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1 Dosing may be increased to 100 mg every four to six hours, but the daily dosage should not exceed 400 mg 1 and should be limited to 250 to 300 mg .

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Karela has not been shown to cause histamine release. At therapeutic doses, Karela has no effect on heart rate, left-ventricular function or cardiac index.
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clinical trial was performed to assess the analgesic efficacy and reported side effects of Karela 100 mg, Karela 50 mg,
These mechanisms may contribute independently to the overall analgesic profile of Karela.
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Karela may increase the seizure risk in patients taking other medications that lower the seizure threshold.
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Karela is well absorbed orally with an absolute bioavailability of 75%. Karela has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
Karela was evaluated in peri- and post-natal studies in rats.
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Check the label on the medicine for exact dosing instructions.Karela may cause drowsiness and dizziness.
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Karela should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
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Karela is well absorbed orally with an absolute bioavailability of 75%. Karela has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
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Karela has not been shown to cause histamine release. At therapeutic doses, Karela has no effect on heart rate,
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