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The end of ciprofloxacin treatment correlated with a reduced proportion of Bifidobacterium (Actinobacteria), 30 mg amitriptyline for sleep Alistipes (Bacteroidetes) and four genera from the phylum Firmicutes (Faecalibacterium, Oscillospira, Ruminococcus and Dialister) and an increased relative abundance of Bacteroides (Bacteroidetes) and the Firmicutes genera Blautia, Eubacterium and Roseburia.

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Management: Digoxin and other inotropes, 30 mg amitriptyline for sleep Beta-blockers, and antiarrhythmic and antithrombotic treatment, BMJ.