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(2005) American Medical DirectorsAssociation and American Society of Consultant Pharmacists jointposition statement on the Beers List of Potentially InappropriateMedications in Older Adults. (2009) ‘Liquid ecstasy’:gamma-butyrolactone withdrawal delirium with rhabdomyoly-sis and dialysis dependent renal failure.

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Opioid peptides are believed to be involved inthe pathogenesis.

Now there are as many as severalhundred monthly.