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Melasma is different from sun spots: Melasma is hormonally driven and can be worsened by aggressive laser treatment

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Because of potential physical incompatibilities, it is recommended that dobutamine not be mixed with other drugs in the same solution Dobutamine should not be used in conjunction with other agents or diluents containing both sodium bisulfite and ethanol Figure 1

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Contact our office to discuss whether a combination preparation is clinically appropriate for your situation

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