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Warnings

The long-term effects of chronic electrical stimulation are
unknown.
Stimulation should not be applied over the carotid sinus nerves,
particularly in patients with known sensitivity to the carotid sinus
reflex.
Stimulation should not be applied over the neck or mouth. Severe
spasm of the laryngeal and pharyngeal muscles may occur and the
contractions may be strong enough to close the airway or cause
difficulty in breathing.
Stimulation should not be applied transthoracically in that the
introduction of electrical current into the heart may cause cardiac
arrhythmias.
Stimulation should not be applied transcerebrally.
Stimulation should not be applied over swollen, infected, or
inflamed areas or skin eruptions, e.g., phlebitis, thrombophlebitis,
varicose veins, etc.
Stimulation should not be applied over, or in proximity to, cancerous
lesions.
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