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5.2 Worsening Pulmonary Vascular Occlusive Disease Pulmonary vasodilators may significantly worsen the cardiovascular status of patients with pulmonary veno-occlusive disease (PVOD)

Whilst many GPs will not treat patients according to individual need (or feel their hands are tied), then it is essential to allow patients the ability to look after themselves

3rd-line & 4th-line maintenance antiseizure medications: valproic acid , phenobarbital , and fosphenytoin At this point, the remaining options are valproic acid, fosphenytoin, and phenobarbital