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And so how do these drugs essentially continue to be compounded
Pyridostigmine should be started (oral tablets) at least several hours before exposure to soman (8 hours in advance is preferred) , and discontinued upon exposure to the nerve gas, at which point atropine and pralidoxime are given at the first indication of exposure (see video in Figure 4)
doi:10.1002/hep.20800
This is metabolic adaptation, and it is not a sign that your medication has stopped working
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