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As for the chemicals, so far it has been shown that nicotine, ethylphenol, and heavy metals are leached from butts

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Intranasal antihistamines (e.g., azelastine nasal spray) or combination intranasal sprays (e.g., azelastine with fluticasone): May be considered where monotherapy with an intranasal corticosteroid or oral antihistamine is insufficient

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