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Oral antihistamines like cetirizine or diphenhydramine may help if itching is particularly bothersome, though most patients find topical interventions sufficient

Dehydrated Skin

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[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients