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Serious side effects are possible including acute secondary angle closure glaucoma, decreased sweating and increased boy temperature, metabolic acidosis, suicidal ideation, kidney stones, and fetal toxicity

In our case, it is worth noting that the patient did not have history of hypertension and there were two blood pressure elevations in the pre/perioperative period although the clinical significance of this cannot be fully determined and to some extent is routine course in any major surgery