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[11] Clinicians should avoid administration in patients with known hypersensitivity to ethanolamine antihistamines, narrow-angle glaucoma, symptomatic prostatic hypertrophy, stenosing peptic ulcer, bladder-neck obstruction, or severe chronic obstructive pulmonary disease, as peripheral antimuscarinic effects can precipitate urinary retention, acute angle closure, or bronchial thickening

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