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Alternatively, glyburide might have been used to color the tablet blue to resemble prescription sildenafil. Over-the-counter supplements have been documented to contain prescription pharmaceuticals or other probably harmful components 2. In 2009, an outbreak of hypoglycemia affecting one hundred fifty persons in Singapore https://thanghoa365.com/sin-su/cao-sin-su/ was linked to counterfeit sildenafil contaminated with glyburide 3. Within the outbreak described here, a nonprescription over-the-counter complement was also documented to contain each sildenafil and glyburide. This investigation reveals a particular occasion of undeclared prescription pharmaceuticals offered at public convenience shops as a dietary supplement. It highlights the importance of collaboration between poison centers, treating hospitals, well-being departments, public health laboratories, and the state university well-being system for public health surveillance, detection, and response.
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