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Form:CalcBenzo

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|-
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| colspan="2" | '''Conversion drug'''
+
| '''Conversion drug'''
-
| colspan="2" | {{{field|replacement|mandatory|values=diazepam,oxazepam,clonazepam,chlordiazepoxide|default=diazepam }}}  
+
| colspan="3" | {{{field|replacement|mandatory|values=diazepam,oxazepam,clonazepam,chlordiazepoxide|default=diazepam }}}  
|}
|}
{{{end template}}}
{{{end template}}}

Revision as of 16:36, 16 September 2011

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