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However, combinations of high doses of benzodiazepines with alcohol, barbiturates, opioids or tricyclic antidepressants are particularly dangerous, and may lead to severe complications such as coma or death. The piece is essentially tonal, with the outer movements hewing to B flat; but the harmonic language contains elements of polytonality, and buy generic xanax visa the music is spiky with dissonance, rhythmically shifty and utterly fresh.

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