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this is a maximum hypersensitivity reaction of the immune system with varying degrees of severity, but which can be acutely life-threatening (Bilwani et al., 2005)

Use only the diluent named by the manufacturer or dispensing pharmacy

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As practitioners we have a duty of care

Observationally, a reconstituted nasal spray remains viable for about 30 days in the refrigerator before degradation becomes a practical issue

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