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[10] Additive depressant effects occur with other class I antiarrhythmics, phenytoin, and volatile anesthetics, while epinephrine-containing local formulations may potentiate vasoconstriction and delay systemic absorption-beneficial for prolonging local anesthesia but hazardous if inadvertent intravascular injection occurs

We note that any future additional requirements for the administration of the CAHPS for MIPS Survey will be proposed and finalized through future rulemaking

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