Lovaza (Omega-3 Acid Ethyl Esters)

Author , posted on July 9, 2017

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Omacor

Omega-3-Acid Ethyl Esters

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Omega-3-Acid Ethyl Esters

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Lovaza (Omega-3 Acid Ethyl Esters) Dosage and Side Effects

LOVAZA is a prescription medicine that contains two types of omega-3 fatty acids: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). It's used along with lifestyle changes to lower levels of triglycerides (fat-like substances) in the blood.

Proper Use of this medication

LOVAZA comes as a liquid-filled gel capsule to take by mouth.

It's usually taken one or twice daily, with or without food.

The typical daily dose of LOVAZA is 4 grams (g) per day.

Your dose may depend on your medical condition.

Swallow the capsules whole. Don't break, crush, or chew them.

Try to take this medicine around the same time each day.

Follow the instructions on your prescription label carefully. Don't take more or less LOVAZA than is recommended.

Don't stop taking LOVAZA or change your dose without first talking to your doctor.

LOVAZA Overdose

If you suspect an overdose of LOVAZA, contact a poison control center or emergency room immediately.

Missed Dose of LOVAZA

If you miss a dose of LOVAZA, take it as soon as you remember.

But if it's almost time for your next scheduled dose, skip the missed dose and continue with your regular medication schedule.

Don't take extra medicine to make up for a missed dose.

Side Effects

Common Side Effects of LOVAZA

Tell your doctor if any of the following side effects become severe or don't go away:

  • Burping
  • Diarrhea
  • Mild heartburn
  • Nausea
  • Constipation
  • Upset stomach or mild stomach pain
  • Changes in taste

Serious Side Effects of LOVAZA

Tell your doctor right away if you experience any of the following serious side effects:

  • Irregular heartbeat
  • Unusual bleeding or bruising
  • Signs of anaphylaxis, which may include rash, hives, itching, difficulty breathing, chest tightness, or swelling of the face, mouth, lips, or tongue

Warnings and Precautions

Your healthcare provider will probably recommend that you follow a specific diet and exercise plan while you're taking LOVAZA. Follow these instructions carefully.

Before starting treatment with LOVAZA, tell your doctor if you have, or have ever had:

  • A blood clotting problem
  • An underactive thyroid
  • Liver or pancreas problems
  • Diabetes
  • An irregular heartbeat or another heart problem
  • Allergies to medicines, fish, or soy

People with atrial fibrillation or atrial flutter (types of irregular heartbeats) may have an increased risk of experiencing an irregular heartbeat while taking LOVAZA. Talk to your doctor if this is a concern.

LOVAZA may increase your levels of low-density lipoprotein (LDL, or "bad") cholesterol.

Your doctor will want to perform frequent tests to monitor your LDL levels and to check your body's response to LOVAZA.

Keep all appointments with your doctor and laboratory.

Pregnancy and LOVAZA

It's not known whether LOVAZA could harm a fetus if taken during pregnancy.

Tell your doctor if you're pregnant, or might become pregnant, while using this medicine.

LOVAZA passes into breast milk. Don't breastfeed a baby while taking this drug without first talking with your doctor.

Interactions with this medication

Tell your doctor about all prescription, nonprescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially:

  • Anticoagulants (blood thinners), such as Coumadin or Jantoven (warfarin)
  • Antiplatelet medications, such as Pletal (cilostazol), Plavix (clopidogrel), Persantine or Aggrenox (dipyridamole), Effient (prasugrel), and ticlopidine
  • Aspirin or products that contain aspirin
  • Beta-blockers, such as Tenormin or Tenoretic (atenolol), Trandate (labetalol), Lopressor, Toprol XL, or Dutoprol (metoprolol), Corgard or Corzide (nadolol), and Inderal, InnoPran XL, or Inderide (propranolol)
  • Diuretics (water pills)
  • Estrogen-containing contraceptives (birth control pills, patches, rings, and injections)
  • Estrogen replacement therapy
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Advil or Motrin (ibuprofen) and Aleve or Naprosyn (naproxen)

LOVAZA and Alcohol

Drinking alcohol may affect your triglyceride levels.

Talk to your doctor before consuming alcoholic beverages while taking this medicine.

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Lotrisone (Betamethasone/Clotrimazole)

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Lotrisone

Betamethasone Dipropionate, Clotrimazole

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Betamethasone Dipropionate, Clotrimazole

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Betamethasone Dipropionate, Clotrimazole

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Lotrisone (Bethamethasone/Clotrimazole) Dosage and Side Effects

LOTRISONE topical (for the skin) is used to treat fungal skin infections such as athlete's foot, jock itch, and ringworm.

Proper Use of this medication

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Do not take by mouth. LOTRISONE topical is for use only on the skin. Do not use this medicine on open wounds or on sunburned, windburned, dry, chapped, or irritated skin. If this medicine gets in your eyes, nose, mouth, rectum, or vagina, rinse with water.

This medicine comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Wash your hands before and after applying this medicine.

Shake the lotion form of this medicine well just before you use it.

Apply a thin layer of the medicine and rub it in completely.

Do not cover treated skin areas with a bandage or tight clothing, unless your doctor has told you to.

After applying the medicine, allow your skin to dry completely before dressing. Wear loose-fitting clothing while you are treating jock itch. If you are treating athlete's foot, wear clean cotton socks and keep your feet as dry as possible.

Do not use LOTRISONE for longer than 2 weeks for jock itch or 4 weeks for athlete's foot, unless your doctor has told you to.

It may take up to 1 or 2 weeks of using this medicine before your symptoms improve. For best results, use medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antifungal medicine.

Call your doctor if your groin symptoms do not improve after 1 week, or if your foot symptoms do not improve after 2 weeks of treatment.

Store this medicine at room temperature away from moisture and heat. Keep the tube or bottle capped and tightly closed when not in use.

An overdose of LOTRISONE topical is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line if anyone has accidentally swallowed the medication.

Apply the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next dose. Do not use extra medicine to make up the missed dose.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Topical steroid medicine can be absorbed through the skin, which may affect your adrenal gland. Call your doctor if you have:

  • nausea, vomiting, severe dizziness;
  • muscle weakness;
  • depressed mood, feeling irritable;
  • weight loss; or
  • tired feeling.

Common side effects may include:

  • burning or tingling of treated skin;
  • rash; or
  • swelling.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

Warnings and Precautions

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

You should not use this medicine if you are allergic to betamethasone or clotrimazole.

To make sure this medicine is safe for you, tell your doctor if you have:

  • any type of skin infection.

It is not known whether LOTRISONE topical will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.

It is not known whether LOTRISONE passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Do not use this medication on a child younger than 17 years old. Children are more likely to absorb the steroid through the skin. Do not use LOTRISONE topical to treat diaper rash.

Interactions with this medication

Avoid getting this medicine in your eyes, mouth, and nose, or on your lips. If it does get into any of these areas, wash with water. Do not use LOTRISONE topical on sunburned, windburned, dry, chapped, irritated, or broken skin.

Avoid wearing tight-fitting clothing that doesn't allow air circulation. Until the infection is healed, wear clothing that is made of natural fibers such as cotton.

It is not likely that other drugs you take orally or inject will have an effect on topically applied LOTRISONE. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

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Mirapex ER (Pramipexole)

Author , posted on July 9, 2017

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Mirapex ER

Pramipexole Dihydrochloride

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Pramipexole Dihydrochloride

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Pramipexole Dihydrochloride

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Mirapex ER (Pramipexole) Dosage and Side Effects

MIRAPEX ER is used to treat early and late stage Parkinson's disease.

Proper Use of this medication

Usual adult dose:

Parkinson's Disease:

Take MIRAPEX in equal doses, three times daily as prescribed by your doctor. Dosages should be increased gradually from a starting dose of 0.125 mg three times daily and should not be increased more frequently than every 5 to 7 days. It is important that your doctor increases your dosage of MIRAPEX gradually to avoid side effects and to achieve the best therapeutic effect. Your dose will probably change each week until your doctor and you decide what the best dose is for you. Make sure that you only use the tablet strength that your doctor has prescribed. The maximal recommended dose of MIRAPEX is 4.5 mg per day. Lower doses are recommended for patients with kidney disease.

Your doctor may decide to lower your dose of levodopa to prevent excessive side effects and to make sure that you are getting the best results from both drugs. Pay close attention to your doctor's instructions and never change the dose of either drug yourself.

You should not change the dose or discontinue treatment with MIRAPEX without the recommendation of your doctor.

You may take MIRAPEX without food or with food if you find that you feel sick to your stomach while taking the tablets.

Restless Legs Syndrome:

The recommended starting dose of MIRAPEX is 0.125 mg taken once daily (2-3 hours before bedtime) as prescribed by your doctor. If it is required, your doctor may change the dose every 4-7 days to achieve the best therapeutic effect. Tablets should be swallowed with water, and can be taken either with or without food. The maximal recommended dose of MIRAPEX is 0.50 mg per day.

Do not stop taking MIRAPEX suddenly, as this may result in worsened RLS symptoms. Talk to your doctor about slowly stopping the medication if necessary.

Overdose:

If you accidentally take too many tablets, you should get medical help immediately; either by calling your doctor, the regional Poison Control centre or by going to the nearest hospital (do not drive yourself). Always take the labelled medicine container with you whether or not there are any MIRAPEX tablets left.

Missed dose:

If you forget to take a dose, take it as soon as you remember, then carry on as before. However, if it is almost time for your next dose, skip the dose you missed and take the next dose when you are supposed to. Do not take more than one dose at a time.

MIRAPEX has been prescribed for you. Do not give these tablets to anyone else, even if you think they have the same condition as you.

Side Effects

You should be aware that prescription medicines carry some risks and that all possible risks may not be known at this stage. Discuss with your doctor the risks of taking MIRAPEX against the expected benefits.

If you do experience any unusual or unwanted effects while you are taking MIRAPEX, be sure to tell your doctor. It is important that he/she knows of any unwanted effects to determine the best dose of MIRAPEX for you.

  • MIRAPEX may cause unwanted effects such as nausea, constipation, sleepiness, dizziness, dream abnormalities, amnesia (memory loss), fatigue, muscle weakness, restlessness, weight decrease, including decreased appetite, weight increased, hiccups, accidental injury, confusion, pneumonia, abnormal behaviour (reflecting symptoms of impulse control disorders and compulsions), overeating, headache, hyperkinesia (unusually overactive), fainting, visual impairment, including double vision, vision blurred and visual acuity reduced, shortness of breath, vomiting, heart failure, and peripheral oedema (swelling of hands, ankles or feet).
  • MIRAPEX does not usually affect people's normal activities. However, some people may feel dizzy or sleepy while takingMIRAPEX, especially during the first few weeks of treatment.
  • If you are taking MIRAPEX for RLS you may notice an increase in your symptoms in the early morning or the afternoon/early evening hours. If this happens, please, let your doctor know.

Warnings and Precautions

You are warned of a sudden onset of sleep condition which may occur without warning, while taking MIRAPEX. You should not drive, operate machinery or engage in activities that require alertness, as you may put yourself and others at risk of serious injury or death. This sudden onset of sleep condition has also been reported in patients taking other anti-Parkinson drugs of the same class.

Studies of people with Parkinson's disease show that they may be at an increased risk of developing melanoma (a form of skin cancer) when compared to people without Parkinson's disease. It is not known if this problem is associated with Parkinson's disease or the drugs used to treat Parkinson's disease. MIRAPEX is one of the drugs used to treat Parkinson's disease; therefore, patients treated with MIRAPEX should have periodic skin examinations.

Patients and caregivers should be aware of the fact that abnormal behavior such as pathological gambling, increased sexual desire, excessive sexual activity, compulsive shopping or binge eating have been reported. Those changes have also been reported in patients taking other anti-Parkinson drugs of the same class.

BEFORE you use MIRAPEX talk to your doctor or pharmacist:

  • if you have any health problems, especially kidney problems or blood pressure problems;
  • if you have any unusual conditions related to your eyes or eyesight;
  • if you have previously taken MIRAPEX and became unwell;
  • if you have any allergies or reactions to foods or drugs;
  • if you are pregnant or intend to become pregnant;
  • if you are breast feeding;
  • if you are taking any other medications, including any drugs you can buy without a prescription;
  • if you drive a vehicle or perform hazardous tasks during your work.

Interactions with this medication

Other medications may be affected by MIRAPEX or may affect how MIRAPEX works. Do not take any other medication, including over-the-counter medications or herbal products unless your doctor tells you to. Tell any other doctor, dentist or pharmacist that you talk to that you are taking MIRAPEX.

Avoid alcohol or other sedatives while taking MIRAPEX.

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Lotensin (Benazepril)

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Lotensin

Benazepril Hydrochloride

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Lotensin (Generic)

Benazepril Hydrochloride

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Lotensin (Benazepril) Dosage and Side Effects

LOTENSIN lowers high blood pressure. LOTENSIN is an angiotensin converting enzyme (ACE) inhibitor.

Proper Use of this medication

Take LOTENSIN exactly as prescribed. It is recommended to take your dose at about the same time every day.

You can take LOTENSIN before, during or after a meal since food will not decrease its effectiveness. Swallow your tablet with a glass of water.

The dose of LOTENSIN must be individualized. Your doctor will prescribe the lowest possible dose for your needs, to be taken once or twice a day. Your doctor will tell you exactly how many tablets of LOTENSIN to take. Depending on how you respond to the treatment, your doctor may suggest a higher or lower dose. Do not exceed the recommended dose. Never change the dose unless told to do so.

Usual Adult Dose:

Recommended Initial Dose: 10 mg a day.

Usual Maintenance Dose: 20 mg a day.

Maximum Dose: 40 mg a day.

In patients with severe kidney disease: Recommended Initial Dose: 5 mg a day.

Overdose:

If you think you have taken too much LOTENSIN contact your doctor, nurse, pharmacist, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed dose:

If you miss a dose of this medicine, take the missed dose as soon as possible. If it is almost time for your next dose, skip the missed dose and then take the next one at the usual time. Do not take a double dose on the next day to make up for the forgotten tablet(s).

Side Effects

Side effects may include:

  • dizziness;

  • drowsiness, fatigue, weakness;

  • cough (dry, non-productive, mainly at night, continuing);

  • sore throat and throat irritation;

  • headache;

  • abdominal pain; pain in your muscles, back or bones;

  • rash, itching, increased sensitivity of the skin to sun, flushing;

  • diarrhea, constipation, vomiting, nausea, stomach upset;

  • numbness or tingling in the hands, feet or lips;

  • ringing in the ears;

  • loss of taste;

  • erectile dysfunction;

If any of these affects you severely, tell your doctor, nurse or pharmacist.

LOTENSIN can cause abnormal blood test results. Your doctor will decide when to perform blood tests and will interpret the results.

Warnings and Precautions

Serious Warnings and Precautions—Pregnancy

LOTENSIN should not be used during pregnancy. If you discover that you are pregnant while taking LOTENSIN, stop the medication and contact your doctor, nurse, or pharmacist as soon as possible.

BEFORE you use LOTENSIN talk to your doctor, nurse or pharmacist if you:

  • Are allergic to any drug used to lower blood pressure.

  • Have recently received or are planning to get allergy shots for bee or wasp stings.

  • Have narrowing of an artery or a heart valve.

  • Have had a heart attack or stroke.

  • Have heart failure.

  • Have liver or kidney disease.

  • Have diabetes.

  • Are dehydrated or suffer from excessive vomiting, diarrhea, or sweating.

  • Are on dialysis.

  • Are taking a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill”).

  • Are on a low-salt diet.

  • Are receiving gold (sodium aurothiomalate) injections.

  • Are less than 18 years old.

  • Have collagen vascular diseases. Collagen vascular diseases are (diseases in which the body reacts against its own tissues, often causing joint pain and inflammation). Examples are systemic lupus erythematosus or scleroderma.

  • Are taking a medicine that contains aliskiren, such as RASILEZ, used to lower high blood pressure. The combination with LOTENSINis not recommended.

  • Are taking an angiotensin receptor blocker (ARB). You can recognize an ARB because its medicinal ingredient ends in “-SARTAN”.

  • Are taking medicine to treat some cancer and non-cancerous growths associated with genetic disorders ((e.g. temsirolimus, sirolimus, everolimus).

You may become sensitive to the sun while taking LOTENSIN Exposure to sunlight should be minimized until you know how you respond.

If you are going to have surgery and will be given an anesthetic, be sure to tell your doctor or dentist that you are taking LOTENSIN.

Driving and using machines:

Before you perform tasks which may require special attention, wait until you know how you respond to LOTENSIN. Dizziness, lightheadedness, or fainting can occur. Take care especially after the first dose and when the dose is increased.

Interactions with this medication

As with most medicines, interactions with other drugs are possible. Tell your doctor, nurse, or pharmacist about all the medicines you take, including drugs prescribed by other doctors, vitamins, minerals, natural supplements, or alternative medicines.

The following may interact with LOTENSIN:

  • Agents increasing serum potassium, such as a salt substitute that contains potassium, potassium supplements, or a potassium-sparing diuretic (a specific kind of “water pill”).

  • Alcohol as it may make blood pressure fall more and/or increase the possibility of dizziness or fainting.

  • Antidiabetic drugs, including insulin, oral medicines and dipeptidyl peptide-IV inhibitors.

  • Gout medications, including allopurinol and probenecid.

  • Lithium used to treat bipolar disease and other psychological conditions.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs), used to reduce pain and swelling. Examples include ibuprofen, naproxen, indomethacin and celecoxib.

  • Other blood pressure lowering drugs, including diuretics (“water pills”), angiotensin receptor blockers (ARBs) or aliskiren-containing products (e.g. RASILEZ).

  • Cyclosporine, an immunosuppressant medicine used in transplanted patients to reduce the risk of organ rejection.

  • Heparin, an anticoagulant medicine used to prevent or treat blood clots.

  • Erythropoietin, a medicine used to regulate the production of red blood cells.

  • Gold for the treatment of rheumatoid arthritis.

  • Medicine used to treat some cancers and also some non-cancerous growths associated with a genetic disorder (e.g. temsirolimus, sirolimus, everolimus).

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Lopid (Gemfibrozil)

Author , posted on July 9, 2017

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Lopid

Gemfibrozil

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Lopid (Gemfibrozil) Dosage and Side Effects

LOPID lowers very high levels of “bad cholesterol” (low-density lipoprotein, or LDL) and fatty acids (triglycerides) in the blood. It also helps raise levels of the “good cholesterol” (high-density lipoprotein, or HDL). LOPID is also prescribed for people who are at risk of getting pancreatitis because of very high triglyceride levels.

Proper Use of this medication

Depending on the condition being treated, the recommended dose of this drug may be 600 milligrams (mg) 30 minutes before breakfast and dinner.

You should take LOPID around the same time each day.

LOPID Overdose

If you suspect an overdose, you should contact a poison-control center or emergency room immediately.

Missed Dose of LOPID

If you miss a dose of LOPID, take it as soon as you remember, unless it’s almost time for your next dose. In that case, skip the missed dose and continue on your regular medication schedule. Do not double up on doses to make up for a missed one.

Side Effects

Common Side Effects of LOPID

You should tell your doctor if any of the following side effects become severe or do not go away:

  • Heartburn
  • Mild stomach pain, upset stomach, or diarrhea
  • Headache
  • Dizziness
  • Drowsiness
  • Cold symptoms, such as a stuffy nose or sneezing

Serious Side Effects of LOPID

You should contact your doctor immediately if you experience any of the following serious side effects:

  • Muscle pain, tenderness, or weakness
  • Blurred vision
  • Signs of infections (such as fever or persistent sore throat)
  • Easy bruising or bleeding
  • Unusual fatigue
  • Irregular heartbeat
  • Numbness or tingling of the arms or legs
  • Severe stomach/abdominal pain
  • Persistent vomiting/nausea
  • Yellowing of the eyes or skin
  • Dark-colored urine

Warnings and Precautions

This medication controls high triglycerides and low HDL, but it does not cure them. You should continue to take LOPID even if you feel well.

You should tell your doctor if you have liver, kidney, or gallbladder disease before taking LOPID. If you have a history of gallstones, you should also tell your physician.

Avoid consuming foods that are high in fat or cholesterol while taking LOPID, or the medicine will not be as effective at lowering cholesterol.

You shouldn’t combine LOPID with any drug in the statin family of cholesterol-reducing medicines because that could increase the risk of a condition known as rhabdomyolysis (muscle injury), which can cause kidney damage and even death.

Your doctor may want to test your blood often to determine if LOPID is helping your condition and not causing harmful effects. You should keep all medical and laboratory appointments while you are taking this medicine.

Pregnancy and LOPID

LOPID is an FDA Pregnancy Category C drug, which means it’s unknown whether it will harm an unborn baby. You should tell your doctor if you are pregnant or plan to become pregnant while taking this medication.

It’s also not known whether LOPID passes into breast milk and could harm a nursing baby. You should not breastfeed while taking LOPID.

Interactions with this medication

You should tell your doctor about all prescription, nonprescription, illegal, recreational, herbal, nutritional, or dietary drugs you’re taking, especially:

  • Anticoagulants (blood thinners), such as warfarin (Coumadin)
  • Cholesterol-lowering medications (statins), such as atorvastatin (Lipitor), simvastatin (Zocor), fluvastatin (Lescol), lovastatin (Mevacor), rosuvastatin (Crestor), and pravastatin (Pravachol)
  • Colchicine (Colcrys)
  • Colestipol (Colestid)
  • Cholestyramine (Questran)
  • Repaglinide (Prandin, Prandimet)

LOPID and Alcohol

Alcohol may interfere with treatment. You should avoid drinking alcohol while taking LOPID.

LOPID and Other Interactions

LOPID can cause drowsiness or dizziness. You should use caution when driving, operating machinery, or performing any other task that requires you to be alert until you know how this medication will affect you.

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Lodine (Etodolac)

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Lodine

Etodolac

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Etodolac

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Lodine (Etodolac) Dosage and Side Effects

Etodolac is used to relieve pain from various conditions. It also reduces pain, swelling, and joint stiffness from arthritis. This medication is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation.

If you are treating a chronic condition such as arthritis, ask your doctor about non-drug treatments and/or using other medications to treat your pain.

Proper Use of this medication

Read the Medication Guide provided by your pharmacist before you start using etodolac and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually 2 or 3 times a day with a full glass of water (8 ounces/240 milliliters). Do not lie down for at least 10 minutes after taking this drug. To prevent stomach upset, take this medication with food, milk, or an antacid.

The dosage is based on your medical condition and response to treatment. To reduce your risk of stomach bleeding and other side effects, take this medication at the lowest effective dose for the shortest possible time. Do not increase your dose or take it more often than directed. For ongoing conditions such as arthritis, continue taking this medication as directed by your doctor.

If you are taking this drug "as needed" (not on a regular schedule), remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

For certain conditions (such as arthritis), it may take up to two weeks of taking this drug regularly until you get the full benefit.

Tell your doctor if your condition does not improve or if it worsens.

Side Effects

Upset stomachnauseadiarrhea, drowsiness, or dizziness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high.

Tell your doctor right away if you have any serious side effects, including: easy bruising/bleeding, difficult/painful swallowing, hearing changes (such as ringing in the ears), mental/mood changes, swelling of the ankles/feet/hands, sudden/unexplained weight gain, signs of kidney problems (such as change in the amount of urine), unexplained stiff neck, vision changes, unusual tiredness.

This drug may rarely cause serious (possibly fatal) liver disease. Get medical help right away if you have any symptoms of liver damage, including: dark urine, persistent nausea/vomiting/loss of appetite, stomach/abdominal pain, yellowing eyes/skin.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Warnings and Precautions

Before taking etodolac, tell your doctor or pharmacist if you are allergic to it; or to aspirin or other NSAIDs (such as ibuprofen, naproxen, celecoxib); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before taking this medication, tell your doctor or pharmacist your medical history, especially of: asthma (including a history of worsening breathing after taking aspirinor other NSAIDs), blood disorders (such as anemia, bleeding/clotting problems), growths in the nose (nasal polyps), heart disease (such as previous heart attack), high blood pressure, liver disease, stroke, throat/stomach/intestinal problems (such as bleeding, heartburn, ulcers).

Kidney problems can sometimes occur with the use of NSAID medications, including etodolac. Problems are more likely to occur if you are dehydrated, have heart failureor kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section). Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have a change in the amount of urine.

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely.

This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Limit alcohol and stop smoking. Consult your doctor or pharmacist for more information.

This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned or have skinblisters/redness.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially stomach/intestinal bleeding, kidney problems, and worsening heart problems.

Before using this medication, women of childbearing age should talk with their doctor(s) about the benefits and risks (such as miscarriage, trouble getting pregnant). Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only when clearly needed. It is not recommended for use during the first and last trimesters of pregnancy due to possible harm to the unborn baby and interference with normal labor/delivery.

It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions with this medication

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Products that may interact with this drug include: aliskiren, ACE inhibitors (such as captopril, lisinopril), angiotensin II receptor blockers (such as losartan, valsartan), cidofovir, corticosteroids (such as prednisone), lithium, "water pills" (diuretics such as furosemide).

This medication may increase the risk of bleeding when taken with other drugs that also may cause bleeding. Examples include anti-platelet drugs such as clopidogrel, "blood thinners" such as dabigatran/enoxaparin/warfarin, among others.

Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (aspirin, NSAIDs such as celecoxib, ibuprofen, or ketorolac). These drugs are similar to etodolac and may increase your risk of side effects if taken together. However, if your doctor has directed you to take low-dose aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

This medication may affect certain laboratory tests, possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

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Lodalis (Colesevelam)

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Lodalis (Colesevelam) Dosage and Side Effects

Taking LODALIS helps to lower the level of cholesterol in your blood.

Warnings and Precautions

BEFORE you use LODALIS talk to your doctor or pharmacist if:

  • your triglyceride levels (a blood fat) are greater than 3.4 mmol/L
  • you have difficulty in swallowing, or have a major stomach or intestinal disorder
  • you are taking another medication called cyclosporine (a medicine used to suppress the immune system)
  • you are taking antidiabetic treatments
  • you are taking the oral contraceptive pill
  • you are taking anticoagulant therapy
  • you suffer from constipation, as LODALIS may induce or worsen this condition. This is especially important for patients with coronary heart disease and angina pectoris
  • you are pregnant, planning on becoming pregnant or are breastfeeding
  • you have any allergies to this drug or its ingredients or components of the container

Side Effects

Like all medicines, LODALIS can cause side effects, although not everybody gets them.

The following side effects have been reported in patients taking LODALIS: constipation, flatulence (gas), diarrhea, indigestion, muscle pain, abdominal pain, abnormal stools, feeling sick (nausea), headache, raised levels of triglycerides (fats) in your blood, raised levels of liver enzymes in your blood. You may notice that hemorrhoids get worse.

Side effects were usually mild or moderate in intensity.

Interactions with this medication

To ensure that the effectiveness of the following medications is not affected, it is important that you take the following medications at least 4 hours before taking LODALIS.

Drugs that may interact with LODALIS include:

  • Anticoagulant therapy (medicines, such as warfarin, used to thin blood)
  • Thyroid replacement therapy (medicines, such as thyroxine or levothyroxine, used to treat low thyroid hormone levels)
  • Oral contraceptives (medicines to prevent pregnancy)
  • Verapamil (a medicine used to treat high blood pressure)
  • Antidiabetic medications (medicines, such as pioglitazone, repaglinide, glyburide, metformin and insulin used to treat diabetes)
  • Anti-epileptic medicines (medicines, such as phenytoin, used to treat epilepsy)
  • Cyclosporine (a medicine used to suppress the immune system).

If you are going to take LODALIS and one of these medicines, your doctor may want to do tests to make sure that LODALIS does not interfere with these medicines.

Additionally, if you have any condition that could cause you to have a deficiency of vitamins A, D, E or K, your doctor may want to check your vitamin levels periodically while you are taking LODALIS. If necessary, your doctor may advise you to take vitamin supplements.

Proper Use of this medication

Before starting therapy with LODALIS, you should be advised to follow a cholesterol-lowering diet and you should continue this diet during treatment.

Take LODALIS with a meal.

Usual dose:

Monotherapy:

The usual starting dose for LODALIS is 3 tablets taken twice a day with meals or 6 tablets a day with a meal. Your doctor may increase your dose to a maximum of 7 tablets per day. The usual dose of LODALIS powder for oral suspension is one packet (3.75 g of colesevelam resin) a day with a meal.

Combination therapy:

The usual dose for LODALIS, when used with a statin, is 4 to 6 tablets a day. The maximum recommended dose is 6 tablets per day. Your doctor may tell you to take the LODALIS dose either once a day or twice a day. The usual dose of LODALIS powder for oral suspension when used with a statin is one packet (3.75 g of colesevelam resin) a day with a meal. LODALIS should be taken with a meal. The dosing of the statin should follow the instructions for that particular statin. The two medicines may be taken at the same time or at separate times according to what your doctor has prescribed.

Overdose:

Please contact your doctor. Constipation or bloating could occur.

In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms.

Missed dose:

You may take a missed dose with a later meal, but do not take a double dose of LODALIS to make up for missed doses.

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Mirapex (Pramipexole)

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Mirapex

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Mirapex (Pramipexole) Medication Information

Uses

Mirapex is a medication that is used to treat idiopathic Parkinson’s disease and restless leg syndrome. 

Dosage

The tablets are available in several strengths:

  • 0.125 mg
  • 0.25 mg
  • 0.5 mg
  • 1 mg
  • 1.5 mg

Side Effects

The most common side effects of Mirapex include:

  • Hallucinations
  • Somnolence
  • Dizziness
  • Headache
  • Nausea 
  • Confusion 

Speak with your doctor for a full list of side effects that apply to you if you are taking Pramipexole.

Precautions

Mirapex can cause an elevation in creatine kinase, which can lead to damage in the kidneys called rhabdomyolysis. 

Because Pramipexole is eliminated by the kidneys, care should be taken dosing Mirapex in those patients who have impaired kidney function. 

Mirapex can increase the risk of dopamine side effects, specifically dyskinesia, by decreasing the dose of levodopa, it may reduce the risk of this effect. 

Interactions

The most common drug interactions with Mirapex include:

  • Carbidopa/levodopa
  • Selegiline
  • Amantadine
  • Cimetidine
  • Probenecid 

Speak with your doctor for more information and before starting a new medication with Pramipexole. 

Storage

Store at room temperature (77ºF). 

Pharmacist Tips

  • Only take Pramipexole as it has been prescribed by your doctor.
  • Mirapex can be sedating, so exercise caution when you start this medication to see how it affects you. 
  • Hallucinations can occur with Pramipexole.

Pramipexole FAQs

Does Mirapex work right away?

It can take 2-6 weeks to see the benefit of Mirapex. 

 

What are the long term side effects of Mirapex?

Some possible long term side effects of Pramipexole are confusion, difficulty swallowing, memory loss, muscle or joint pain, and frequent urination. 

 

Is Mirapex a muscle relaxer?

No, Mirapex is not a muscle relaxer, it works to stimulate dopamine receptors. 

 

What time should I take Mirapex?

When using Mirapex for Parkinson’s disease, it is taken three times a day, and the doses should be equally spaced out throughout the day. For restless leg syndrome, the dose should be take 2-3 hours before bedtime. 

 

Does Mirapex cause weight gain?

One of the side effects of Pramipexole is compulsive behavior, which can translate to overeating, which could lead to weight gain. 

 

Related Drugs

Reference:

Mirapex {package insert}. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.; 2007.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/020667s014s017s018lbl.pdf

PharmD Medical Writer

Author: Dr. Larisa Roybal, PharmD

Dr. Roybal is a board-certified pharmacotherapy specialist who has practiced in both ambulatory and acute care settings. Her pharmacy interests include oncology and general inpatient pharmacy.

Eskalith (Lithium Carbonate)

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Priadel

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Lithium Carbonate Dosage and Side Effects

This medication is used to treat manic-depressive disorder (bipolar disorder). It works to stabilize the mood and reduce extremes in behavior by restoring the balance of certain natural substances (neurotransmitters) in the brain.

Some of the benefits of continued use of this medication include decreasing how often manic episodes occur and decreasing the symptoms of manic episodes such as exaggerated feelings of well-being, feelings that others wish to harm you, irritability, anxiousness, rapid/loud speech, and aggressive/hostile behaviors.

Proper Use of this medication

There are different brands of this medication available. They may not have the same effects. Do not change brands without asking your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually 2-3 times daily. Take lithium with or immediately after meals to lessen stomach upset. Do not crush or chew this medication. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

Drink 8 to 12 glasses (8 ounces or 240 milliliters each) of water or other fluid each day, and eat a healthy diet with normal amounts of salt (sodium) as directed by your doctor or dietician while taking this medication. Large changes in the amount of salt in your diet may change your lithium blood levels. Do not change the amount of salt in your diet unless your doctor tells you to do so.

Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. The dosage is based on your medical condition, lithium blood levels, and response to treatment. This medication works best if the amount of the drug in your body is kept at a constant level. Therefore, take this drug at evenly spaced intervals.

This medication must be taken exactly as prescribed. It is important to continue taking lithium even if you feel well. Do not stop taking this drug without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Consult your doctor or pharmacist for more details.

Tell your doctor if your condition does not improve or if it worsens. It may take 1 to 3 weeks to notice an improvement in your condition.

Side Effects

Drowsiness, dizziness, tiredness, increased thirst, increased frequency of urination, weight gain, and mildly shaking hands (fine tremor) may occur. These should go away as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: diarrhea, vomiting, fever, unsteady walk, confusion, slurred speech, blurred vision, severe hand trembling (coarse tremor), vision changes (such as growing blind spot, vision loss), joint swelling/pain, pain/discoloration of finger/toes, cold hands/feet.

Get medical help right away if you have any very serious side effects, including: severe dizziness, fainting, slow/fast/irregular heartbeat, shortness of breath, seizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Warnings and Precautions

Before taking lithium, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease, kidney disease, urinary problems (such as difficulty urinating), underactive thyroid (hypothyroidism), seizures, Parkinson's disease, leukemia, severe dehydration (severe loss of body water), any infection with high fever, a certain skin disorder (psoriasis).

Lithium treatment may rarely reveal an existing condition that affects the heartrhythm (Brugada syndrome). Brugada syndrome is an inherited, life-threatening heart problem that some people may have without knowing it. It can cause a serious (possibly fatal) abnormal heartbeat and other symptoms (such as severe dizziness, fainting, shortness of breath) that need medical attention right away. Brugada syndrome may cause death suddenly. Before starting lithium treatment, tell your doctor if you have any of the following risk factors: Brugada syndrome, unexplained fainting, family history of certain heart problems (Brugada syndrome, sudden unexplained death before 45 years old).

This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

If heavy sweating or severe diarrhea occurs, check with your doctor right away how to best continue taking lithium. Take care in hot weather or during activities that cause you to sweat heavily such as during hot baths, saunas, or exercise.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

This medication is not recommended for use during pregnancy. It may harm an unborn baby. However, since untreated mental/mood problems (such as bipolar disorder) can harm a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor. Instead, ask your doctor if a different medication would be right for you. If you are planning pregnancy, become pregnant, or think you may be pregnant, tell your doctor right away.

Lithium passes into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.

Interactions with this medication

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Other medications can affect the removal of lithium from your body, which may affect how lithium works. Examples include ACE inhibitors (such as captopril, enalapril), ARBs (such as losartan, valsartan), NSAIDs (such as celecoxib, ibuprofen), "water pills" (diuretics such as hydrochlorothiazide, furosemide), other drugs for mental/mood conditions (such as chlorpromazine, haloperidol, thiothixene), among others. Your doctor may need to adjust your dose of lithium if you are on these medications.

Eat a normal diet with an average amount of sodium. Consult your doctor or dietician for more details.

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Lioresal (Baclofen)

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Lioresal (Baclofen) Dosage and Side Effects

Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, cerebral palsy, spinal cord injury/disease). It works by helping to relax the muscles.

Baclofen injection is used by patients who do not respond to or who cannot tolerate the side effects of baclofen taken by mouth.

Proper Use of this medication

This medication is given by injection into the space around the spinal cord (intrathecally). It is usually given using a drug pump implanted under your skin. A health care professional will fill and refill the pump with medication.

The dosage is based on your medical condition and response to treatment.

If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.

Do not stop treatment with this drug without consulting your doctor because serious withdrawal symptoms may occur. See also Warning section. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Tell your doctor if your condition does not improve or if it worsens, or if you have any signs of infection (such as fever, chills, redness/swelling/pain/warmth at the pump site).

Side Effects

Drowsiness, dizziness, weakness, headache, constipation, nausea, or vomiting may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as confusion, depression, hallucinations), numb/tingling skin, vision changes, difficulty urinating.

Get medical help right away if you have any very serious side effects, including: seizures, trouble breathing.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Warnings and Precautions

Before using baclofen, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: recent/current infection, seizures, mental/mood disorders (such as schizophrenia), kidney disease.

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breastfeeding.

Interactions with this medication

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), other muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

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