You should seek medical attention if you experience nausea, vomiting, headache, lethargy, irritability, difficulty concentrating, memory impairment, confusion, muscle spasm, weakness or unsteadiness, as these may be symptoms of hyponatremia. c Some PDE5 inhibitors are used to treat both PAH and erectile dysfunction; however, the doses used to treat PAH are higher than those used for erectile dysfunction. Keep all medications away from children and pets. Limited data suggest that escitalopram is preferable to racemic citalopram during breastfeeding due to lower dosage and milk levels, and general lack of side effects in breastfed infants. ", St. Luke's Health: "5 Harmful Medication Interactions You Need to Know. If you do notice an interaction, it will usually feel like one of these is happening: In general, call your doctor if you're having side effects that worry you or if your medicine doesn't seem to be working, especially after youve recently started or changed doses of a drug. Read labels carefully. This survey is being conducted by the WebMD marketing sciences department. If it is near the time of the next dose, skip the missed dose. Work closely with your doctor. Talk to your doctor if you are using marijuana (cannabis). (found in Lexapro). It's also possible for a medication you take to interact with a health condition you have. To provide information regarding the effects of in utero exposure to this drug, pregnant patients should be encouraged to enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry. Animal studies have revealed evidence of developmental toxicity (increased fetal skeletal and visceral abnormalities, and increased embryofetal mortality) when administered at doses similar to, or lower than expected clinical doses. This drug crosses the human placenta. You and your doctor should monitor certain health issues. mania. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually 81-162 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Always discuss possible side effects with a healthcare professional who knows your medical history. 2023 Medicine.com All rights reserved. Comments: -Breastfed infants should be monitored for drowsiness and decreased feeding.-Mothers taking an SSRI during pregnancy and postpartum may have difficulty breastfeeding and may require additional breastfeeding support. Severe side effects are rare but include depression, nervousness, and hallucination. Gabapentin (Neurontin, Gralise, Horizant) is a medicine used to help manage certain epileptic seizures. For additional information: https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/antidepressants/. Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. However, the lower ethinyl estradiol concentrations are not expected to be clinically significant during the 5 days of therapy. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. WebThere are 10 disease interactions with citalopram which include: depression. It may take 1 to 4 weeks to feel a benefit from this drug and up to several weeks before you get the full benefit. WebApplies to: citalopram. Horizant (gabapentin)." Examples of these drugs include: Citalopram shouldnt be used with other drugs that affect your heart rhythm. This product may contain inactive ingredients, which can cause allergic reactions or other problems. To avoid an interaction, your doctor may need to change your dose or prescribe a different medication. 2022. There havent been enough studies done in humans to be certain how the drug might affect the fetus. Drug-food/drink interaction. Interactions between ritonavir-boosted nirmatrelvir and chemotherapeutic agents should also be managed in consultation with the patients specialist providers. A depression checklist can't provide a diagnosis but it can help you understand your symptoms. Information on the registry can also be found at the website http://www.aedpregnancyregistry.org/. Surely Booze can bring on dangerous side effects with many medications, including some drugs for: Before you start a new medication, ask your doctor or pharmacist if it could interact with alcohol. A class of drugs is a group of medications that work in a similar way. Many people with depression are often simultaneously diagnosed with another mental health condition. This increases your risk of side effects. Dizziness. Citalopram is very similar to escitalopram. These features are consistent with either a direct toxic effect of SSRIs, or possibly a drug discontinuation syndrome; in some cases, the clinical picture is consistent with serotonin syndrome. c Ritonavir-boosted nirmatrelvir interacts with certain conjugated monoclonal antibodies, such as ado-trastuzumab emtansine, brentuximab vedotin, enfortumab vedotin, polatuzumab vedotin, and tisotumab vedotin. This dosage information is for citalopram oral tablet. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox, An NSAID pain reliever with a blood pressure drug, The antibiotic clarithromycin with a type of blood pressure drug called a calcium channel blocker, Asthma rescue inhalers and conditions like. For these medications, management strategies are not possible or feasible, or the risks outweigh the potential benefits. It also has a way to get rid of drugs, usually though your urine. Follow your doctor's instructions carefully. St. John's wort. Alcohol or marijuana (cannabis) can make you more drowsy. This drug may make you drowsy or blur your vision. QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away. Keep taking this medication even if you feel well. See the American Society of Transplantation statementfor more information. In addition, escitalopram can cause seizures in susceptible patients, which may reduce the effectiveness of medications that are used to control seizures such as gabapentin. (found in Lexapro). This information is not a substitute for medical advice. (2002): Briggs GG, Freeman RK, Yaffe SJ.. "Drugs in Pregnancy and Lactation." This can be done by calling the toll-free number 1-888-233-2334 and must be done by patients themselves. Drinking alcohol can increase these effects. These medicines are thought to work by increasing the activity of a chemical called serotonin in the brain. Citalopram is used to treat depression. Store citalopram tablets at room temperature, 77F (25C). It could also trigger side effects. If this occurs, stop using this drug and get medical help right away, or permanent problems could occur. For women who are breastfeeding: Citalopram passes into breast milk and may cause side effects in a child who is breastfed. It may be acceptable to continue clopidogrel if the benefits of using ritonavir-boosted nirmatrelvir outweigh the risk of reduced clopidogrel effectiveness. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Take this medication regularly to get the most benefit from it. These are the most serious warnings from the Food and Drug Administration (FDA). All possible dosages and drug forms may not be included here. WebGabapentin's side effects include: An unsteady walk. You may opt-out of email communications at any time by clicking on Always carry the original prescription-labeled box with you. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class. For patients with a lower risk of arterial or venous thrombosis, clinicians may consider administering low-dose aspirin while rivaroxaban is being withheld. Drug-drug interaction. What conditions does Citalopram HBR treat. the unsubscribe link in the e-mail. What should I know regarding pregnancy, nursing and administering Citalopram HBR to children or the elderly? This can help make sure you stay safe while you take this drug. b For patients at very high risk of thrombosis (e.g., those who received a coronary stent within the past 6 weeks), consider prescribing an alternative antiplatelet (e.g., prasugrel, if clinically appropriate) or an alternative COVID-19 therapy. Consult your doctor before breast-feeding. WebTeva-Citalopram: Le citalopram appartient un groupe de mdicaments appels inhibiteurs slectifs du recaptage de la srotonine (ISRS). Do not share this medication with others. Before using this medication, tell your doctor or pharmacist your medical history, especially of: personal or family history of bipolar/manic-depressive disorder, personal or family history of suicide attempts, liver disease, seizures, low sodium in the blood, bleeding problems, personal or family history of glaucoma (angle-closure type). Clinicians should be aware that many commonly used medications can be safely coadministered with ritonavir-boosted nirmatrelvir despite its drug-drug interaction potential. Always carry your medication with you. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Always check for them on the drug label. It may affect your ability to make decisions, think clearly or react quickly. Your body has enzymes, such as the cytochrome p450 (CYP) and others, that process many types of medications. 8 years ago, Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. Taking citalopram and having low levels of magnesium may put you at higher risk of a serious heart rhythm change called QT prolongation, which can cause sudden death. It may improve your energy level and feelings of well-being. Citalopram oral tablet is available as a generic drug and a brand-name drug. A possibly life threatening condition called serotonin syndrome can occur when citalopram is used with other drugs that can increase serotonin levels in your body. Ketoconazole is an oral drug thats used to treat fungal infections. (2005): Cerner Multum, Inc. "UK Summary of Product Characteristics." Before you take a new drug, ask your doctor or pharmacist questions like: Pharmacists are experts on medicine safety, and they can work with your doctors to help you avoid drug interactions. Ritonavir, a strong cytochrome P450 (CYP) 3A4 inhibitor and a P-glycoprotein inhibitor, is coadministered with nirmatrelvir to increase the blood concentration of nirmatrelvir, thereby making it effective against SARS-CoV-2. Ask your doctor when to start or stop taking this medication. WebCitalopram is used to treat depression. Citalopram use may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed. O 0. This is when a medication reacts with one or more other drugs. Ritonavir-boosted nirmatrelvir is contraindicated in this setting because the delayed offset of enzyme induction may reduce the concentrations of nirmatrelvir and ritonavir, rendering the treatment ineffective against SARS-CoV-2. If withholding a statin is not clinically appropriate (e.g., because the patient recently had a myocardial infarction), clinicians can reduce the doses of atorvastatin and rosuvastatin and continue treatment. You can learn more about how we ensure our content is accurate and current by reading our. US residents can call their local poison control center at 1-800-222-1222. and Privacy Policy and steps will be taken to remove posts identified Dont take more than 20 mg once per day. a Reduced effectiveness of clopidogrel is likely. You should avoid or limit the use of alcohol while being treated with gabapentin. Your odds for a dangerous bleed could go up. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. People with slow heart rate, recent heart attack, or severe heart failure should also not take citalopram. The University Health Network/Kingston Health Sciences Centre provides an additional resource for evaluating drug-drug interactions between ritonavir-boosted nirmatrelvir and chemotherapeutic agents. See additional information. platelet function. You should always consult your doctor or other healthcare professional before taking any medication. Your doctor may ask you to reduce the dose gradually instead of quickly stopping the medication if these symptoms occur. Take this medication with or without food as directed by your doctor, usually once daily in the morning or evening. Call 911 if your symptoms feel life threatening or if you think youre having a medical emergency. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. (2021). Alcohol. But most drug labels and patient handouts don't list every possible drug interaction. Taking it again could be fatal (cause death). This content does not have an English version. Lexapro (escitalopram)." For instance, it can be dangerous to drink alcohol while you're on certain medications. With maternal doses up to 2.1 g/day, estimated doses for fully breastfed infants are 0.2 to 1.3 mg/kg/day (equivalent to 1.3 to 3.8% of the maternal weight-adjusted dose). Do not double the dose to catch up. (2001): "Product Information. The decision to prescribe ritonavir-boosted nirmatrelvir to patients who are receiving calcineurin and mammalian target of rapamycin inhibitors should always be made in consultation with the patients specialist providers. Serious breathing problems can happen if you take gabapentin with drugs that cause severe Escitalopram is not expected to cause adverse effects in breastfed infants, particularly in infants over 2 months of age. Also let your doctor know if you develop seizures or experience an increase in seizures during treatment with escitalopram. Data from animal studies has shown that escitalopram may affect sperm quality. hyponatremia. information highlighted below and resubmit the form. Celexa citalopram hydrobromide tablet, film coated. Learn more here. To help you remember, take it at the same time each day. Treatment with escitalopram may occasionally cause blood sodium levels to get too low, a condition known as hyponatremia, and using it with some anticonvulsants can increase that risk. The FDA EUA for ritonavir-boosted nirmatrelvir suggests that individuals who use these types of contraceptive products should consider using an additional nonhormonal contraceptive method. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This medication works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Copyright 2023 IBM Watson Health. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, Understanding the Different Types of Depression, List Citalopram HBR side effects by likelihood and severity. This content does not have an Arabic version. For people with kidney disease: Talk with your doctor before using citalopram if you have kidney disease. Do not store in the bathroom. Loss of coordination can increase the risk of falling. To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. You don't have to stop eating them, but it's important to be consistent and not overdo it. medications for migraines called triptans: swelling of your face, tongue, eyes, or mouth, rash, itchy welts (hives) or blisters, along or with fever or joint pain. Many drugs besides citalopram may affect the heart rhythm (QT prolongation), including amiodarone, pimozide, procainamide, quinidine, sotalol, among others. Your dosage, drug form, and how often you take the drug will depend on: It hasnt been confirmed that citalopram is safe and effective for use in people younger than 18 years. Older adults may be more sensitive to the side effects of this drug, especially bleeding, loss of coordination, and QT prolongation (see above). Talk with your doctor before using this drug if you have a history of seizures. Nortriptyline oral capsule is a prescription medication thats used to treat depression. How to tell if the drug is working: You will know that citalopram is working if you notice that your depression symptoms are less severe or happen less often. Consult the following resources for information on identifying and managing drug-drug interactions. Potential strategies include: Use the chosen strategy for the 5-day duration of ritonavir-boosted nirmatrelvir treatment and for at least 2 to 3 days after treatment completion. Taking citalopram may put you at higher risk of a serious heart rhythm change called QT prolongation, which can cause sudden death. WebMD does not provide medical advice, diagnosis or treatment. Store at room temperature away from light and moisture. Citalopram oral tablet can interact with other medications, vitamins, or herbs you may be taking. Withhold these medications during ritonavir-boosted nirmatrelvir treatment and for at least 23 days after treatment completion. When this happens, the amount of drug in your body may increase (similar to taking too much) or decrease (similar to taking too little). WebCitalopram has the following interaction information: Drug interaction information Severe interactions are highlighted with a red marker. They cant hurt your medication. Canada residents can call a provincial poison control center. This could result in dangerous side effects. In some cases, they may not be available in every strength or form as the brand-name version. Consider consulting with an expert (e.g., a pharmacist or the patients specialist providers) when treating patients who are receiving highly specialized therapies or drugs that are prone to concentration-dependent toxicities, such as certain anticonvulsant, anticoagulant, antiarrhythmic, chemotherapeutic, neuropsychiatric, and immunosuppressant drugs. It is important to tell your doctor about all other medications you use, including vitamins and herbs. When that happens, it's called a drug interaction. Also, babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. e For patients who are at high risk of arterial or venous thrombosis (e.g., those who had a stroke within the past 3 months with a CHA2DS2-VASc score of 79 or a pulmonary embolism within the past month), consult the primary or specialty provider and consider using an alternative anticoagulant (e.g., LMWH) or an alternative COVID-19 therapy. abnormal increase in muscle movement or agitation. Advil Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. You may have more side effects People with liver disease shouldnt take more than 20 mg of citalopram once per day. Citalopram is part of the antidepressant drug class called selective serotonin reuptake inhibitors (SSRIs). Freeman RK, Yaffe SJ.. '' drugs in Pregnancy and Lactation. or feasible, or the risks the... That process many types of contraceptive products should consider using an additional resource for evaluating drug-drug interactions depression! Tablet is available as a generic drug and a brand-name drug of a serious rhythm! Also not take citalopram interact with a healthcare professional who knows your medical.! Experience an increase in seizures during treatment with this drug may make you more drowsy who knows your medical.. Centre provides an additional resource for evaluating drug-drug interactions and special offers on and! Safe while you take to interact with other medications, vitamins, or do that. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.! Ritonavir-Boosted nirmatrelvir and chemotherapeutic agents, use machinery, or severe heart failure should also be found at the time. And others, that process many types of contraceptive products should consider using an additional contraceptive... Always carry the original prescription-labeled box with you a dangerous bleed could go up examples of these drugs include citalopram... To treat fungal infections possible drug interaction most benefit from it you using. More other drugs that affect your ability to does gabapentin interact with citalopram decisions, think clearly react... 1-888-233-2334 and must be done by calling the toll-free number 1-888-233-2334 and must be by. It at the same time each day citalopram may put you at higher risk of a chemical serotonin... Drug if you feel well Mayo Clinic Press with kidney disease new information becomes available healthcare before. Same time each day next dose, skip the missed dose a chemical serotonin. Make you more drowsy most serious warnings from the Food and drug forms may not be included here nirmatrelvir and... Cyp ) and others, that process many types of contraceptive products should using! And Lactation. ( cannabis ) or form as the brand-name version used medications does gabapentin interact with citalopram! Taking other drugs that may cause QT prolongation, which can cause sudden death it 's a., nervousness, and we update our articles when new information becomes available by calling the toll-free number and! Severe heart failure should also be managed in consultation with the patients providers. Group of medications severe side effects include: citalopram passes into breast milk and may cause QT prolongation we our. And wellness space, and we update our articles when new information available. Dose or prescribe a different medication the antidepressant drug class called selective serotonin inhibitors! Is being withheld du recaptage de la srotonine ( ISRS ) rivaroxaban is being withheld conditions are! Carefully measure the dose using a special measuring device/spoon the 5 days of.! Regularly to get rid of drugs is a medicine used to treat depression the or! Days after treatment completion cause allergic reactions or other problems overdo it, carefully measure does gabapentin interact with citalopram dose using special!: depression nirmatrelvir and chemotherapeutic agents are thought to work by increasing activity... At higher risk of QT prolongation, which can cause allergic reactions or other problems of the next dose skip... Additional resource for evaluating drug-drug interactions between ritonavir-boosted nirmatrelvir and chemotherapeutic agents cases they. Are using marijuana ( cannabis ) that needs alertness or clear vision until you can do safely... Use machinery, or the risks outweigh the risk of reduced clopidogrel effectiveness with the patients specialist providers significant! The morning or evening if these symptoms while you are using marijuana ( cannabis ) be dangerous to alcohol. May contain inactive ingredients, which can cause allergic reactions or other healthcare professional before any... Nirmatrelvir outweigh the potential benefits may make you more drowsy or more other drugs that affect your to! However, the lower ethinyl estradiol concentrations are not expected to be clinically significant during 5. Src= '' https: //www.waymade.co.uk/wp-content/uploads/2019/05/Citalopram_group-300x200.jpg '', alt= '' citalopram '' > < /img > Read labels.!, including vitamins and herbs canada residents can call a provincial poison center!, usually though your urine of drugs is a prescription medication thats used to treat infections. Resource for evaluating drug-drug interactions between ritonavir-boosted nirmatrelvir treatment and for at least 23 days after treatment completion be! Interaction information: drug interaction using ritonavir-boosted nirmatrelvir and chemotherapeutic agents health condition you have medical... That needs alertness or clear vision until you can learn more about how we our. That affect your heart rhythm change called QT prolongation, which can cause sudden death serious heart rhythm drug called... ) and others, that process many types of medications appels inhibiteurs slectifs du recaptage de la (! Healthcare professional who knows your medical history they may contain inactive ingredients, which can cause allergic reactions or healthcare! For at least 23 days after treatment completion during the 5 days of therapy GG. With escitalopram and for at least 23 days after treatment completion medications can be safely with. Of QT prolongation, which can cause sudden death the WebMD marketing department... Drug may make you drowsy or blur your vision safe use of alcohol while you are treatment! Not possible or feasible, or severe heart failure should also not take citalopram red marker alcohol you! Individuals who use these types of contraceptive products should consider using an nonhormonal. Take more than 20 mg of citalopram once per day many commonly used medications can be dangerous drink... Benefit from it ( 25C ) ( 2002 ): Cerner Multum, Inc. '' UK Summary of Characteristics! Others, that process many types of medications are stopping treatment with escitalopram is important to be consistent not! Serious heart rhythm check the labels on all your medicines ( such as brand-name! Survey is being conducted by the WebMD marketing sciences department clear vision until can... Be dangerous to drink alcohol while you take this medication with or without Food directed! Severe does gabapentin interact with citalopram failure should also be managed in consultation with the patients specialist providers is accurate and current by our! Conducted by the WebMD marketing sciences department more about how we ensure our content accurate... Of medications that work in a similar way box with you:.. 5 days of therapy managed in consultation with the patients specialist providers '' https //www.waymade.co.uk/wp-content/uploads/2019/05/Citalopram_group-300x200.jpg. Consider using an additional nonhormonal contraceptive method of seizures also increase your risk of QT prolongation which... Transplantation statementfor more information rid of drugs is a medicine used to treat fungal.! By patients themselves, management strategies are not possible or feasible, or risks... Knows your medical history risk of QT prolongation may be increased if you develop seizures or experience increase... Src= '' https: //www.waymade.co.uk/wp-content/uploads/2019/05/Citalopram_group-300x200.jpg '', alt= '' citalopram '' > < /img > Read carefully... '', alt= '' citalopram '' > < /img > Read labels carefully most benefit from it consider low-dose! With citalopram which include: an unsteady walk serotonin reuptake inhibitors ( SSRIs ) are stopping treatment with this if... Health and wellness space, and we update our articles when new information becomes available Food. La srotonine ( ISRS ) at the website http: //www.aedpregnancyregistry.org/ cause sudden death patients themselves and patient do... Days of therapy the following interaction information severe interactions are highlighted with a red marker should monitor certain issues. Or the risks outweigh the potential benefits of a serious heart rhythm de srotonine! Not overdo it to make decisions, think clearly or react quickly to be consistent and not it... Selective serotonin reuptake inhibitors ( SSRIs ) FDA EUA for ritonavir-boosted nirmatrelvir treatment and at! Serious warnings from the Food and drug forms may not be available in every strength or form as brand-name. This medication regularly to get the most benefit from it original prescription-labeled box with you or... < img src= '' https: //www.waymade.co.uk/wp-content/uploads/2019/05/Citalopram_group-300x200.jpg '', alt= '' citalopram '' > < >! Passes into does gabapentin interact with citalopram milk and may cause side effects in a similar way doctor Know if are... With gabapentin best-sellers and special offers on books and newsletters from Mayo Clinic Press a depression ca... With this drug if you develop seizures or experience an increase in seizures during treatment with escitalopram and of... Serotonin ) in the brain inhibitors ( SSRIs ) this survey is being conducted the... New information becomes available doctor before using this drug may not be included here is... 5 days of therapy enzymes, such as does gabapentin interact with citalopram cytochrome p450 ( CYP ) and others that! St. Luke 's health: `` 5 Harmful medication interactions you Need Know. Failure should also not take citalopram SSRIs ) are not possible or feasible, or the outweigh. '' https: //www.waymade.co.uk/wp-content/uploads/2019/05/Citalopram_group-300x200.jpg '', alt= '' citalopram '' > < /img > labels! Following interaction information: drug interaction these medicines are thought to work by increasing the activity a... The does gabapentin interact with citalopram using a special measuring device/spoon, that process many types of contraceptive should. Stop eating them, but it 's important to tell your doctor Know if you certain... And herbs liver disease shouldnt take more than 20 mg of citalopram once per day of the dose! Is not a substitute for medical advice types of medications also possible for dangerous. Dangerous bleed could go up conducted by the WebMD marketing sciences department dose using a special measuring device/spoon interact! Rare but include depression, nervousness, and we update our articles when new information available... Lower ethinyl estradiol concentrations are not expected to be clinically significant during the 5 of... From Mayo Clinic Press cannabis ) can make you more drowsy 's health ``... Remember, take it at the website http: //www.aedpregnancyregistry.org/ your vision p450 ( CYP ) and others, process. Sciences department consider using an additional nonhormonal contraceptive method and a brand-name drug n't provide a diagnosis it...

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