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If you have any of these other conditionsyou may need a dose adjustment or special tests to safely use this medication:

Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusionIn these patientsadministration of an NSAID may cause a dose-dependent reduction in prostaglandin formation andsecondarilyin renal blood flowwhich may precipitate overt renal decompensationPatients at greatest risk of this reaction are those with impaired renal functiondehydrationhypovolemiaheart failureliver dysfunctionthose taking diuretics and ACE inhibitors or ARBsand the elderlyDiscontinuation of NSAID therapy is usually followed by recovery to the pretreatment state.

Carefully consider the potential benefits and risks of Ponstel and other treatment options before deciding to use PonstelUse the lowest effective dose for the shortest duration consistent with individual patient treatment goalssee WARNINGSGastrointestinal BleedingUlcerationand Perforation

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