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Its table calls the combination usually contraindicated and says discontinuation is recommended, which makes it the strongest warning anywhere in the article's interaction list

578 Pharmacological treatments include cholinergic agonists, such as bethanechol, to stimulate detrusor muscle contraction, antimuscarinic agents, such as oxybutynin or tolterodine, for overactive bladder symptoms, and beta-3 agonists, such as mirabegron, to relax bladder smooth muscle during the storage phase

This applies to all compounded semaglutide products, not just the methylcobalamin combination

Evaluation and management of children with obstructive sleep apnea syndrome