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Use with caution in subsequent situations: Sickle cell anemia; acute alcoholism; adrenocortical insufficiency (eg, Addison condition); CNS melancholy or coma; delirium tremens; debilitated sufferers; kyphoscoliosis linked to respiratory melancholy; myxedema or hypothyroidism; prostatic hypertrophy or urethral stricture; head trauma; billiary tract