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Drugs that modulate glutamate, such as topiramate, perampanel, levetiracetam, and felbamate, have been used for the treatment of epileptic seizures (Sills & Rogawski, 2020)

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Stabenow LK, Zibrova D, Ender C, Helbing DL, Spengler K, Marx C, et al

Exenatide reduces infarct size and improves cardiac function in a porcine model of ischemia and reperfusion injury

Gastritis or inflammation of the stomach lining chronic irritation from medications, alcohol or infection can cause bleeding that may not be immediately painful but shows up as melena

I think some of my patients have this mentality of, Just give me this medication, I dont want to hear more about it