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Proper management requires immediately discontinuing the phenylephrine and utilizing -adrenergic antagonists (such as phentolamine or tolazoline) or direct vasodilators (such as hydralazine or nicardipine) to safely lower blood pressure (Ebert 2026, Medical Advisory Board 2026a)

Cigarette smokers, however, who may be switching back and forth between cigars and cigarettes, may end up inhaling the cigar smoke due to habit

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In a sense, the states disincentivized the tobacco companies from acting better because they realized the amount of money they would get would depend on the tobacco companies profits