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Le traitement doit être prolongé en cas de persistance des symptômes : - avec le même antiobiotique si la réponse au traitement est bonne - avec un antiobiotique différent ou de la tétracycline ou une dose supérieure du même antiobiotique si la réponse au traitement est modeste - avec une bithérapie orale incluant au moins un antiotique à visée intracelullaire ou des injections de benzathine pénicilline G. My Tsh had swung from above normal range to below normal range with my T4 within normal range throughout. A causal relationship between VIAGRA and these events has not been established. Overall, there is currently an inadequate amount of information available to warrant any change in current prescribing practice and we cannot recommend venlafaxine as a first-line treatment for neuropathic pain.