Caution | Keep in a cool, dry place, tightly capped. Keep out of reach of children Use cautiously in patients with peripheral vascular disease due to accumulation of acyl carnitine in plasma. Use cautiously in patients with hypertension due to accumulation in hypertrophied hearts of hypertensive rats. Use cautiously in patients with alcohol-induced liver cirrhosis, due to increased total and acyl carnitine. Use cautiously in low birth weight infants due to potential for decreased weight gain. Use cautiously in individuals with diabetes due to potential for increase in triglycerides. Use cautiously in individuals on hemodialysis due to potential for increase in triglycerides and increased platelet aggregation. Use cautiously in patients taking anticoagulants, beta-blockers, or calcium channel blockers
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