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Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood vessel disease (e.g., Raynaud's disease, stroke), dental/jaw problems (e.g., bridges, temporal mandibular joint disease-TMJ), diabetes, heart disease (e.g., chest pain, heart attack, irregular heartbeat), high blood pressure, liver disease, severe kidney disease, stomach/intestinal sores (peptic ulcers), certain adrenal problem (pheochromocytoma), overactive thyroid (hyperthyroidism)

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Gum disease is linked with smoking because people who smoke tend to have more tartar on their teeth than nonsmokers