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Int J Biol Sci 13(7):852 Dooley S, Hamzavi J, Breitkopf K, Wiercinska E, Said HM, Lorenzen J, Ten Dijke P, Gressner AM (2003) Smad7 prevents activation of hepatic stellate cells and liver fibrosis in rats
That means they can be sold legally, but they have not been through the same safety and efficacy assessment as licensed medicines
Methylene Blue can also interact with other drugs: for example, it may increase the effects of stimulants (like amphetamines) or certain blood pressure medications, and it might reduce the effectiveness of drugs that rely on nitric oxide (like nitroglycerin)