L-carnitine, the parent compound of acetyl-L-carnitine, might increase the anticoagulant effects of acenocoumarol, a shorter-acting oral anticoagulant similar to warfarin
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Smaller aggregates (called sub-visible particles) are too small to see but still problematic
Public notice (60 days before removal): FDA announces intent to remove the drug from the shortage list and provides a 60-day comment period
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