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A 2025 review of 51 studies found that distractions and interruptions 47 Happen to pharmacy personnel 5 to 20 times per hour Occupy nearly 25% of US pharmacy personnels work time Account for 12% of reported medication errors in community pharmacies Are most commonly phone calls Phone calls create both distractions (shifts in workers attention as they decide whether to take the call) and interruptions (switching tasks if the call is answered)

The most commonly reported side effects include: Mild injection site pain, redness, or swelling Nausea or gastrointestinal discomfort Fishy body odor due to trimethylamine accumulation at higher doses Increased heart rate in sensitive individuals Allergic reactions rash, itching, swelling are rare but possible in patients with hypersensitivity to L-Carnitine