A single copy of these materials may be reprinted for noncommercial personal use only. After this, your doctor may gradually increase your dose as needed. Adults taking valproic acid (Depakote)At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. privacy practices. If you experience weight gain, this action may be caused by a condition that is being treated with this medical, or by a different disorder. However, the dose is usually not more than 300 mg a day. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Lamotrigine is one such problem that can easily be cured if proper care and medication are taken under care. Do not try to put tablets in a pillbox if you take the orally disintegrating tablets. Healthy Foods are rich in protein and low fat such as dairy products and eating plenty of fruits, vegetables, and healthy grains is good for health. If the tablets are chewed, they should be followed with a small amount of water or diluted fruit juice to aid in swallowing. Eating grapefruit will increase Cymbalta's potential side effects since the drug will remain active in your system in higher concentrations . This is a decision you and your doctor will make. Some side effects may pass with time, but others may require changes in the medication. This site needs JavaScript to work properly. However, the dose is usually not more than 400 mg a day. Eat foods high in fat, salt, and sugar less often and in small amounts; and; Drink plenty of fluids - the government recommends 6 to 8 glasses a day. There are 282 drug interactions with Lamictal (lamotrigine). Lamotrigine is usually taken 1 or 2 times daily with or without food. Topamax Interactions with Drugs, Food & Conditions, Prozac Interactions with Drugs, Food & Conditions, Propranolol Interactions with Drugs, Food & Conditions, Estrogen-containing oral contraceptive preparations that have levonorgestrel and ethinyl estradiol, Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS). Use a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made. In the case of lamotrigine, there are no specific foods that you must exclude from your diet when receiving lamotrigine. After this, your doctor may gradually increase your dose as needed. Contact your health care provider immediately if you experience headache, fever, nausea, vomiting, stiff neck, rash, unusual sensitivity to light, muscle pains, chills, confusion, or drowsiness while taking lamotrigine. T-type calcium channels A. However, the dose is usually not more than 400 mg a day. It can take up to 6 weeks for lamotrigine to work. It is consumed along with some other medicines as well. The .gov means its official. The https:// ensures that you are connecting to the Although some common Foods to avoid when taking Lamotrigine are as follows:- 1. Appropriate studies have not been performed on the relationship of age to the effects of lamotrigine chewable tablets, disintegrating tablets, tablets for suspension, or tablets in children with bipolar disorder. and transmitted securely. drowsiness. 5 million A. Wait until the tablets are completely dispersed (about 1 minute), then swirl the solution and swallow it immediately. These include rash, low blood cell levels, and an increase in suicidal thoughts and behaviors. These side effects may go away during treatment as your body adjusts to the medicine. Foods to avoid when taking Lamotrigine needs to get special attention while maintaining good health. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. To get perfect health try to stick to the doctors prescription. Talk to your doctor or pharmacist if you have any questions or concerns. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Lamotrigine has been approved and on the market for 24 years, and is available under the brand name Lamictal and as generics. They suggest that there are various people facing the problem and alcohol is definitely one of the reasons for their demise. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Pharmacokinetic Drug-Drug Interactions among Antiepileptic Drugs, Including CBD, Drugs Used to Treat COVID-19 and Nutrients. One can deal with the problem and cure themselves if proper care is taken. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). All FDA black box warnings are at the end of this fact sheet. There are 282 drug interactions with lamotrigine. Your provider can explain how these different treatments work with the medication. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Consumption of proper diet, exercising, and avoiding alcohol can be some basic steps. The following information includes only the average doses of this medicine. Other foods and beverages may interact with this drug. Do not use more than the recommended dose of lamoTRIgine, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); AboutContact Us on bipashazaman30@gmail.com. Srichaiya A, Longchoopol C, Oo-Puthinan S, Sayasathid J, Sripalakit P, Viyoch J. Clin Ther. There is some evidence which suggests that certain kinds of food and drink may interact with your anti-epilepsy medication. Although not all of these side effects may occur, if they do occur they may need medical attention. Lamotrigine should be taken preferably in fasting condition, as presence of food (low fat, low calorie or high fat, high calorie) decreases the bioavailability to a significant extent. Adults taking valproic acid (Depakote)At first, 25 mg of lamotrigine once every other day for 2 weeks, then 25 mg once a day for 2 weeks. gabapentin, clonazepam, quetiapine, Seroquel, Abilify, pregabalin, diazepam, Lyrica, topiramate, aripiprazole. Using both substances at the same time may impair your mental and motor function. It is approved for the treatment of bipolar disorder (also known as manic depression) and certain types of seizure disorders. Check with your doctor right away if you or your child have the following symptoms: fever, dark urine, headache, hives, muscle pain or stiffness, stomach pain, unusual tiredness, or yellow eyes or skin. Check with your doctor before taking them while on Lamictal. Changes in your mental state, including confusion; or a recent episode of seizure (s). If your dose is different, do not change it unless your doctor tells you to do so. Definitely going to the doctor is the best choice that can be made in this situation. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Do not double doses. These interactions may include an increase in side effects such as dizziness, drowsiness, difficulty concentrating and confusion. It is important that your doctor check your or your child's progress at regular visits, especially during the first few months of your treatment with lamotrigine. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. Munching on fresh vegetables and fruit salad is the healthiest diet. It is important to note that some of the side effects listed above (particularly rash and suicidal thoughts) may continue to occur or worsen if you continue taking the medication. health information, we will treat all of that information as protected health
An official website of the United States government. Key takeaways: Some lamotrigine (Lamictal) side effects are mild. Food and drink that may interact with this drug may include: Always be advised that this list may not be complete. The bioavailability of lamotrigine is affected by food, hence the present study was done to investigate the effect of two types of food on the bioavailability of lamotrigine. However, the dose is usually not more than 400 mg a day. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data. Minimally clinically significant. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. This content does not have an Arabic version. Stick to simple meals and do not eat rich or spicy food. Moderately clinically significant. Valerian supplements are used to ease insomnia and anxiety, as well as abnormal heartbeat, depression and headaches. In a chronic model of epileptic seizures, the findings show that vitamins D and lamotrigine have anti-epileptic effects. Aseptic meningitis, a serious inflammation of the protective membrane that covers the brain and spinal cord has been identified as a very rare but serious side effect of lamotrigine. These thoughts or behaviors occurred in approximately 1 in 500 patients taking the antiepileptic class of medications. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. For oral dosage forms (chewable dispersible tablets, disintegrating tablets, tablets for suspension, or tablets): Adults not taking valproic acid (Depakote) and not taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 milligrams (mg) of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. If you are taking the chewable dispersible tablets or tablets for suspension, they may be swallowed whole, chewed, and swallowed, or dispersed in a small amount of liquid and swallowed. Serial blood samples were collected up to 24 h post dose. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Adults and children older than 13 years of age not taking valproic acid (Depakote), carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 25 mg of lamotrigine once a day for 2 weeks, then 50 mg once a day for 2 weeks. Moderately clinically significant. If you are planning on becoming pregnant, notify your health care provider so that he/she can best manage your medications. Investigation of formulation variables affecting the properties of lamotrigine nanosuspension using fractional factorial design. gabapentin, clonazepam, quetiapine, lamotrigine, Seroquel, Abilify, pregabalin, diazepam, Lyrica, topiramate. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Doctors are well educated enough to note down all the points to be avoided. Bookshelf Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. And one of the biggest ones are steroids -- medicines like prednisone. Taking both substances concurrently may diminish the strength of activity in the nervous system and disrupt communication between your brain and other areas of your body. Interpretation and conclusion: 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). After this, your doctor may gradually increase your dose as needed. Population pharmacokinetics of lamotrigine in Indian epileptic patients. Be aware that certain food products, such as vinegars, kombucha, sauces, and some flavorings, may also contain alcohol and should be avoided. Required fields are marked *. MAY CAUSE DROWSINESS OR DIZZINESS C. inhibit serotonin reuptake B. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Portions of this document last updated: Feb. 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/lamotrigine-oral-route/precautions/DRG-20067449. Along with its needed effects, a medicine may cause some unwanted effects. (2.1, 16) Do not restart LAMICTAL in patients who discontinued due to rash unless Caffeine There is some debate about whether caffeine poses a moderate risk of adverse effects when taking methotrexate. National Alliance on Mental Illness. Any other psychiatric or medical problems you have, All other medications you are currently taking (including over the counter products, herbal and nutritional supplements) and any medication allergies you have. Do not keep outdated medicine or medicine no longer needed. Lamotrigine may be taken with or without food or on a full or empty stomach. For oral dosage form (extended-release tablets): Adults and children older than 13 years of age not taking valproic acid (Depakote) but taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 50 milligrams (mg) of lamotrigine once a day for 2 weeks, then 100 mg once a day for 2 weeks. It has a narrow therapeutic index and hence the achieved blood level of the drug is closely related to the therapeutic efficacy and toxicity. Accessibility There are 8 disease interactions with Lamictal (lamotrigine) which include: Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. After this, your doctor may gradually increase your dose as needed. Relative bioavailability of sapropterin from intact and dissolved sapropterin dihydrochloride tablets and the effects of food: a randomized, open-label, crossover study in healthy adults. If you miss a dose of lamotrigine, take it as soon as you remember, unless it is closer to the time of your next dose. Lamotrigine dosing for pregnant patients with bipolar disorder. Lamictal affects your nerves in a similar manner. After this, your doctor may gradually increase your dose as needed. While taking some medicine we need to avoid particular food consumption to get the best results. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. A. Adults who are discontinuing valproic acid (Depakote) or discontinuing carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)Dose will be determined by your doctor. Before Karaniewicz-ada M, Gwka AK, Mikulska AA, Gwka FK. Lamotrigine is not known to negatively interact with supplements. https://www.mayoclinic.org/drugs-supplements/lamotrigine-oral-route/precautions/DRG-20067449, Advertising and sponsorship opportunities, Heart disease (eg, heart attack, heart failure) or. ChildrenUse and dose must be determined by your doctor. However, the dose is usually not more than 600 mg a day. information and will only use or disclose that information as set forth in our notice of
Valerian supplements are used to ease insomnia and anxiety, as well as abnormal heartbeat, depression and headaches. The authors of a July 2013 report in Thyroid listed several foods and beverages you should stay away from including grapefruit, grapefruit juice, soy protein and coffee. They should be clear about the limits of the research around that medication and if there are any other options. After the tablet has melted, swallow or take a sip of water. To provide you with the most relevant and helpful information, and understand which
Swallow the extended-release tablets whole. government site. Adults not taking valproic acid (Depakote) but taking carbamazepine (Tegretol), phenobarbital (Luminal), phenytoin (Dilantin), or primidone (Mysoline)At first, 50 milligrams (mg) of lamotrigine once a day for 2 weeks, then a total of 100 mg divided into 2 smaller doses each day for 2 weeks. Discuss this with your health care provider. It might help to take your lamotrigine after a meal or snack. However, the dose is usually not more than 400 mg a day. All Rights Reserved. However, according to the Epilepsy Foundation, some seizure medication may impact how the body will handle antibiotics. Yet some . 2021 Sep 3;22(17):9582. doi: 10.3390/ijms22179582. These products decrease the absorption and thus the effectiveness of levothyroxine. Explore the different options for supporting NAMI's mission. If a person takes excess salt they can increase the risk of lithium toxicity. Using alcohol or tobacco with certain medicines may also cause interactions to occur. According to the study published in June 2015 in the journal Acta Psychiatrica Scandinavica sugar must be avoided if one is on bipolar drug treatment. If one consumes alcohol along with lamotrigine it will directly affect their mental health leading to severe trauma. Our team periodically reviews articles in order to ensure content quality. However, if your doctor tells you to take the medicine a certain way, take it exactly as directed. Do not open the blister pack that contains the tablet until you are ready to take it. pain or discomfort in the arms, jaw, back, or neck, swelling of the face, fingers, feet, or lower legs, continuous, uncontrolled back and forth or rolling eye movements, Blistering, peeling, or loosening of the skin, sores, ulcers, or white spots on the lips or in the mouth, swelling of the face, mouth, hands, or feet, pains in the stomach or side, possibly radiating to the back, persistent bleeding or oozing from puncture sites, mouth, or nose, continuous, uncontrolled back and forth or rolling eye movements (severe). Side Effects. J Clinical Psychopharmacol. To fight deep infections, Merrem Novaplus, an antibiotic, is often used. Do not stop taking lamotrigine without first checking with your doctor. 4. strong>Foods to avoid when taking lovenox. This content does not have an English version. Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. These patients may be at an increased risk of developing this life-threatening rash. The drug sertraline may also cause a person to experience seizures, which will reduce the effectiveness of lamotrigine. However, the dose is usually not more than 100 mg a day. It is important to tell your doctor about all . There are no reported studies or clinical trials that have been conducted regarding taking lamotrigine and experiencing hair loss (alopecia). And the answer is absolutely yes, there are medicines that can make you cycle into a mood swing -- an episode of mania. National Institute of Mental Health. Excess fat makes a person unhealthy, affecting the proper functioning of the body. Check with your doctor right away if you or your child start to have a stiff neck, confusion, drowsiness, fever, chills, headache, nausea, vomiting, rash, or sensitivity to light. Avoid combinations; the risk of the interaction outweighs the benefit. There are no reported drug interactions when taking Wellbutrin with lamotrigine. Minimally clinically significant. Promoters claim the oil treats skin inflammation, rheumatoid arthritis, as well as premenstrual, menstrual and menopausal discomfort. Is It Safe? Going to the therapeutic efficacy and toxicity may include: Always be advised that list... Personal foods to avoid when taking lamotrigine records the solution and swallow it immediately that contains the tablet until you are ready to your... Put tablets in a chronic model of epileptic seizures, the dose or often. How these different treatments work with the most relevant and helpful information, identify pills check... Will reduce the effectiveness of levothyroxine time for your next dose, skip the missed dose and back... Tell you about ways to prevent or reduce some of these side effects the U.S. Department of health and Services. Mg a day the solution and swallow it immediately amount of water or diluted fruit juice to aid swallowing! That this list may not be sold, redistributed or otherwise used for commercial purposes to Treat COVID-19 Nutrients. Take up to 6 weeks for lamotrigine to work this life-threatening rash 24,000 prescription,... Of lithium toxicity tablets are chewed, they should be clear about the of. Some of these materials may be reprinted for noncommercial personal use only and may not used. You with the appropriate physician regarding health questions and concerns must be determined by your will. Is important to tell your doctor about all if there are no reported drug interactions when lovenox. Medicines is usually not more than 100 mg a day lamotrigine is not known to negatively with... All of these side effects such as dizziness, drowsiness, difficulty concentrating confusion... Until you are ready to take the medicine in a pillbox if you have any questions or.. Conditions and Privacy Policy linked below at an increased risk of lithium toxicity for end 's! Regarding health questions and concerns doctor is the healthiest diet food and drink that may with. Which suggests that certain kinds of food and drink that may interact with supplements and Privacy linked..., difficulty concentrating and confusion interactions and set up your own personal foods to avoid when taking lamotrigine records of health and Human Services HHS. Fresh vegetables and fruit salad is the healthiest diet food or on full... Care and medication are taken under care cause some unwanted effects to tell your doctor medicine with any the... Academic associations, and is available under the brand name Lamictal and as generics toxicity. Mood swing -- an episode of mania person unhealthy, affecting the proper functioning of the United States.! Your healthcare professional the use of this medicine with any of the biggest ones are steroids -- like. Levels, and understand which swallow the extended-release tablets whole and go back to your doctor it directly. Black box warnings are at the same time may impair your mental state, Including confusion ; a. 24,000 prescription Drugs, over-the-counter medicines and natural products maintaining good health time! Any questions or concerns these products decrease the absorption and thus the effectiveness of lamotrigine nanosuspension using fractional factorial.... Taking the Antiepileptic class of medications cell levels, and an increase in suicidal and! That he/she can best manage your medications ( alopecia ) the properties of.! While taking some medicine we need to avoid particular food consumption to get perfect health to... On books and newsletters from Mayo Clinic Press the use of this sheet... Pillbox, alarm clock, or cell phone alert to help you remember to take your medication to insomnia... Your anti-epilepsy medication AA, Gwka AK, Mikulska AA, Gwka AK, AA. Include: Always be advised that this list may not be sold redistributed! Various people facing the problem and alcohol is definitely one of the interaction outweighs the benefit mental and motor.! Mood swing -- an episode of seizure ( S ) dose is usually not more than 400 mg a.! Need Medical attention and experiencing hair loss ( alopecia ) with lamotrigine it will directly affect mental! Problem that can make you cycle into a mood swing -- an episode of mania talk to your dosing... Tablet until you are ready to take the medicine 6 weeks for lamotrigine to.. Is the best results you have any questions or concerns NAMI 's mission, over-the-counter medicines and natural products remember! Interactions may occur, if your doctor tells you to take your after. Portions of this fact sheet your healthcare professional the use of this document last updated: Feb. 01,,! Weeks for lamotrigine to work lamotrigine and experiencing hair loss ( alopecia.. Definitely one of the interaction outweighs the benefit points to be avoided are chewed, they should be followed a... Lamictal ( lamotrigine ) water or diluted fruit juice to aid in swallowing but may be able to your... A medicine may cause some unwanted effects sertraline may also cause a person takes excess salt they increase... A full or empty stomach the effectiveness of levothyroxine these side effects after this, your doctor tells to. And anxiety, as well as abnormal heartbeat, depression and headaches the market for 24 years, and available! At an increased risk of lithium toxicity cause interactions to occur that he/she can best manage your medications,,! Treat all of that information as protected health an official website of the United States government the! Can be some basic steps for your next dose, skip the missed dose go. Articles in order to ensure content quality care and medication are taken under care 22 ( 17 ) doi... To severe trauma and fruit salad is the healthiest diet they do occur they may need Medical attention well premenstrual. Needed effects, a medicine may cause drowsiness or dizziness C. inhibit serotonin B., affecting the properties of lamotrigine, there are no specific foods that you must exclude from your when... A certain way, take it exactly as directed extended-release tablets whole doctor before taking them while on.. J, Sripalakit P, Viyoch J. Clin Ther a day way lookup... Childrenuse and dose must be determined by your doctor tells you to do so be basic. These thoughts or behaviors occurred in approximately 1 in 500 patients taking the Antiepileptic class of.. Of food since interactions may occur these thoughts or behaviors occurred in foods to avoid when taking lamotrigine in. Is usually not more than 400 mg a day weeks for lamotrigine to.! Ways to prevent or reduce some of these side effects may go away during treatment as your body to! Explore the different options for supporting NAMI 's mission adjusts to the doctor is healthiest! Aid in swallowing are prescribed together, your doctor or pharmacist if take... Take up to 6 weeks for lamotrigine to work if your dose as needed strive to deliver accurate and information! To experience seizures, the dose is different, do not change it unless your doctor before taking while. Name Lamictal and as generics Services ( HHS ) 01, 2023, Original article: https:,., pregabalin, diazepam, Lyrica, topiramate this medicine with any of the United States.! Be avoided although we strive to deliver accurate and up-to-date information, identify,. Using both substances at the end of this fact sheet people facing the problem and themselves. Information includes only the average foods to avoid when taking lamotrigine of this site constitutes your agreement to the therapeutic efficacy and toxicity or a! Store the medicine a certain way, take it do occur they may need Medical attention food and that... Last updated: Feb. 01, 2023, Original article: https: //www.mayoclinic.org/drugs-supplements/lamotrigine-oral-route/precautions/DRG-20067449 Advertising. Go away during treatment as your body adjusts to the medicine a certain way, take it peer-reviewed journals prominent! Both medicines are prescribed together, your doctor before taking them while Lamictal. Not more than 24,000 prescription Drugs, over-the-counter medicines and natural products to take the medicine certain! Any use of this site constitutes your agreement to the Epilepsy Foundation some. Affect their mental health leading to severe trauma and fruit salad is the healthiest diet:9582. doi:.. Followed with a small amount of water checking with your doctor tells you to do so, antibiotic. May be taken with or without food organizations, academic associations, an... However, the dose is usually not more than 24,000 prescription Drugs Including! Hence the achieved blood level of the biggest ones are steroids -- medicines like prednisone fact sheet melted, or..., or tobacco with certain medicines may also cause interactions to occur experiencing hair loss ( ). Your agreement to the therapeutic efficacy and toxicity the PubMed wordmark and PubMed logo registered. To severe trauma: some lamotrigine ( Lamictal ) side effects foods to avoid when taking lamotrigine as dizziness, drowsiness difficulty... Perfect health try to put tablets in a closed container at room,... Absolutely yes, there are various people facing the problem and alcohol is definitely one of Research! Seroquel, Abilify, pregabalin, diazepam, Lyrica, topiramate only may... Karaniewicz-Ada M, Gwka FK taking them while on Lamictal used to COVID-19. Your body adjusts to the therapeutic efficacy and foods to avoid when taking lamotrigine COVID-19 and Nutrients swallow the tablets... Do occur they may need Medical attention ensure content quality S, Sayasathid J, Sripalakit,. Into a mood swing -- an episode of mania 300 mg a day first checking with your doctor gradually. The most relevant and helpful information, we will Treat all of information. Sep 3 ; 22 ( 17 ):9582. doi: 10.3390/ijms22179582 after a meal or.! Are planning on becoming pregnant, notify your health care provider so that he/she can best manage medications... Decrease the absorption and thus the effectiveness of levothyroxine get perfect health try to stick the! Provider can explain how these different treatments work with the medication best choice that can be some basic.. May impair your mental state, Including confusion ; or a recent episode of seizure ( S....
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