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Do not aspirate for subcutaneous injections

if a patient is on blood pressure-lowering drugs (such as beta blockers, alpha-1 blockers, or vasodilators), niacinamide injections could lead to an additive drop in blood pressure

The injection is providing you with the necessary B vitamins regardless of your food intake, which is helpful especially if you have trouble eating a balanced diet (due to illness or other reasons)

benzyl alcohol has been associated with serious adverse events (the gasping syndrome) in newborns and must be avoided in this population

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