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This may be sufficient to ease the pain but often the dose needs to be increased if the effect is not satisfactory.
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The monophosphate is further converted into diphosphate by cellular guanylate kinase and into triphosphate by a number of cellular enzymes. Linear lichen planus ( Figure 3) manifests as closely aggregated linear lesions on the limbs that may develop the Koebner phenomenon. Put me on Topomax and Gabatril and that helped some?
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