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Understanding Pigmentation and Its Triggers Pigmentation is essentially a result of excess melanin production

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Your provider may lower the dose of the medicine known to cause tinnitus or switch you to other medications if there are early signs of ototoxicity (tinnitus or hearing problems)

This includes SSRI antidepressants (such as fluoxetine, sertraline, citalopram, etc.), SNRIs (like venlafaxine or duloxetine), tricyclic antidepressants (e.g

Gastrointestinal symptoms (nausea, vomiting, diarrhoea) are most common, typically improving with gradual dose titration