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Kitakata H, Endo J, Matsushima H, Yamamoto S, Ikura H, Hirai A, et al

B12 is water-soluble, so excess is excreted in urine

It mimics the hormone glucagon-like peptide-1

Major drug Interactions: Other sympathomimetic aerosol bronchodilators or epinephrine should not be used concomitantly with albuterol Albuterol should be administered with extreme caution to patients being treated with MAO inhibitors or tricyclic anti-depressants, since the action of albuterol on the vascular system may be potentiated Figure 3

Because it is a powerful detoxifier, it could also theoretically speed up the metabolism of other drugs, making them less effective