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The medical literature contains numerous reports of patients with symptoms ranging from agitation and rapid heart rate all the way to heart attack and cardiac arrest. However, those individuals who have a prior heart problem or a fast heart rate should refrain from taking this drug.
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It is a port of the CC BY-NC-SA-licensed second edition hosted by MIT Press, obtained by converting @tgvaughan's HTML Port to org-mode format via Pandoc and then doing much more conversion by hand. However, it is much longer lasting than ephedrine. Astralean (Clenbuterol) is very similar to ephedrine or amphetamine in its actions. One should be aware that Astralean (Clenbuterol) has also been associated with violent behavior, mood changes, depression, paranoia and a few deaths have been reported from damage to the heart.
Other effects of Astralean (Clenbuterol) include increasing the heart rate, muscle tremors, sweating, anxiety, hyperactivity and extreme alertness.