returned to a community pharmacy

This allows a physician to determine if there are intermittent abnormalities to the heart rhythm (arrhythmias) over an extended period of time