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While isotretinoin, used to treat acne vulgaris, has not been demonstrated to be associated with depression or suicide, the possibility of a relatively rare idiosyncratic adverse effect remains.

Patients with COPD 65 years of age and older had a higher incidence of serious adverse events compared with patients less than 65 years of age.

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Also at each visit, patients were asked to score any perceived improvements in asthma symptoms on a visual-analogue scale, with scores ranging from 0 (no improvement) to 10 (complete improvement), and were also asked whether they thought they had received a genuine therapy or placebo (to assess blinding).

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Although it is possible that the degree of physiological deficit in these patients was not sufficient for them to have symptoms at rest, it is increasingly recognized that not all patients with asthma who have deficits in lung function fully appreciate the degree to which their asthma limits airflow until they are given bronchodilators that result in improvement in lung function, symptoms, or both.

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In animal studies involving albuterol inhalers and pregnancy, the medicine caused birth defects and brain and skull problems when it was given to pregnant mice and rabbits.

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