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Taking any serotonergic drug: MAOI, SSRI, SNRI, tricyclic, triptan, tramadol, tapentadol, meperidine (pethidine), dextromethorphan (most OTC cough syrups), linezolid, methylene blue, St John's wort, 5-HTP or L-tryptophan

In vitro studies using endothelial cell models have demonstrated effects on fibroblast migration rates, endothelial cell tube formation in angiogenesis assays, and cytoprotective mechanisms in cell culture models exposed to oxidative and chemical stressors

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