Umbhali: Gregory Harris
Umhla Wokudalwa: 13 Utshazimpuzi 2021
Hlaziya Umhla: 20 Eyenkanga 2024
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I-Topiramate isetyenziselwa yodwa okanye kunye namanye amayeza ukunyanga iintlobo ezithile zokubanjwa kubandakanya ukubanjwa kwe-tonic-clonic yokuqala (eyayisaziwa njenge-grand mal seizure; ukubanjwa okubandakanya wonke umzimba) ingqondo). I-Topiramate iphinda isetyenziswe namanye amayeza ukulawula ukuxhuzula kubantu abaneLennox-Gastaut syndrome (isifo esibangela ukuxhuzula kunye nokulibaziseka kophuhliso). I-Topiramate isetyenziselwa ukukhusela i-migraine kodwa ayiyikukhulula iintlungu zentloko xa zenzeka. I-Topiramate kwiklasi yamayeza abizwa ngokuba zii-anticonvulsants. Isebenza ngokunciphisa ukonwaba okungaqhelekanga kwingqondo.

I-Topiramate ifika njengecwecwe, ityhubhu yokufafaza (icapsule enamaso amancinci amayeza anokufafazwa ekutyeni), kunye nokukhutshwa okwandisiweyo (ixesha elide) ukuthatha ngomlomo. Amacwecwe kunye nokufafaza iifomsile zihlala zithathwa kunye okanye ngaphandle kokutya kanye okanye kabini ngemini. Iifomsile zokukhutshwa ezandisiweyo zihlala zithathwa kunye okanye ngaphandle kokutya kube kanye ngemini. Thatha i-topiramate malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-topiramate ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Kukho elinye iyeza elinegama elifanayo negama legama le-topiramate. Kuya kufuneka uqiniseke ukuba ufumana i-topiramate kwaye hayi amayeza afanayo ngalo lonke ixesha ugcwalisa amayeza akho. Qiniseka ukuba iphepha likagqirha elikunika lona licacile kwaye lifundeka lula. Thetha kumachiza wakho ukuze uqiniseke ukuba unikwa i-topiramate. Ukuba ucinga ukuba unikwe iyeza elingalunganga, thetha nosokhemesti wakho. Sukuthatha naliphi na iyeza ngaphandle kokuba uqinisekile ukuba lonyango oluyalelwe ngugqirha wakho.

Iipilisi zeTopiramate zinencasa ekrakra ngenxa yoko kuya kufuneka uziginye ziphelele. Kubaluleke ngakumbi ukuba ungathathi iipilisi ze-topiramate ezaphukileyo nakweyiphi na ubude bexesha kuba iipilisi ezaphukileyo zingaphulukana nokusebenza kwazo ngokuhamba kwexesha.

Ukufafazwa kunye neepilisi ezikhutshiweyo ezandisiweyo (uphawu lweQudexy XR kuphela) zinokuginywa ziphelele okanye zivulwe kwaye zigalelwe ukutya okuthambileyo. Swallow Iifomsile zokukhupha ezandisiweyo (iTrokendi XR uphawu kuphela) iphelele; ungahlukanisi, ungahlafuni, okanye ufefe ukutya.


Thatha iicapsule okanye iicapsule zokukhupha ezandisiweyo (uphawu lweQudexy XR kuphela) ngokutya, landela la manyathelo:

  1. Lungisa itispuni lokutya okuthambileyo okufana neapilesauce, ikhastadi, iayisi khrimu, ioatmeal, ipudding, okanye iyogathi.
  2. Bamba icapsule eme nkqo phezu kokutya.
  3. Gweba umphezulu wecapsule kwaye uthule konke okukuyo kwicephe lokutya.
  4. Ginya yonke loo mxube ngaphandle kokuhlafuna.
  5. Sela ulwelo kanye emva kokuginya uhlambe lo mxube kwaye uqiniseke ukuba uyaliginya lonke.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-topiramate kwaye ngokuthe ngcembe andise idosi yakho, hayi ngaphezulu kwe kanye ngeveki.

I-Topiramate inokulawula ukubanjwa kwakho okanye i-migraines kodwa ayizukuyinyanga imeko yakho. Qhubeka nokuthatha i-topiramate nokuba uziva uphilile. Ungayeki ukuthatha i-topiramate ngaphandle kokuthetha nogqirha wakho, nokuba ngaba uneziphumo ebezingalindelekanga ezinje ngotshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Ukuba ngequbuliso uyeka ukuthatha i-topiramate, unokubanjwa ngamandla, nokuba awuzange ubambe ngaphambili. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.


Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-topiramate kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Topiramate isetyenziselwa ulawulo lokuxhomekeka kotywala. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

La mayeza angamiselwa ezinye izinto. Buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-topiramate,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-topiramate, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-topiramate, ufafaze iifomsile kunye neepilisi zokukhululwa ezandisiweyo. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho ukuba ngaba une-metabolic acidosis (ukuphazamiseka kumgangatho we-asidi-eseleyo yomzimba ekhokelela kubumuncu begazi) kwaye uthatha i-metformin (Fortamet, Glucophage, Riomet, nezinye). Ugqirha wakho uya kukuxelela ukuba ungathathi i-metformin ukuba une-metabolic acidosis kwaye uyayithatha le yeyeza.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: acetazolamide (Diamox); umgca wendlela; ii-anticoagulants ('igazi elincinci)' njengewarfarin (Coumadin); iziyobisi; antihistamines; i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDs) ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); idigoxin (Lanoxin); izinto zokucwangcisa zehomoni (iipilisi zolawulo lokuzalwa, iipatches, iiringi, ukufakelwa, okanye inaliti); hydrochlorothiazide (Microzide, Oretic); lamotrigine (Lamictal); lithium (Lithobid); amayeza okunyakaza kokuhamba, izilonda, okanye iingxaki zomchamo; metformin (Fortamet, Glucophage, Riomet, nabanye); amanye amayeza okubamba afana ne-carbamazepine (Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), valproic acid (Depakene), kunye ne-zonisamide (Zonegran); kunye nepioglitazone (Actos, kwiActoplus Met ER). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba wena okanye naliphi na ilungu losapho unawo okanye wakhe wanamatye ezintso, kwaye ukuba ukhe wacinga ngokuzibulala okanye uzame ukwenza njalo. Xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-metabolic acidosis (ukuphazamiseka kumgangatho we-asidi-eseleyo yomzimba ekhokelela kubumuncu begazi); i-osteopenia, i-osteomalacia, okanye i-osteoporosis (iimeko apho amathambo athambile okanye aphuke kwaye anokuqhekeka ngokulula); isifo seswekile; i-glaucoma (uhlobo lwesifo samehlo); nasiphi na isifo esichaphazela ukuphefumla kwakho esifana nesifuba okanye isifo esinganyangekiyo semiphunga (COPD); ukudakumba okanye iimood ezingaqhelekanga; ingxaki yokukhula; okanye isibindi okanye isifo sezintso. Xelela ugqirha wakho ukuba urhudo okanye uvela urhudo ngexesha lonyango lwakho.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe okanye ucwangcisa ukukhulelwa, ugqirha wakho unokumisela amayeza ahlukileyo endaweni ye-topiramate kuba i-topiramate inokulimaza umbungu. Ukuba awucwangcisi ukukhulelwa, kuya kufuneka usebenzise ulawulo lokuzalwa ukuthintela ukukhulelwa ngexesha lonyango lwakho kunye ne-topiramate. Thetha nogqirha wakho malunga naluphi uhlobo lolawulo lokuzalwa omele ulusebenzise, ​​kuba ukuthatha i-topiramate kunokunciphisa ukusebenza kwezinye iintlobo zolawulo lokuzalwa. Ukuba ukhulelwe ngelixa uthatha i-topiramate, biza ugqirha wakho kwangoko, kodwa ungayeki ukuthatha i-topiramate ngaphambi kokuba uthethe nogqirha wakho.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-topiramate.
  • Kuya kufuneka uyazi ukuba i-topiramate inokukwenza wozele, ube nesiyezi, udideke, okanye ungakwazi ukugxila. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • ukuba uthatha i-topiramate ukulawula ukuxhuzula, kuya kufuneka wazi ukuba unokuqhubeka nokubanjwa ngexesha lonyango lwakho. Kuya kufuneka uphephe izinto ezinje ngokuqubha, ukuqhuba, nokunyuka ukuze ungazonzakalisi wena okanye abanye abantu ukuba ulahlekelwe sisazela ngexesha lokuthimba.
  • xelela ugqirha wakho ukuba uyasela utywala. Akufuneki usele utywala ngaphakathi kweeyure ezingama-6 ngaphambili kunye neeyure ezingama-6 emva kokuba uthathe iipilisi ezandisiweyo zokukhupha (uphawu lweTrokendi XR kuphela) Ugqirha wakho uya kukuxelela ukuba ungaseli utywala ngelixa uthatha i-topiramate.
  • Kuya kufuneka uyazi ukuba i-topiramate inokukuthintela ukubila kwaye yenze kube nzima ukuba umzimba wakho uphole xa kushushu kakhulu. Oku kwenzeka rhoqo kwimozulu eshushu nakubantwana abathatha i-topiramate. Kunqande ukuba sesichengeni sobushushu, sela amanzi amaninzi kwaye uxelele ugqirha wakho ukuba unefiva, intloko ebuhlungu, iintlungu zemisipha, okanye isisu esibuhlungu, okanye ukuba awubilo njengesiqhelo.
  • Kuya kufuneka uyazi ukuba unokuba nakho ukukhula ilitye lezintso ngelixa uthatha i-topiramate. Sela iiglasi zamanzi ezi-6 ukuya kwezi-8 yonke imihla ukukhusela amatye kwizintso ukuba angakheki.
  • Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga kwaye ungazibulala (ucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo) ngelixa uthatha i-topiramate kunyango lwesifo sokuwa, ukugula ngengqondo, okanye ezinye iimeko. Inani elincinci labantu abadala kunye nabantwana abaneminyaka emi-5 ubudala nangaphezulu (malunga ne-1 kubantu abangama-500) abathathe ii-anticonvulsants ezinje nge-topiramate ukunyanga iimeko ezahlukeneyo ngexesha lezifundo zeklinikhi bazibulala ngexesha lonyango lwabo. Abanye baba bantu bakhulise iingcinga zokuzibulala kunye nokuziphatha kwiveki e-1 emva kokuba beqalisile ukuthatha amayeza. Kukho umngcipheko wokuba unokufumana utshintsho kwimpilo yakho yengqondo ukuba uthatha amayeza e-anticonvulsant anje nge-topiramate, kodwa kusenokubakho umngcipheko wokuba uya kufumana utshintsho kwimpilo yakho yengqondo ukuba imeko yakho ayinyangwa. Wena kunye nogqirha wakho niya kuthatha isigqibo sokuba ngaba ingozi yokuthatha iyeza le-anticonvulsant inkulu kuneengozi zokungawasebenzisi amayeza. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: uloyiko; ukuphazamiseka okanye ukungazinzi; okutsha okanye ukuhla kokucaphuka, uxinzelelo, okanye uxinzelelo; ukwenza izinto eziyingozi; ubunzima bokuwa okanye ukulala; ndlongondlongo, umsindo okanye ubundlobongela; i-mania (i-frenzied, i-mood engaqhelekanga) ukuthetha okanye ukucinga ngokufuna ukuzenzakalisa okanye ukuzibulala; Ukurhoxa kubahlobo nakusapho; ukuxakeka kukufa nokufa; ukuphisa ngezinto ezixabisekileyo; okanye naluphi na olunye utshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Thetha nogqirha wakho malunga nokwandisa inani lokutya okutyayo ukuba wehla emzimbeni ngelixa uthatha i-topiramate.

Thetha nogqirha wakho ngaphambi kokutshintsha indlela otya ngayo okanye ukuqala ngalo naluphi na uhlobo lwenkqubo yokwehla kobunzima. Musa ukulandela ukutya kwe-ketogenic (ukutya okunamafutha aphezulu, ukutya okune-carbohydrate esetyenziselwa ukulawula ukuxhuzula) okanye nakuphi na ukutya okunamafutha aphezulu, ukutya okune-carbohydrate encinci, njengokutya kwe-Atkins, ngelixa uthatha eliyeza.

Ukuba uthatha iipilisi ze-topiramate okanye ufefa iifomsile, thabatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba kungaphantsi kweeyure ezingama-6 ngaphambi kokuba ucwangciselwe ukuthatha idosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ukuba uthatha ii-capsules ezikhutshiweyo ezandisiweyo, thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Ukuba uphose idosi engaphezulu kwesinye, qhagamshelana nogqirha wakho.

I-Topiramate ingabangela ezinye iziphumo. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • ukuba ndindisholo, ukutshisa, okanye ukubetha ezandleni okanye ezinyaweni
  • ukuphendula kancinci
  • uvalo
  • intloko ebuhlungu
  • ukozela
  • ubuthathaka
  • ukushukuma okungalawulekiyo kwilungu lomzimba
  • iintshukumo zamehlo ezingalawulekiyo
  • ukuhla ukusinda
  • ukuqhina
  • isilungulela
  • utshintsho kwisakhono sokungcamla ukutya
  • umlomo owomileyo
  • impumlo
  • iinyembezi okanye amehlo awomileyo
  • umqolo, umsipha, umlenze, okanye iintlungu zethambo
  • ukuphoswa lixesha lokuya exesheni
  • ukuphuma kwegazi ngokugqithisileyo
  • ukopha okungaqhelekanga okanye ukugruzuka

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zidweliswe kwiCandelo LOKUKHUSELEKILEYO, Biza ugqirha ngoko nangoko:

  • irhashalala, isikhumba, okanye isikhumba
  • ukungaboni kakuhle
  • ukulahleka kombono
  • umbono kabini
  • iintlungu zamehlo
  • umbala obomvu
  • ukwanda kokuxhuzula
  • uziva ubanda, ubandayo, okanye ubushushu bomzimba obuphantsi
  • ubunzima bokugxila
  • iingxaki zokuthetha, ngakumbi ubunzima bokucinga ngamagama athile
  • ukudideka
  • iingxaki zememori
  • ukulahleka koququzelelo
  • ukubetha okanye ukubetha kwentliziyo okungaqhelekanga
  • iintlungu zesifuba
  • ukuqhawukelwa ngumphefumlo
  • ingxaki yokuphefumla
  • ngokukhawuleza, ukuphefumla okungaphantsi
  • ukungakwazi ukuphendula kwizinto ezikungqongileyo
  • ukudinwa kakhulu
  • urhudo
  • isicaphucaphu
  • ukugabha
  • isisu esibuhlungu
  • Ukuphelelwa ngumdla wokutya
  • umqolo obuhlungu okanye iintlungu ezisecaleni
  • igazi, amafu, okanye umchamo onukayo
  • Ukufuna rhoqo ukuchama
  • ubunzima bokuchama okanye iintlungu xa uchama
  • umkhuhlane okanye ezinye iimpawu zosulelo

I-Topiramate inokubangela i-osteoporosis (imeko apho amathambo anokuqhekeka ngokulula) kubantu abadala kunye nakwii-rickets (ezingaqhelekanga, ukukhula kwamathambo egobile) ebantwaneni. I-Topiramate inokunciphisa ukukhula kwabantwana kwaye inokunciphisa ukuphakama kokugqibela okufikelela kubo abantwana. Thetha nogqirha wakho malunga neengozi zokuthatha i-topiramate.

I-Topiramate ingabangela ezinye iziphumo. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Iitafile kunye neepilisi zokukhupha ezandisiweyo kufuneka zigcinwe kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Iifomsile zokufafaza kufuneka zigcinwe ezantsi okanye ngaphantsi kwe-77 ° F (25 ° C). Ungaze ugcine iipilisi ezaphukileyo, njengezingxobo, okanye imixube yokufefa kunye nokutya okuthambileyo. Ezi kufuneka zisetyenziswe kwangoko okanye zilahlwe.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • ukuxhuzula
  • ukozela
  • iingxaki zokuthetha
  • ukungaboni kakuhle
  • umbono kabini
  • unengxaki yokucinga
  • ukudinwa
  • ukulahleka koququzelelo
  • ukulahleka kwengqondo
  • isiyezi
  • isisu esibuhlungu
  • ukugabha
  • ukuphazamiseka
  • ukudakumba
  • Ukuphelelwa ngumdla wokutya
  • ukubetha okanye ukubetha kwentliziyo okungaqhelekanga
  • ngokukhawuleza, ukuphefumla okungaphantsi

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-topiramate.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Qudexy XR®
  • Ngaphezulu®
  • Trokendi XR®
Ukuhlaziywa kokugqibela- 08/15/2020

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