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It should never be administered intravenously by itself , because it contains no salts and is hypotonic

10.1016/j.ejphar.2008.06.042 Eur

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Interestingly, in addition to the potential cognitive benefits and protective effects against Alzheimer's disease (45) (46) (47) (48) (49), methylene blue appears to have more general neuroprotective memory-enhancing properties and is being studied as a therapeutic agent for improving brain function after concussion and traumatic brain injury (50) (51) (52) (53)

Injury to the volar plate can occur when the joint is hyperextended

So yeah, you could bump that up certainly with an injury because probably you do need proportionally more again, depending on the degree