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I had a severe concussion and was given spiriva, after toradol and something else wouldn't offer any relief. talk about a miracle. once it kicked in my headache was gone! one pill every 4 hours, but with my injury it seemed to wear off in about 3 hours and unfortunately it takes an hour plus to start working. i did sleep after each pill so maybe i'm just immune to the caffeine. love this medicine, just wish it worked faster and lasted longer.
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