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Also avoid carbapenems such as imipenem or meropenem (antibiotics that can lower serum valproic acid levels) and recreational drugs such as cannabis that can increase anxiety or panic

Huang R, Xu Y, Lu X, Tang X, Lin J, Cui K, et al

(2021) Guideline on management of suspected adverse reactions to ingested histamine: Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Society for Pediatric Allergology and Environmental Medicine (GPA), the Medical Association of German Allergologists (AeDA) as well as the Swiss Society for Allergology and Immunology (SGAI) and the Austrian Society for Allergology and Immunology (GAI)

Best of all, L-Carnitine 2000 is virtually calorie-free and contains absolutely no aspartame