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Clenbuterol is well-known to cause symptoms such as rapid heart rate (tachycardia), palpitations, tremors, anxiety, lowered blood potassium (hypokalemia), and elevated blood sugar (hyperglycemia). Adverse effects happen more often with the large doses used for performance enhancement and weight loss. Its side effects include anxiety, shaking, and heart dysfunction. Clenbuterol is a chemical called a beta-2-adrenergic agonist. It has approval in the United States for use in horses with. Clenbuterol increases your risk of heart attacks and other heart damage, and irregular heart rhythms. Additional side effects include muscle tremors, increased perspiration, and blood pressure, insomnia, headache, nausea, and vomiting. The drug can also induce mood changes, agitation, and depression. The clinical presentation of clenbuterol overdose is consistent with that of other β-agonists 9, 10. The differential diagnosis includes thyrotoxicosis, pheochromocytoma, and benzodiazepine withdrawal. Symptoms may include agitation, tachycardia, palpitations, and tremor. Laboratory derangements include hypokalemia and hyperglycemia. The study authors concluded that clenbuterol should be considered in any patient using bodybuilding/slimming products and presenting with sympathomimetic activity. Reported symptoms of clenbuterol overdose have included nausea, palpitations, chest pain and dyspnea. Headaches Breathing difficulties Sweating Some of the above side-effects diminish when clenbuterol has been expelled from the body. However, the long-term effects of clenbuterol in humans are less well understood
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