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Description
The clinical significance of this interaction is highest with antineoplastic doses of methotrexate, but if a patient on antirheumatic doses of methotrexate can receive an alternative class to PPIs, it is the safest option to avoid any risk of methotrexate toxicity and delayed methotrexate elimination

Reuse dulls the needle, increases pain and tissue trauma, and breaks sterility

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PMID: 25678625

This storyline has repeated itself across small towns around the country, at businesses, nonprofits, and government agencies alike
