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This pharmacokinetic variability provides a rational basis for the availability of multiple dosage strengths and for individualized dose titration within the approved therapeutic range, but does not support escalation to supratherapeutic dosages. Australian emergency physicians similarly emphasize that patients taking MODALERT should not dismiss abdominal pain as a medication side effect without medical evaluation, and that the threshold for seeking care should be the same as for individuals not taking the medication.
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