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Tamoxifen citrate liquid oral solution and, if tolerated, sertraline citrate gel are options for treatment. Adjunctive therapy the prevention and reversal of symptoms includes diclofenac hydrochloride, aspirin, and beta blockers, possibly in combination. If the underlying cause of disease is not known, a second or third line treatment may be used. Patients should monitored carefully for the emergence of symptoms or signs severe illness (e.g., hypotension, seizures), even in those patients with clear disease. In addition, patients with a family history of sudden death and/or neurologic disorders should be closely monitored, and appropriate interventions should be instituted if they develop severe illness. Possible Consequences The use of fluoroquinolones can be associated with a number of serious risks, including the emergence of a serious adverse reaction even if the drug does not cause clinically meaningful signs and symptoms if the patient is asymptomatic. following list presents the most important adverse effects that have been reported in the clinical trials of fluoroquinolones, although they are not exhaustive. Additional severe adverse events have been reported in some case reports, none of which have been judged to affect patient safety. Acute Myocardial Infarction (AMI) Th