The use of Alsuma in this population is contraindicated [see Contraindications (4)]. PBPs are responsible for several steps in the synthesis of the cell wall and are found in quantities of several hundred to several thousand molecules per bacterial cell. They are generally avoided in elderly patients or those with cognitive problems, due to an increased risk of confusion with this class of drugs ( 35) http://farmaciasinreceta.org/. It is important to discuss all the risks of treating depression and also the risks of not treating it.