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Abandon the Comparative Efficacy Test for Flavored Products Instead of using the comparative efficiency test, the FDA should focus on product safety and address any adverse effects through surveillance and post-market correction

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[see Adverse Reactions (6)] Nikki contains 3 mg of the progestin DRSP which has anti-mineralocorticoid activity, including the potential for hyperkalemia in high-risk patients, comparable to a 25 mg dose of spironolactone