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For some patients, the cost savings of compounded medications make treatment accessible when brand-name options would be unaffordable
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Additionally, it is advisable to monitor patients in the outpatient clinic, including regular lung assessments, as the lungs are the most common site of metastasis (42, 43)
We suggest starting doses using PCCA Naltrexone Hydrochloride USP Anhydrous (PCCA # 50-4377 ), prepared in 0.5 mg capsules with LoxOral (PCCA # 30-4774 ) as the filler, and titrate 0.5 mg every two weeks up to a maximum of 4.5 mg daily
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