Texas Courses. 1  Every two years, Texas insurance producers, adjusters and counselors need 24 hours of continuing education, including 2 hours of ethics. 12 or more hours must come from classroom equivalent courses. We are pleased to offer 14 hours of classroom equivalent courses in addition to our standard credit hour offerings.
1 Muscle spasms can occur in the eyelid or the area around the eye when the eyelid or the surface of the eye is irritated.  Adverse reactions to certain drugs, including corticosteroids and estrogen pills, can trigger muscle spasms. The twitching may affect the hands, arms, or legs.
Severe hypokalemia, with serum potassium concentrations of 2.5â3 meq/l (Nl: 3.5â5.0 meq/l), may cause muscle weakness, myalgia, tremor, and muscle cramps (owing to disturbed function of skeletal muscle), and constipation (from disturbed function of smooth muscle). Blood pressure medications such as loop diuretics (e.g. furosemide) and thiazide diuretics (e.g. hydrochlorothiazide) commonly cause hypokalemia. 2  Other medications such as the antifungal, amphotericin B, or the cancer drug, cisplatin, can also cause long-term hypokalemia.