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Usually, an additional agent could be added if 20mg was insufficient. You will even need to get certain tests done to monitor your electrolytes, especially your sodium and potassium. If side effects persist or are severe, it may be necessary to change to a different medication or to change the dosage. com, it's an increase in either your pet's systolic or diastolic arterial blood pressure level. ); and stress or any emotion-provoking situation, causing the release of adrenaline and increasing blood pressure levels, that might accelerate the heart rate and increase the myocardial workload, peripheral vascular disease, arthritis, degenerative disk disease, physical disability, foot problems) that limit the person's capability to exercise.

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