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In our case, it is worth noting that the patient did not have history of hypertension and there were two blood pressure elevations in the pre/perioperative period although the clinical significance of this cannot be fully determined and to some extent is routine course in any major surgery

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Serious side effects are possible including acute secondary angle closure glaucoma, decreased sweating and increased boy temperature, metabolic acidosis, suicidal ideation, kidney stones, and fetal toxicity

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