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Activation of Mania/Hypomania Advise patients and their caregivers to observe for signs of activation of mania/hypomania and instruct them to report such symptoms to the healthcare provider [see Warnings and Precautions ( 5.7)]

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21 On the other hand, a study that followed 4,746 individuals with tinnitus for four years found 18.3% of cases resolved, 9% improved, 9% worsened, and about 64% experienced no change, 22 and a study in which a questionnaire was administered to 528 tinnitus patients found 25% reported the severity of their tinnitus had increased since its onset

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